Clinical nursing worksheet with answers

Rheumatoid arthritis typically affects:

1. AOnly the big toe
2. BThe small joints of the hands and feet on both sides of the body
3. COnly one large weight-bearing joint, such as the knee or hip
4. DOnly the spine

When removing personal protective equipment after patient care, which item is usually removed first?

1. AEye protection
2. BFace mask
3. CGloves
4. DHair cover

What is the main purpose of a surgical wound drain?

1. ATo measure the patient's temperature
2. BTo keep the wound open permanently so that it can be cleaned
3. CTo give antibiotics directly into the wound bed
4. DTo remove blood or fluid so it does not collect in the wound

Which side effect is common when a patient starts taking metformin?

1. ANausea, abdominal discomfort or diarrhoea
2. BSevere headache
3. CHypoglycaemia in most patients who take it
4. DRapid weight gain

What is the first-line drug treatment for anaphylaxis?

1. AIntramuscular adrenaline
2. BInhaled steroid
3. COral antihistamine such as cetirizine
4. DIntravenous paracetamol

A patient's low potassium does not improve despite potassium replacement. Which other electrolyte should be checked?

1. AChloride
2. BMagnesium
3. CSodium
4. DPhosphate

A patient with suspected meningitis has fever, neck stiffness and a non-blanching rash. What is the priority?

1. ADim the lights, encourage rest and recheck observations in four hours
2. BUrgent review and immediate antibiotics, without waiting for tests
3. CWait for the lumbar puncture result before starting any treatment
4. DGive paracetamol for the fever and review the patient tomorrow

A drowsy patient in recovery is making snoring sounds and the SpO₂ is falling. What is the first action?

1. AOpen the airway with a head tilt–chin lift or jaw thrust
2. BWait for the patient to wake up fully
3. CLie the patient face down
4. DGive sips of oral fluid to clear the throat and wake them