Clinical nursing worksheet with answers

Long-term uncontrolled high blood pressure increases the risk of:

1. AAnaemia and osteoporosis
2. BHypothyroidism, gout and hair loss
3. CStroke, heart attack and kidney disease
4. DAsthma, eczema and hay fever

Why is a platelet transfusion given?

1. ATo provide extra protein
2. BTo prevent or treat bleeding in a patient with low or poorly working platelets
3. CTo treat a high white cell count in a patient with infection or leukaemia
4. DTo raise the haemoglobin level in a patient with anaemia

The term "pyrexia" means:

1. AA slow heart rate
2. BA low body temperature
3. CA fast breathing rate
4. DA raised body temperature

Which electrolyte disturbance is most dangerous for the heart rhythm?

1. AHigh or low potassium
2. BLow sodium
3. CHigh chloride
4. DLow phosphate

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

1. AA stool sample for occult blood
2. BA 24-hour urine collection
3. CA fasting cholesterol level
4. DBlood cultures

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. A5 × 10⁹/L
2. B0.5 × 10⁹/L
3. C150 × 10⁹/L
4. D15 × 10⁹/L

A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?

1. AMedicines reconciliation against reliable sources, such as primary care records
2. BDoubling the doses to make up for any missed while at home
3. CPrescribing only the medicines that the patient can remember taking
4. DStopping all regular medicines until the day the patient is discharged

A patient two days after abdominal surgery coughs and says something "gave way". The wound has opened and bowel is visible. What should the nurse do first?

1. AGently push the bowel back into the abdomen and tape the wound edges firmly closed
2. BApply dry gauze tightly and ask the patient to keep coughing
3. CSit the patient fully upright and offer a hot drink
4. DCover the wound with sterile, saline-moistened dressings and get urgent surgical help