Clinical nursing worksheet with answers

Coeliac disease is an immune reaction to:

1. APeanuts
2. BGluten
3. CShellfish
4. DLactose

Hepatitis B is mainly transmitted by:

1. ABlood and other body fluids
2. BCoughing and sneezing in a crowded room
3. CInsect bites
4. DTouching door handles

Hepatitis A is mainly spread by:

1. ASexual contact only
2. BBlood transfusion
3. CMosquito bites
4. DThe faecal–oral route

A patient on a ward develops wheeze and breathlessness after the first dose of a beta-blocker. Which history makes this most likely?

1. AHypothyroidism
2. BMigraine
3. CAsthma
4. DOsteoarthritis

An arterial blood gas shows a low pH, a high PaCO₂ and a normal bicarbonate. What does this show?

1. ARespiratory alkalosis
2. BMetabolic alkalosis
3. CMetabolic acidosis
4. DRespiratory acidosis

Which signs suggest a blood transfusion reaction in the first minutes?

1. ASlow, steady rise in haemoglobin over the next day
2. BFever, chills, back pain and low blood pressure
3. CMild hunger
4. DImproved colour and energy

Which drug group is first-line for a prolonged convulsive seizure?

1. ABeta-blockers, such as bisoprolol or atenolol
2. BOpioids, such as morphine or diamorphine, given intravenously
3. CAntihistamines, such as chlorphenamine
4. DBenzodiazepines, such as buccal midazolam or IV lorazepam

An adult with capacity refuses a blood transfusion for religious reasons, even though it may save their life. What should the nurse do?

1. AAsk a family member to consent instead
2. BSedate the patient so the transfusion can be given
3. CGive the transfusion while the patient is asleep, as it is in their best interests
4. DRespect the refusal, check it is informed and document it, and inform the team