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 "bradycardia" in an adult means a heart rate:

  1. AAbove 100 beats per minute
  2. BThat is irregularly irregular
  3. CBelow 60 beats per minute
  4. DBetween 60 and 100 beats per minute
2.Easy

Which hand hygiene method is needed after caring for a patient with Clostridioides difficile diarrhoea?

  1. AAlcohol hand rub only
  2. BWashing with soap and water
  3. CNo hand hygiene if gloves were worn
  4. DWiping hands on a paper towel
3.Easy

Which sign suggests phlebitis at an intravenous cannula site?

  1. AThe patient is thirsty
  2. BNormal skin with no pain
  3. CThe skin is pale and cold far from the site
  4. DRedness, pain and swelling along the vein
4.Medium

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

  1. A150 × 109/L
  2. B0.5 × 109/L
  3. C5 × 109/L
  4. D15 × 109/L
5.Medium

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

  1. ASodium
  2. BCalcium
  3. CGlucose
  4. DUrea (blood urea nitrogen)
6.Medium

A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?

  1. AGlucose, because both drugs cause hyperglycaemia
  2. BSodium, because both drugs raise it sharply
  3. CCalcium, because both drugs lower it
  4. DPotassium, because both drugs can raise it
7.Hard

A patient with cirrhosis and a large tense abdomen undergoes paracentesis. Why may albumin be given?

  1. ATo increase urine potassium
  2. BTo treat infection in the fluid
  3. CTo reduce the risk of circulatory dysfunction after large-volume fluid removal
  4. DTo stop the liver making more bile
8.Hard

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

  1. AHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
  2. BAnxiety about the new diagnosis that will settle with reassurance and rest alone
  3. CA stable rhythm that can safely be reviewed at the next routine ward round
  4. DA normal response to atrial fibrillation needing no action

Answer key

  1. 1. C · Below 60 beats per minute
  2. 2. B · Washing with soap and water
  3. 3. D · Redness, pain and swelling along the vein
  4. 4. B · 0.5 × 109/L
  5. 5. D · Urea (blood urea nitrogen)
  6. 6. D · Potassium, because both drugs can raise it
  7. 7. C · To reduce the risk of circulatory dysfunction after large-volume fluid removal
  8. 8. A · Haemodynamic instability needing urgent treatment, possibly electrical cardioversion

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