Clinical nursing worksheet with answers

What is a normal capillary refill time in an adult?

1. A2 seconds or less
2. B5–6 seconds
3. C8–10 seconds
4. DMore than 15 seconds

Jaundice is a yellow colour of the skin and eyes caused by a raised level of:

1. ABilirubin
2. BGlucose
3. CPotassium
4. DUrea

What does "cyanosis" describe?

1. AA red, flushed face from fever
2. BA yellow colour of the skin and eyes caused by raised bilirubin
3. CA bluish colour of the skin or lips from poorly oxygenated blood
4. DPale skin caused by fear or pain

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. AComplete the incident report form
2. BCheck the patient for injuries before moving them
3. CLift the patient straight back into bed so they are comfortable
4. DPhone the patient's family

Within which time window is IV thrombolysis generally given for acute ischaemic stroke?

1. AOnly after 24 hours
2. BAt any time within a week
3. CWithin 48 hours of the onset of symptoms
4. DWithin 4.5 hours of symptom onset

An unconscious patient with diabetes has a blood glucose of 2.1 mmol/L and no IV access. What can be given?

1. ASubcutaneous insulin
2. BIntramuscular glucagon
3. CGlucose tablets by mouth
4. DOral fruit juice

In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?

1. AA slow pulse with high blood pressure
2. BA change in level of consciousness
3. CIrregular breathing pauses
4. DA fixed, dilated pupil on both sides

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. AGently explore what the patient understands and what has prompted the question
2. BTell the patient not to think about such things and to stay positive
3. CChange the subject quickly to keep them cheerful and avoid upsetting them
4. DLeave and send the doctor without saying anything