Clinical nursing worksheet with answers

Why is a lower oxygen saturation target (88–92%) often used for patients with severe COPD?

1. ATheir lungs cannot absorb any oxygen at all
2. BHigh-flow oxygen can cause carbon dioxide retention in some of these patients
3. COxygen worsens their chest pain
4. DOxygen is flammable only in COPD

Which vaccine is offered every year to healthcare workers to protect patients and staff?

1. AYellow fever vaccine
2. BRabies vaccine
3. CInfluenza vaccine
4. DTyphoid vaccine

Seasonal influenza is mainly spread by:

1. AContaminated food only
2. BMosquito and other insect bites in warm weather
3. CRespiratory droplets and contaminated hands or surfaces
4. DBlood transfusions and contaminated needles

A confused patient keeps trying to climb out of bed. Why are bed rails not automatically the answer?

1. APatients can be seriously injured climbing over or becoming trapped in rails
2. BBed rails are illegal in all hospitals and must never be used at all
3. CBed rails always make patients more confused, but only during the day
4. DBed rails stop staff from taking observations

What should a nurse do during a generalised tonic-clonic seizure?

1. AProtect the head, time the seizure and do not put anything in the mouth
2. BGive the patient a drink of water
3. CPut a tongue depressor between the teeth so that the tongue is not bitten
4. DHold the limbs firmly to stop the jerking and prevent injury

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

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

A patient who has had a kidney stone is taught about prevention. Which statement shows a need for further teaching?

1. A"I will follow the diet advice for my stone type."
2. B"I will aim to drink plenty of fluids spread through every day."
3. C"I will try to pass pale urine."
4. D"I will drink less water so I don't need to pass urine as often."

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

1. ATransfusion-related acute lung injury with hypotension
2. BAnaphylaxis
3. CTransfusion-associated circulatory overload
4. DA febrile non-haemolytic reaction