Clinical nursing worksheet with answers

What is a common early sign of a stroke?

1. AFever with a productive cough
2. BSudden facial droop or arm weakness on one side
3. CGradual memory loss developing over several years
4. DItchy skin on both arms

How is body mass index (BMI) calculated?

1. AWeight in kilograms multiplied by height in metres
2. BWeight in kilograms divided by height in metres squared
3. CWaist size divided by hip size
4. DHeight in metres divided by weight in kilograms, then squared

What is ascites?

1. AFluid in the peritoneal cavity
2. BAir under the skin
3. CFluid in the pericardial sac
4. DFluid in the knee joint

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe risk of a full stroke is highest in the days after a TIA
2. BThe patient needs urgent surgery on the brain
3. CA TIA always turns into a brain tumour unless it is treated
4. DThe symptoms will come back permanently within an hour

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

1. A15 × 10⁹/L
2. B150 × 10⁹/L
3. C0.5 × 10⁹/L
4. D5 × 10⁹/L

A patient on insulin reports nightmares, night sweats and morning headaches. What should be suspected?

1. ARaised intracranial pressure
2. BA urinary tract infection
3. CHyperthyroidism
4. DNight-time hypoglycaemia

An arterial blood gas shows a low PaO₂ with a low or normal PaCO₂. How is this classified?

1. AMetabolic acidosis
2. BNormal blood gas
3. CType 2 respiratory failure
4. DType 1 respiratory failure

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AMild hypokalaemia
2. BMuscle strain from lying in the same position in bed for many hours
3. CAn epidural haematoma or abscess compressing the spinal cord
4. DThe normal expected effect of the local anaesthetic