Clinical nursing worksheet with answers

The Glasgow Coma Scale (GCS) assesses:

1. AEye opening, verbal response and motor response
2. BReflexes, muscle tone and sensation
3. CPain, nausea and anxiety
4. DPupil size and reaction, blood pressure and pulse

A DNACPR (do not attempt CPR; often called DNR or DNAR in the US) decision means that:

1. ACPR will not be attempted if the heart stops, but other care continues
2. BAll treatment, including food, drink and pain relief, is stopped
3. CThe patient must be moved to a hospice
4. DThe patient cannot receive antibiotics, fluids or any other active treatment

The term "hemiplegia" means:

1. AParalysis of both legs
2. BParalysis of one side of the body
3. CParalysis of all four limbs
4. DWeakness of the facial muscles only

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ASodium
2. BGlucose
3. CUrea (blood urea nitrogen)
4. DCalcium

Which is a first-line nursing measure to help prevent constipation in hospital?

1. ARestricting fluids to reduce urine output
2. BGiving an enema to every patient on admission
3. CKeeping the patient in bed
4. DEncouraging fluids, fibre and mobility

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AA rise in blood pressure and a new cough
2. BIncreased urine output, less breathlessness and a falling weight
3. CFalling urine output, new ankle swelling and a rise in weight
4. DA rise in weight and more lung crackles

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AIts active metabolites build up because the kidneys excrete them
2. BKidney failure makes the stomach absorb more morphine
3. CKidney disease makes the opioid receptors disappear
4. DThe kidneys normally activate morphine, so more of it becomes active

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
2. BBeta-blockers can mask warning signs such as tremor and a fast heart rate
3. CBeta-blockers make the patient sleep through the night
4. DBeta-blockers stop the liver from responding to insulin