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

"Coffee-ground" vomit suggests:

  1. ABleeding in the upper gastrointestinal tract
  2. BKidney failure
  3. CFood poisoning with vomiting but without any bleeding
  4. DBowel obstruction low in the colon
2.Easy

In palliative care, a syringe driver is used to:

  1. AMeasure blood glucose continuously
  2. BGive a single fast intravenous injection when symptoms flare up suddenly
  3. CDrain fluid from the lungs
  4. DGive a continuous subcutaneous infusion of medicines, often over 24 hours
3.Easy

Why must patients and visitors never smoke or use naked flames near oxygen therapy?

  1. AFlames make the oxygen less effective
  2. BOxygen turns cigarette smoke into a poisonous gas
  3. CSmoke blocks the oxygen tubing and stops the flow
  4. DOxygen makes things burn much more easily and fiercely
4.Medium

A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?

  1. AConstipation
  2. BA urinary tract infection
  3. CPeritonitis
  4. DNormal dialysis fluid
5.Medium

A patient is newly confused, has a respiratory rate of 24/min and a systolic blood pressure of 95 mmHg. What should you suspect first?

  1. AAlcohol intoxication
  2. BSepsis
  3. CNormal postoperative recovery
  4. DAnxiety
6.Medium

A patient with neutropenia after chemotherapy has a temperature of 38.3 °C. What is the priority?

  1. ATreat as neutropenic sepsis and give IV antibiotics urgently
  2. BEncourage the patient to go for a walk
  3. CGive paracetamol only and recheck the temperature again tomorrow
  4. DWait 24 hours to see whether the fever settles
7.Hard

An older patient with a hip fracture becomes breathless and confused, with a petechial rash on the chest two days after injury. Which complication should be suspected?

  1. AFat embolism syndrome
  2. BUrinary tract infection
  3. CCompartment syndrome
  4. DPressure ulcer
8.Hard

A hypotensive postoperative patient is given a fluid bolus. Which findings suggest a good response?

  1. AThe respiratory rate rises and new lung crackles appear
  2. BThe heart rate rises further and the patient becomes more confused
  3. CThe capillary refill time becomes longer
  4. DThe heart rate falls, blood pressure rises and urine output improves

Answer key

  1. 1. A · Bleeding in the upper gastrointestinal tract
  2. 2. D · Give a continuous subcutaneous infusion of medicines, often over 24 hours
  3. 3. D · Oxygen makes things burn much more easily and fiercely
  4. 4. C · Peritonitis
  5. 5. B · Sepsis
  6. 6. A · Treat as neutropenic sepsis and give IV antibiotics urgently
  7. 7. A · Fat embolism syndrome
  8. 8. D · The heart rate falls, blood pressure rises and urine output improves

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