Nursing fundamentals worksheet with answers

In the nursing process, which step comes straight after assessment?

1. AImplementation, carrying out the care
2. BEvaluation, checking whether goals were met
3. CNursing diagnosis, identifying the patient's problems
4. DDischarge planning, deciding when the patient goes home

How are controlled drugs such as morphine stored on a ward?

1. AOn an open shelf in the treatment room
2. BIn a locked controlled-drug cupboard with a register of stock
3. CIn the patient's bedside locker, so they can take them when needed
4. DIn the staff room fridge

What does "orthopnoea" mean?

1. ABreathlessness when lying flat that eases on sitting up
2. BA breathing rate that is slower than normal
3. CBreathing that stops for short periods during sleep
4. DBreathlessness that only starts after heavy exercise

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

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

How should a patient collect a midstream urine sample?

1. APass the first part into the toilet, then catch the middle part in the pot
2. BCollect the last few drops after the bladder is empty
3. CCollect urine from the toilet bowl after passing it
4. DCollect the very first part of the stream in the pot, then pass the rest into the toilet

How is a 24-hour urine collection started?

1. AThe first urine of the morning is discarded and the time noted, then all urine is kept
2. BOnly urine passed at night is collected
3. CThe first urine of the morning is kept and the rest of the day's urine is discarded
4. DA sample is taken every four hours and the rest discarded

A dehydrated patient is receiving IV fluids. Which finding best shows the treatment is working?

1. AUrine output rises and the heart rate falls towards normal
2. BThe urine becomes darker and more concentrated
3. CThe patient feels more thirsty than before the fluids started
4. DThe heart rate rises and the skin becomes cooler

A patient with capacity refuses a prescribed treatment. What should the nurse do?

1. AGive the treatment anyway, because it was prescribed and the doctor has decided it is in their best interests
2. BRespect the refusal, make sure they understand the consequences, inform the team and document it
3. CHide the medicine in the patient's food
4. DAsk a relative to consent instead