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

Why should insulin injection sites be rotated?

  1. ABecause insulin causes the skin to bleed if one site is used often
  2. BTo make the insulin work more slowly and evenly every time
  3. CTo stop the insulin from freezing under the skin
  4. DTo prevent lumpy fatty areas that make absorption unpredictable
2.Easy

A "sublingual" medicine is given:

  1. ABetween the cheek and gum
  2. BThrough the nose
  3. CInto the vein
  4. DUnder the tongue
3.Easy

What does "orthopnoea" mean?

  1. AA pause in breathing during sleep
  2. BBreathing that is abnormally slow
  3. CBreathlessness only during exercise
  4. DBreathlessness when lying flat
4.Medium

When giving insulin, which statement is correct?

  1. ARapid-acting insulin is given only at bedtime
  2. BInsulin should be shaken hard before use
  3. CRotate injection sites to avoid lipohypertrophy
  4. DAlways inject into the same spot for consistent absorption
5.Medium

What is the best way to protect the heels of a bed-bound patient from pressure damage?

  1. ARest the heels on a rolled-up towel
  2. BOffload the heels so they do not touch the mattress
  3. CMassage the heels firmly several times a day to help circulation
  4. DApply a tight bandage to the heels
6.Medium

Which statement about storing insulin is correct?

  1. AInsulin should be kept in direct sunlight
  2. BUnopened insulin is kept in the fridge and must not be frozen
  3. CInsulin never expires once opened
  4. DAll insulin should be stored in the freezer to keep it fresh
7.Hard

Which nursing assessment best helps detect early deterioration in a patient after major surgery?

  1. ARegular full sets of observations with an early warning score and trend review
  2. BAsking the patient only whether they feel well
  3. CChecking the wound only at discharge
  4. DMeasuring temperature once a day
8.Hard

A postoperative patient has a heart rate of 115/min, temperature 38.6 °C, respiratory rate 26/min and blood pressure 85/50 mmHg despite a fluid bolus. What does this most likely indicate?

  1. ASeptic shock requiring urgent critical care review
  2. BMild dehydration only
  3. CAnxiety about discharge
  4. DA normal inflammatory response in the first days after surgery

Answer key

  1. 1. D · To prevent lumpy fatty areas that make absorption unpredictable
  2. 2. D · Under the tongue
  3. 3. D · Breathlessness when lying flat
  4. 4. C · Rotate injection sites to avoid lipohypertrophy
  5. 5. B · Offload the heels so they do not touch the mattress
  6. 6. B · Unopened insulin is kept in the fridge and must not be frozen
  7. 7. A · Regular full sets of observations with an early warning score and trend review
  8. 8. A · Septic shock requiring urgent critical care review

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