Clinical nursing worksheet with answers

The term "epistaxis" means:

1. ACoughing up blood
2. BBleeding gums
3. CA nosebleed
4. DBlood in the urine

Rheumatoid arthritis typically affects:

1. AOnly the spine
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 big toe

What does a peak flow meter measure?

1. AThe number of breaths per minute
2. BThe oxygen level in the blood during a deep breath
3. CThe total amount of air the lungs can hold
4. DThe fastest rate at which a person can blow air out

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AIncrease the rate so that the infusion finishes as quickly as possible
2. BStop the infusion straight away and follow the extravasation protocol
3. CFlush the cannula hard with saline
4. DApply a warm pack and continue the infusion

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AHyperglycaemia and tremor
2. BHair loss and weight gain
3. CConstipation and urinary retention
4. DKidney damage and hearing loss

A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?

1. ADiscouraging coughing to save energy
2. BRestricting all oral fluids
3. CLying the patient flat so that they can rest and conserve energy
4. DSitting the patient upright and supporting them to clear secretions

A patient on IV vancomycin develops flushing and an itchy red rash on the face and neck during a fast infusion. What is the most likely cause and response?

1. ALiver failure; stop all medicines permanently
2. BInfusion-related reaction; stop or slow the infusion and inform the prescriber
3. CSunburn; apply cream and continue
4. DNormal response; increase the infusion rate

A potassium result of 6.9 mmol/L comes back on a well patient with a normal ECG, and the laboratory reports that the sample was haemolysed. What is the best action?

1. AGive IV insulin and glucose straight away
2. BIgnore the result because the patient looks well and the ECG is normal
3. CRepeat the blood test promptly, as haemolysis can falsely raise potassium
4. DStart a potassium supplement