Clinical nursing worksheet with answers

Free printable Clinical nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

Which assessment should be done regularly after a limb is put in a plaster cast?

  1. APeak flow measurement
  2. BVisual acuity test
  3. CHearing test
  4. DNeurovascular observations of the limb below the cast
2.Easy

Which group of findings suggests fluid overload?

  1. ALow jugular venous pressure and cool skin
  2. BSwollen ankles, breathlessness, lung crackles and weight gain
  3. CDry mouth, thirst, dark urine and a rapid weak pulse
  4. DWeight loss, sunken eyes and a dry mouth
3.Easy

Stridor, a harsh noise heard mainly on breathing in, is a sign of:

  1. AFluid collecting in the bases of both lungs
  2. BMild constipation
  3. CNarrowing or obstruction of the upper airway
  4. DNormal breathing during sleep
4.Medium

A patient with dysphagia after a stroke has been cleared for a modified diet. How should they be positioned for meals?

  1. ASitting fully upright, and staying upright for a time after eating
  2. BLying flat on their back with the head turned to one side
  3. CSemi-reclined at about 20 degrees, with the head supported on pillows
  4. DLying on their side with the knees bent
5.Medium

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

  1. AIt is safe in all patients with severe kidney failure
  2. BIt has no risk of bleeding
  3. CIt does not need routine INR monitoring
  4. DIt never interacts with other drugs
6.Medium

Which side effect of regular opioids usually needs preventive treatment from the start?

  1. AConstipation
  2. BDiarrhoea
  3. CHigh blood pressure
  4. DExcessive hunger
7.Hard

Which finding most strongly suggests a pulmonary embolism in a postoperative patient?

  1. AWheeze that improves with salbutamol
  2. BSlow heart rate with high blood pressure
  3. CGradual onset of cough with yellow sputum and mild fever over a week
  4. DSudden breathlessness and pleuritic chest pain with tachycardia
8.Hard

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

  1. AINR for heparin and APTT for warfarin
  2. BPlatelet count for both drugs
  3. CAPTT for heparin and INR for warfarin
  4. DD-dimer for both drugs

Answer key

  1. 1. D · Neurovascular observations of the limb below the cast
  2. 2. B · Swollen ankles, breathlessness, lung crackles and weight gain
  3. 3. C · Narrowing or obstruction of the upper airway
  4. 4. A · Sitting fully upright, and staying upright for a time after eating
  5. 5. C · It does not need routine INR monitoring
  6. 6. A · Constipation
  7. 7. D · Sudden breathlessness and pleuritic chest pain with tachycardia
  8. 8. C · APTT for heparin and INR for warfarin

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