Clinical nursing worksheet with answers

A "sublingual" medicine is given:

1. AThrough the nose
2. BUnder the tongue
3. CBetween the cheek and gum
4. DInto the vein

Hepatitis B is mainly transmitted by:

1. ACoughing and sneezing in a crowded room
2. BTouching door handles
3. CInsect bites
4. DBlood and other body fluids

The term "polypharmacy" usually means:

1. AA pharmacy that sells many different brands
2. BA single medicine that contains many active ingredients
3. CGiving one medicine by several routes
4. DA patient taking many medicines at the same time

A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?

1. AAdvise more vigorous exercise to work through it
2. BTell them to double the dose
3. CReport it, as statins can cause muscle damage
4. DReassure them that this is a sign the drug is working

A patient with type 1 diabetes has blood glucose of 25 mmol/L, deep rapid breathing and ketones in the urine. What is the likely diagnosis?

1. ANormal glucose fluctuation
2. BHyperosmolar hyperglycaemic state without ketones
3. CHypoglycaemia
4. DDiabetic ketoacidosis

Which side effects are common after high doses of salbutamol (albuterol)?

1. ABradycardia and drowsiness
2. BTremor and a fast heart rate
3. CConstipation and urinary retention
4. DHair loss and weight gain

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AThe kidneys normally activate morphine, so more of it becomes active
2. BKidney disease makes the opioid receptors disappear
3. CKidney failure makes the stomach absorb more morphine
4. DIts active metabolites build up because the kidneys excrete them

A patient with metastatic breast cancer is confused and constipated, with a corrected calcium of 3.3 mmol/L (about 13.2 mg/dL). What is usually the first treatment?

1. AA high-calcium diet
2. BOral calcium supplements and vitamin D
3. CStrict fluid restriction to protect the kidneys
4. DIV fluid rehydration, followed by a bisphosphonate