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WorksheetsElective Admission and Identification
Total questions: 105
Worksheet time: 53mins
During elective surgical admission, which task is primarily the ward clerk’s responsibility?
Introduce self and do assessment
Formulate the Nursing Care Plan
Check for drug allergy on admission
Allocate room and bed for patient
Which action should the assistant nurse perform immediately after introducing themselves to an elective surgical patient?
Allocate the patient to an available room
Bring patient to the assigned bed location
Provide financial counselling to relatives
Proceed with nursing assessment on the form
A patient reports a penicillin allergy during admission. What is the correct identification step?
Apply a white tag for identification
Apply a red tag indicating allergy
Apply a blue tag for fall risk
Apply a yellow tag for isolation
Which orientation item best promotes patient safety on the ward?
Times for general ward lights-out
Menu choices for the cafeteria
Beware of confidence tricksters
Location of visitor lounge areas
Who should be informed about the completed nursing assessment for an elective admission?
The ward clerk managing beds
The staff nurse coordinating care
The anesthetist on call duty
The hospital finance counsellor
Which step comes before putting a wrist tag on the patient during assistant nurse tasks?
Carry out doctor’s ordered treatments
Formulate the Nursing Care Plan
Inform staff nurse about assessment
Introduce self and check allergies
What should patient orientation include to support daily needs in the ward?
Hospital routine and toiletries
Financial counselling sessions
Drug chart and allergy codes
Staff rotation and shift times
A new elective patient arrives at the ward. Which sequence best reflects initial ward clerk activities?
Enter particulars, allocate bed, inform nurse
Check allergies, put wrist tag, assess patient
Formulate care plan, carry out doctor orders
Provide orientation, warn about tricksters
In emergency admission, which action should occur first when the patient arrives at the ward?
Receive and greet the patient immediately
Assist changing into hospital pajamas
Order diet unless contraindicated
Advise on safekeeping of valuables
A patient is critically ill during admission. What is the immediate nursing priority?
Formulate a nursing care plan later
Inform the staff nurse and get assistance
Complete orientation to ward layout
Note any non-urgent information first
Which documentation timeline is correct for baseline assessment during emergency admission?
Immediately after physician rounds
By end of the first shift
Within 2 hours of stabilization
Within 1 hour after admission
During orientation for patient and relatives, which content is appropriate to include?
Detailed pathophysiology of illness
Medication pharmacokinetics
Introduction to other patients
Billing codes for procedures
Which sequence best reflects safe, efficient admitting procedures after greeting the patient?
General assessment, note information, assist to pajamas
Advise valuables, general assessment, change clothes
Order diet, formulate care plan, perform assessment
Carry out treatments, orient relatives, note information
Which statement best defines Motivational Interviewing (MI) in clinical practice?
A standardized script for behavior change sessions
A confrontational approach to increase compliance
A collaborative, goal-oriented communication style
A directive method focused on advice giving
In MI, which core element emphasizes drawing out a person’s own priorities and reasons for change?
Acceptance
Compassion
Evocation
Partnership
During nursing admission, which behavior most exemplifies the MI element of Acceptance?
Highlighting risks to pressure change
Setting goals without patient input
Taking a nonjudgmental stance with empathy
Using persuasion to secure treatment agreement
A patient says, “I know I should quit, but I’m not ready.” Which MI-consistent response focuses on the language of change?
“Why haven’t you tried quitting before?”
“You must quit immediately for your health.”
“What benefits might you notice if you did quit?”
“Let’s schedule nicotine tests every week.”
Which action demonstrates Partnership in MI during assessment?
Correcting patient beliefs decisively
Assigning tasks without discussion
Presenting the nurse as the sole expert
Collaboratively exploring patient goals
In MI, Compassion involves which primary focus by the practitioner?
Maintaining clinical neutrality at all times
Ensuring rapid adherence to treatment
Prioritizing the client’s welfare selflessly
Applying standardized motivational scripts
Which sign most directly indicates a hospitalized patient is experiencing stress?
Calm mood with stable affect
Improved concentration during interviews
Enhanced recall of staff instructions
Difficulty understanding given information
Which hospital stressor is commonly reported by newly admitted patients?
Having unlimited mobility on the ward
Fear of separation from family members
Seeing only familiar caregivers daily
Gaining unexpected independence quickly
A patient appears anxious and forgets discharge instructions. What is the priority nursing action to reduce anxiety?
Use simple and clear explanations of procedures
Increase technical detail in explanations
Avoid repeating information after teaching
Switch to a language unfamiliar to the patient
During admission, which communication approach best supports a stressed patient?
Use the patient’s preferred language
Provide only nonverbal reassurance
Limit information to avoid questions
Speak rapidly to save clinical time
Which scenario best illustrates a realistic hospital-related stressor?
Restriction of movement due to clinical devices
Continuous presence of close family at bedside
Predictable home routine remains unchanged
Immediate return to full independence
A nurse notices poor concentration and fearfulness. Which combined interventions are most appropriate?
