Clinical nursing worksheet with answers

Why is jewellery removed or taped before surgery?

1. ATo make the patient's weight easier to measure
2. BBecause metal raises the risk of postoperative nausea
3. CTo reduce the risk of diathermy burns and pressure injury
4. DBecause metal jewellery increases blood loss during the operation

A patient's urine output is being monitored. Which minimum hourly output is commonly used as a target in adults?

1. AAbout 5 mL per kg per hour
2. BAny amount, as long as some urine is passed daily
3. CAbout 0.5 mL per kg of body weight per hour
4. DAbout 0.05 mL per kg per hour

Why do nurses wear protective gloves and gowns when handling cytotoxic drugs?

1. ATo keep the drug at the right temperature during use
2. BTo protect themselves from exposure to hazardous drugs
3. CTo stop the patient from seeing the drug
4. DTo make the drug work faster

What is the recommended first aid for a thermal burn?

1. ABurst any blisters to release the fluid
2. BCool it under cool running water for about 20 minutes
3. CApply ice directly to the burn until the pain stops completely
4. DSpread butter or oil over the burn

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. ALeaving the mouth alone to avoid disturbing them
2. BStarting a fast intravenous infusion to correct the dryness
3. CInserting a nasogastric tube for fluids
4. DFrequent mouth care that keeps the lips and mouth moist

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. AThe local anaesthetic can block sympathetic nerves and cause hypotension
2. BEpidurals always cause severe hypertension that needs regular treatment
3. CBlood pressure readings show whether the catheter is infected
4. DThe epidural pump uses the blood pressure to set the rate

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll stop my tablets once my readings are normal."
2. B"I'll keep taking my tablets even if I feel well."
3. C"I'll have my blood pressure checked regularly."
4. D"I'll get up slowly from sitting."

How should pain be assessed in a patient with advanced dementia who cannot describe it?

1. ABy checking the blood pressure only
2. BWith an observational pain tool that scores facial expression, behaviour and body language
3. CBy asking the patient to rate their pain on a numerical scale from 0 to 10
4. DBy assuming the patient has no pain unless they are crying out or calling for help