Clinical nursing worksheet with answers

Hepatitis A is mainly spread by:

1. ABlood transfusion
2. BSexual contact only
3. CThe faecal–oral route
4. DMosquito bites

Which sign is typical of right-sided heart failure?

1. ACrackles in both lungs and pink frothy sputum
2. BSwollen ankles and a raised jugular venous pressure
3. CA high fever with rigors
4. DPinpoint pupils, drowsiness and a slow breathing rate

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

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

Which features suggest pyelonephritis rather than simple cystitis?

1. AFever, rigors and loin pain
2. BFrequency without any pain
3. CCloudy urine with no other symptoms
4. DMild burning on passing urine only

A patient's fluid balance chart shows intake of 1,200 mL and output of 2,300 mL over 24 hours. What does this indicate?

1. AA positive fluid balance of 1,100 mL
2. BA positive fluid balance of 3,500 mL
3. CA balanced fluid status
4. DA negative fluid balance of 1,100 mL

Which factor is most likely to slow wound healing?

1. AAdequate fluid intake
2. BGood blood glucose control
3. CSmoking
4. DA diet rich in protein

In triage, which patient should be seen first?

1. AA patient with a sprained ankle and mild swelling
2. BA patient with a two-day history of sore throat
3. CA patient with noisy breathing and swollen lips after eating peanuts
4. DA patient asking for a repeat prescription

A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?

1. AIrritable bowel syndrome
2. BConstipation
3. CIndigestion that will settle with antacids
4. DA perforated peptic ulcer