Clinical nursing worksheet with answers

Which symptom is typical of hypoglycaemia?

1. ADeep, fast breathing with a fruity breath smell
2. BWarm, dry skin and slow pulse
3. CSweating, shaking and confusion
4. DExcessive thirst and passing a lot of urine

Which of these intravenous fluids is isotonic?

1. A3% sodium chloride
2. B0.9% sodium chloride
3. C8.4% sodium bicarbonate
4. D10% glucose

A patient on opioid painkillers should be monitored especially for:

1. ARespiratory depression and sedation
2. BIncreased appetite
3. CHigh blood pressure
4. DDiarrhoea

A patient's NEWS2 score has risen to 7. What is the appropriate response?

1. AContinue observations every 12 hours
2. BGive a sedative and recheck later
3. CRecord the score, increase observations and wait for the morning ward round
4. DEmergency assessment by a clinical team with critical care skills

A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?

1. AMyocardial infarction
2. BPericarditis
3. CInfective endocarditis
4. DRheumatic fever

Which features suggest Cushing's syndrome?

1. ADark skin, low blood pressure, salt craving and a low blood sodium level
2. BWeight gain around the trunk, a rounded face and thin, easily bruised skin
3. CWeight loss, heat intolerance, tremor and protruding eyes
4. DCoarse facial features and very large hands and feet

Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?

1. AOxygen is given if the SpO₂ is below the target range
2. BOxygen replaces the need for an ECG
3. COxygen must never be given in chest pain
4. DHigh-flow oxygen should always be given, whatever the SpO₂

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. AINR for heparin and APTT for warfarin
2. BAPTT for heparin and INR for warfarin
3. CD-dimer for both drugs
4. DPlatelet count for both drugs