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

A wheeze heard on chest auscultation is caused by:

  1. AThe pleural layers rubbing together
  2. BFluid in the alveoli
  3. CAir flowing through narrowed airways
  4. DFluid collecting in the pleural space
2.Easy

Shingles (herpes zoster) is caused by:

  1. AA fungal infection of the nerves
  2. BA bacterial skin infection
  3. CReactivation of the chickenpox virus
  4. DAn allergy to medicines
3.Easy

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

  1. AInsulin
  2. BSimple linctus
  3. CEmollient cream
  4. DLactulose
4.Medium

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

  1. AThe drain is working normally for a fluid collection only
  2. BThe lung has fully re-expanded
  3. CThe drain is blocked
  4. DAn air leak, from the lung or from the drainage system
5.Medium

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 symptoms will come back permanently within an hour
  3. CThe patient needs urgent surgery on the brain
  4. DA TIA always turns into a brain tumour unless it is treated
6.Medium

In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?

  1. ABlood cultures
  2. BA stool sample for occult blood
  3. CA 24-hour urine collection
  4. DA fasting cholesterol level
7.Hard

A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?

  1. AAn allergic reaction to food
  2. BSuperior vena cava obstruction
  3. CRight-sided heart failure from valve disease
  4. DHypothyroidism
8.Hard

A patient is recognised by the team as being in the last days of life. Which approach is correct?

  1. AAvoid talking with the family about what is happening
  2. BReview and stop treatments that no longer help, and focus on comfort
  3. CContinue all routine blood tests and observations four-hourly
  4. DStop all medicines, including pain relief and anti-sickness drugs

Answer key

  1. 1. C · Air flowing through narrowed airways
  2. 2. C · Reactivation of the chickenpox virus
  3. 3. A · Insulin
  4. 4. D · An air leak, from the lung or from the drainage system
  5. 5. A · The risk of a full stroke is highest in the days after a TIA
  6. 6. A · Blood cultures
  7. 7. B · Superior vena cava obstruction
  8. 8. B · Review and stop treatments that no longer help, and focus on comfort

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