Clinical nursing worksheet with answers

A nasogastric tube position is commonly confirmed at the bedside by:

1. ATesting the pH of aspirated fluid
2. BPlacing the tube end in a glass of water
3. CAsking the patient to cough
4. DListening for air with a stethoscope ("whoosh test")

Which sign suggests dehydration in an adult?

1. AWeight gain over two days
2. BMoist mouth, pale urine and normal pulse
3. CSwollen ankles, crackles in the lungs and a raised JVP
4. DDry mouth, dark concentrated urine and tachycardia

Hepatitis A is mainly spread by:

1. AMosquito bites
2. BBlood transfusion
3. CThe faecal–oral route
4. DSexual contact only

A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?

1. AKeep the arm raised and still at all times
2. BUse the fistula arm for routine IV cannulas
3. CApply a tight bandage over the fistula at night to protect it
4. DAvoid blood pressure readings and blood samples on that arm

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. ALying on their back
2. BWalking short distances with a frame and a physiotherapist
3. CBending the hip beyond 90 degrees or crossing the legs
4. DDoing gentle ankle exercises

An unconscious patient with diabetes has a blood glucose of 2.1 mmol/L and no IV access. What can be given?

1. AIntramuscular glucagon
2. BSubcutaneous insulin
3. CGlucose tablets by mouth
4. DOral fruit juice

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. AMalignant hyperthermia
2. BNeuroleptic malignant syndrome from antipsychotics
3. CPostoperative infection
4. DA normal response to surgery

Why must a unit of red cells be transfused within the set time limit (commonly four hours) after it leaves controlled cold storage?

1. AThe blood group of the cells changes after a few hours
2. BThe red cells break down and turn into plasma
3. CBacteria can grow in the blood at room temperature
4. DThe bag stops dripping after four hours