Clinical nursing worksheet with answers

Which sign is typical of left-sided heart failure?

1. ABreathlessness, especially when lying flat
2. BIncreased urine output
3. CPain in the right lower abdomen
4. DYellowing of the skin and the whites of the eyes

What is ascites?

1. AFluid in the knee joint
2. BFluid in the pericardial sac
3. CAir under the skin
4. DFluid in the peritoneal cavity

Which finding is typical of a urinary tract infection?

1. ABlack stools
2. BSwelling of both ankles and lower legs
3. CBurning on urination and frequency
4. DRinging in the ears

A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?

1. ADiscouraging coughing to save energy
2. BSitting the patient upright and supporting them to clear secretions
3. CRestricting all oral fluids
4. DLying the patient flat so that they can rest and conserve energy

Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?

1. AHair loss
2. BGenital fungal infections
3. CBradycardia
4. DSevere weight gain and fluid retention

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AAs an allergy to all painkillers
2. BAs a side effect or intolerance, not a true allergy
3. CAs a severe anaphylactic allergy to all opioids
4. DIt should not be recorded at all

After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?

1. AA base-of-skull fracture with a cerebrospinal fluid leak
2. BAllergic rhinitis triggered by the hospital environment
3. CAcute sinusitis
4. DA normal and harmless response to head trauma

A patient with severe sepsis starts bleeding from cannula sites and the gums, with a low platelet count and prolonged clotting times. What is most likely?

1. ADisseminated intravascular coagulation
2. BAn allergic reaction to the cannula
3. CHaemophilia A
4. DVitamin C deficiency