Nursing fundamentals worksheet with answers

What is breakthrough pain?

1. APain that goes away after a good night's sleep
2. BPain caused by breaking a bone
3. CPain felt only during physiotherapy
4. DA flare of pain between regular doses of analgesia

When should you check a patient's identity before giving medication?

1. AOnly for intravenous drugs
2. BOnly on the first day of the admission, when the wristband is applied
3. COnly if the patient is confused
4. DEvery time, before every administration

What is urinary retention?

1. ALeaking urine without control
2. BPassing small amounts of urine too often
3. CBeing unable to empty the bladder fully
4. DProducing very dilute urine

What is the correct order of assessment in the ABCDE approach?

1. AAirway, Bleeding, Consciousness, Diet, Elimination
2. BAirway, Breathing, Circulation, Disability, Exposure
3. CAlertness, Blood pressure, Circulation, Drugs, Examination
4. DAssessment, Breathing, Care plan, Discharge, Evaluation

How is pitting oedema checked?

1. APress over a bony area such as the shin for a few seconds and look for a dent
2. BPinch the skin on the back of the hand and see how fast it falls back
3. CPress on the nail bed and time the return of colour
4. DMeasure the width of both calves with a tape measure once a week and compare them

How should a nurse help a patient with severe visual impairment on admission?

1. AIntroduce themselves, describe the room and keep items in place
2. BSpeak more loudly than usual
3. CGuide the patient by pushing them gently from behind as they walk
4. DMove the patient's belongings around to keep the area tidy

A patient with a slow-healing leg ulcer is eating less than half of their meals. What is the most helpful nursing action?

1. ARefer to the dietitian and support protein and energy intake
2. BAsk the patient to drink less to avoid swelling
3. CGive extra salt to stimulate the appetite
4. DWait until the ulcer heals before addressing nutrition

During a sterile dressing change, the nurse's sterile glove touches the bed rail. What should the nurse do?

1. ACarry on, as the bed rail was cleaned that morning
2. BRemove the gloves, perform hand hygiene and put on new sterile gloves
3. CWipe the glove with an alcohol swab and carry on with the dressing change
4. DPut a second pair of sterile gloves over the first pair