Clinical nursing worksheet with answers

How deep should chest compressions be during adult CPR?

1. A5–6 cm
2. B2–3 cm
3. C1–2 cm
4. D8–10 cm

Who is responsible for obtaining a patient's informed consent for surgery?

1. AThe patient's closest relative or the person named as next of kin
2. BThe ward nurse who admits the patient on the day of surgery
3. CThe theatre porter
4. DThe clinician doing the procedure, or a suitably trained delegate

Which wound healing sign suggests infection?

1. ADry scab formation
2. BSlight pinkness and warmth at the wound edges on day 2
3. CIncreasing redness, warmth, swelling and pus
4. DMild itching as the wound closes

The WHO analgesic ladder recommends:

1. AStarting all patients on strong opioids
2. BUsing only non-drug methods for cancer pain
3. CMoving from non-opioids to weak and then strong opioids as pain increases
4. DGiving analgesia only when pain becomes severe

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt never interacts with other drugs
2. BIt has no risk of bleeding
3. CIt is safe in all patients with severe kidney failure
4. DIt does not need routine INR monitoring

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe patient needs urgent surgery on the brain
2. BA TIA always turns into a brain tumour unless it is treated
3. CThe symptoms will come back permanently within an hour
4. DThe risk of a full stroke is highest in the days after a TIA

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes keep the medicine sterile
2. BIV syringes cannot hold liquid medicines
3. CEnteral syringes measure doses less accurately
4. DTo prevent accidental intravenous administration

A patient with full mental capacity decides against a treatment that the team thinks is best. What does the Mental Capacity Act 2005 (England and Wales) say?

1. AA person is not treated as lacking capacity just because they make an unwise decision
2. BThe patient must be assessed by a psychiatrist before refusing
3. CThe team may override any decision that it disagrees with if it is serious
4. DThe family may make the decision instead if they disagree with the patient's choice