Clinical nursing worksheet with answers

The term "dyspnoea" means:

1. ABreathlessness
2. BNoisy breathing during sleep
3. CChest pain on breathing
4. DA cough with sputum

Which sign suggests phlebitis at an intravenous cannula site?

1. ANormal skin with no pain
2. BThe skin is pale and cold far from the site
3. CThe patient is thirsty
4. DRedness, pain and swelling along the vein

The term "bradycardia" in an adult means a heart rate:

1. AThat is irregularly irregular
2. BBetween 60 and 100 beats per minute
3. CAbove 100 beats per minute
4. DBelow 60 beats per minute

Which advice is correct for a patient taking levothyroxine?

1. ATake it only on days when feeling tired
2. BTake it with a large meal to avoid nausea and stomach upset
3. CStop taking it once the symptoms improve
4. DTake it on an empty stomach, usually before breakfast

Which of these is a non-drug measure that can help relieve pain?

1. AKeeping the patient awake all night
2. BRestricting visitors completely
3. CRepositioning and distraction
4. DTelling the patient that the pain is not real

A patient's NEWS2 score has risen to 7. What is the appropriate response?

1. ARecord the score, increase observations and wait for the morning ward round
2. BEmergency assessment by a clinical team with critical care skills
3. CGive a sedative and recheck later
4. DContinue observations every 12 hours

Why are patients with nephrotic syndrome at increased risk of blood clots?

1. AThey lose all their red cells in the urine, which thickens the remaining blood
2. BTheir blood pressure is always very low
3. CAnticoagulant proteins are lost in the urine and clotting factors rise
4. DThey lose most of their platelets in the urine every day

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AAcute gastritis from anti-inflammatory drugs
2. BRenal colic from a kidney stone
3. CA ruptured abdominal aortic aneurysm
4. DMusculoskeletal back pain