Clinical nursing worksheet with answers

How is body mass index (BMI) calculated?

1. AWaist size divided by hip size
2. BWeight in kilograms multiplied by height in metres
3. CHeight in metres divided by weight in kilograms, then squared
4. DWeight in kilograms divided by height in metres squared

What is a normal capillary refill time in an adult?

1. A5–6 seconds
2. B2 seconds or less
3. CMore than 15 seconds
4. D8–10 seconds

The term "dyspnoea" means:

1. ABreathlessness
2. BChest pain on breathing
3. CNoisy breathing during sleep
4. DA cough with sputum

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 lung has fully re-expanded
2. BThe drain is blocked
3. CAn air leak, from the lung or from the drainage system
4. DThe drain is working normally for a fluid collection only

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AA rise in blood pressure and a new cough
2. BFalling urine output, new ankle swelling and a rise in weight
3. CA rise in weight and more lung crackles
4. DIncreased urine output, less breathlessness and a falling weight

A nurse suspects that an older patient is being financially abused by a relative. What should the nurse do?

1. AConfront the relative directly at the bedside about it
2. BKeep it secret because it is a family matter
3. CWait until the patient has been discharged
4. DRaise the concern through the local safeguarding (adult protection) procedure

Which action is correct when caring for a chest drain with an underwater seal?

1. AKeep the drainage bottle below the level of the chest
2. BLift the bottle above the patient to empty it
3. CRemove the water from the bottle to prevent spills
4. DClamp the tube routinely during every transfer or bed move

Why should chronic hypernatraemia be corrected gradually?

1. ASlow correction is only needed in children
2. BLowering the sodium too fast can cause cerebral oedema
3. CFast correction causes severe hyperkalaemia
4. DFast correction causes osmotic demyelination from swelling of the kidneys