Clinical nursing worksheet with answers

Which sign suggests phlebitis at an intravenous cannula site?

1. AThe patient is thirsty
2. BRedness, pain and swelling along the vein
3. CNormal skin with no pain
4. DThe skin is pale and cold far from the site

Moisture-associated skin damage is mainly caused by:

1. AA deep tissue infection
2. BProlonged contact with urine, faeces or sweat
3. CPressure over a bony area for a long time
4. DAn allergy to the bed sheets

How deep should chest compressions be during adult CPR?

1. A2–3 cm
2. B1–2 cm
3. C5–6 cm
4. D8–10 cm

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

1. AHypoglycaemia in most patients who take it
2. BNausea, abdominal discomfort or diarrhoea
3. CSevere headache
4. DRapid weight gain

Which drug is first-line in an acute asthma attack?

1. AAn oral beta-blocker
2. BAn oral antihistamine such as cetirizine taken every few hours
3. CA nebulised or inhaled short-acting beta₂-agonist (salbutamol/albuterol)
4. DA long-acting inhaled corticosteroid, used alone at a higher dose

A rising serum creatinine most often indicates:

1. AIncreased muscle strength
2. BReduced kidney function
3. CImproved liver function
4. DDehydration of the skin only

The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?

1. AThe drain is working perfectly and needs no checks
2. BThe water seal has been set up correctly for the first time
3. CThe tube may be kinked or blocked, or the lung may have fully re-expanded
4. DThe patient's breathing has become normal and the drain can be pulled out by the nurse

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

1. AAcute appendicitis
2. BGastro-oesophageal reflux disease
3. CSimple biliary colic
4. DAscending cholangitis