Clinical nursing worksheet with answers

Free printable Clinical nursing worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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Name: ____________________   Date: ____________

1.Easy

The term "dyspnoea" means:

  1. AChest pain on breathing
  2. BNoisy breathing during sleep
  3. CA cough with sputum
  4. DBreathlessness
2.Easy

What is the normal pH range of arterial blood?

  1. A7.35–7.45
  2. B6.85–6.95
  3. C7.00–7.10
  4. D7.55–7.65
3.Easy

Which heart rhythm needs immediate defibrillation in a patient in cardiac arrest?

  1. ASinus bradycardia
  2. BVentricular fibrillation
  3. CFirst-degree heart block
  4. DAsystole
4.Medium

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

  1. AWith the head of the bed raised to at least 30 degrees
  2. BIn any position, as long as the feed runs slowly
  3. CLying completely flat
  4. DLying on the left side with the head down to help the feed drain
5.Medium

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

  1. AMetabolic alkalosis
  2. BRespiratory acidosis
  3. CMetabolic acidosis
  4. DRespiratory alkalosis
6.Medium

A patient with type 2 diabetes is acutely unwell, very dehydrated and has a blood glucose of 40 mmol/L without significant ketones. What is the most likely diagnosis?

  1. ADiabetic ketoacidosis with dehydration
  2. BHyperosmolar hyperglycaemic state
  3. CHypoglycaemia
  4. DDiabetes insipidus
7.Hard

A patient with small cell lung cancer has hyponatraemia, concentrated urine and no signs of dehydration. Which condition and first measure fit best?

  1. ASIADH, often managed first with fluid restriction
  2. BDiabetes insipidus, managed with extra fluids
  3. CCushing's syndrome, managed with potassium
  4. DDehydration, managed with an IV fluid bolus
8.Hard

A patient has a painful, punched-out ulcer on the toes, with a cold, pale foot and weak foot pulses. Which type of ulcer is most likely?

  1. AA burn
  2. BA pressure ulcer from bed rest
  3. CA venous ulcer
  4. DAn arterial ulcer

Answer key

  1. 1. D · Breathlessness
  2. 2. A · 7.35–7.45
  3. 3. B · Ventricular fibrillation
  4. 4. A · With the head of the bed raised to at least 30 degrees
  5. 5. C · Metabolic acidosis
  6. 6. B · Hyperosmolar hyperglycaemic state
  7. 7. A · SIADH, often managed first with fluid restriction
  8. 8. D · An arterial ulcer

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