Clinical nursing worksheet with answers

Before moving or handling a patient, what should the nurse do first?

1. ALift the patient quickly before they become tired or anxious
2. BAssess the risks and choose the right equipment and number of staff
3. CAsk the patient's relative to help lift them to save time
4. DBend at the waist and keep the knees straight

In acute appendicitis, where does the pain classically start and where does it move to?

1. AIt starts in the left shoulder and moves to the back
2. BIt starts around the umbilicus and moves to the right lower abdomen
3. CIt starts in the left lower abdomen and stays there
4. DIt starts in the right upper abdomen and moves up to the centre of the chest

Which of these is considered a high-alert (high-risk) medicine?

1. AInsulin
2. BEmollient cream
3. CSimple linctus
4. DLactulose

Which assessment best detects compartment syndrome after a fractured leg is put in a cast?

1. APain out of proportion to the injury, especially on passive stretch
2. BA warm, pink foot
3. CA strong pulse in the foot
4. DMild itching under the cast

When is a rapid-acting insulin such as insulin aspart usually given?

1. AOnly at bedtime
2. BTwo hours after finishing a meal
3. COnce a week
4. DJust before or with a meal

Which finding with a groin hernia needs urgent surgical review?

1. AThe lump has been present for several years without pain
2. BThe lump has become painful and tender and cannot be pushed back
3. CThe lump gets bigger when the patient coughs
4. DThe lump disappears completely when the patient lies down flat

Why is hypokalaemia particularly dangerous in a patient taking digoxin?

1. ADigoxin raises potassium to dangerous levels when it is already low
2. BLow potassium makes digoxin work too slowly
3. CLow potassium increases the risk of digoxin toxicity
4. DLow potassium stops digoxin from being absorbed

A patient with back pain develops numbness around the anus and genitals and new difficulty passing urine. Which condition should be suspected?

1. ASimple muscle strain
2. BCauda equina syndrome
3. CConstipation
4. DKidney stones