Provide reassurance and written materials
Increase physical restrictions immediately
Delay explanations until discharge day
Use complex medical jargon consistently
To ensure retention of critical information in a stressed patient, the nurse should primarily:
Assume verbal instructions are sufficient
Avoid giving written materials
Repeat key points when necessary
Provide lengthy explanations once
Which action should occur on the day of admission to support effective discharge planning?
Schedule post-operative follow-up visit date
Finalize rehabilitation facility placement
Complete insurance authorization for medications
Assess patient needs and family education needs
What is the primary purpose of identifying a caregiver early when planning for discharge?
To ensure continuous support after discharge
To avoid arranging community nursing
To reduce length of inpatient stay
To expedite diagnostic testing timelines
How is a standardized care plan typically used?
For rare, highly individualized conditions only
For patients with similar diagnoses and nursing issues
Exclusively to replace clinical pathways in hospitals
Only for surgical cases requiring strict timing
Which benefit is most associated with using clinical pathways and standardized care plans during admission?
Delays discharge to verify pathway adherence
Limits interprofessional communication and planning
Increases variability and personal preferences in care
Promotes consistency and reduces treatment variation
When should discharge planning ideally begin to minimize unplanned readmissions?
At the day of scheduled discharge
At the first outpatient follow-up visit
At the time of admission to the hospital
At the point of confirmed diagnosis
A patient with heart failure is admitted. Which tool best coordinates evidence-based timing of interventions across disciplines?
Insurance pre-authorization template
Generic discharge checklist for all patients
Clinical pathway for heart failure management
Unit-specific flow chart for supplies
Which planning step helps determine inpatient resource needs and duration appropriately?
Completing pharmacy counseling before any orders
Estimating expected length of stay and necessary treatment
Assigning a primary caregiver after discharge only
Selecting a preferred ward based on patient request
Why does standardization through pathways improve patient outcomes post-discharge?
It guarantees identical recovery times for all patients
It allows nurses to skip patient education steps
It minimizes delays and reduces practice variation
It eliminates the need for follow-up appointments
A nurse must choose a communication tool for the team. Which choice aligns with the material’s guidance?
Use either clinical pathways or standardized care plans
Create an informal memo based on personal experience
Rely on verbal updates during shift handover only
Prefer ad-hoc notes tailored to each staff member
Which primary benefit of standardized care plans supports teamwork during discharge?
Restricts communication to physician-only updates
Eliminates the need for handoff reporting entirely
Provides individualized improvisation for each case
Aligns all professionals on discharge steps
What aspect of patient education is emphasized when following a standardized care plan after discharge?
Medication adherence and symptom management
Scheduling follow-up without teaching self-care
Exclusive focus on surgical wound care only
Avoiding family involvement in education
A unit adopts multidisciplinary standardized plans. Which outcome best indicates effective implementation?
Reduced documentation of patient teaching
More variability in instructions at discharge
Longer average length of stay for patients
Lower readmission rates across diagnoses
During admission planning, how do standardized care plans most directly improve communication?
Replace bedside assessments with electronic templates
Limit updates to weekly interdisciplinary rounds
Increase independent decision-making without consultation
Ensure all team members share coordinated requirements
Which technique primarily uses the sense of sight during a physical assessment?
Auscultation with stethoscope
Palpation using fingertips
Percussion with finger taps
Inspection and observation
Which assessment sense is most associated with auscultation?
Sight during inspection
Hearing with stethoscope
Touch during palpation
Smell during olfaction
Which procedures rely mainly on the sense of touch?
Olfaction of clinical odors
Palpation and percussion
Auscultation of heart sounds
Inspection and observation
During inspection, which need would you most likely evaluate by observing activity level and rest patterns?
Psychosocial coping behaviors
Elimination habits and continence
Oxygenation and circulation signs
Rest and activity requirements
While inspecting a patient’s hygiene and grooming, what visual cue best indicates a potential nursing concern?
Clean clothing and linens
Neatly trimmed fingernails
Matt hair with scalp debris
Appropriate seasonal attire
Which finding best fits oxygenation and circulation needs assessed by sight?
Pale, cool extremities
Fruit-like breath odor
Firm tender abdomen
Hyperactive bowel sounds
Which item would you visually check to ensure functionality of equipment at the bedside?
Infusion pump display status
Stethoscope tubing integrity
Pulse quality on palpation
Patient’s respiratory effort
A nurse hears wheezing during auscultation. What does this most likely indicate?
Normal breath sounds present
Valve closure variation
Abnormal airway narrowing
Excess abdominal gas
Which sound change could signal patient distress detectable by hearing?
Increased coughing episodes
Cool clammy skin
Foul-smelling wound
Edema in lower legs
Which assessment is appropriately performed by hearing to detect cardiovascular issues?
Smelling for ketone odor
Palpating peripheral pulses
Auscultating heart sounds
Inspecting for cyanosis
When monitoring equipment, which auditory cue suggests a problem with suction?
Soft consistent whoosh
Rhythmic continuous hum
Irregular intermittent sputter
Silent steady airflow
Which sensory modality is used to identify clinical odors such as infection or ketosis?
Touch during palpation
Smell during olfaction
Sight during inspection
Hearing during auscultation
During a respiratory assessment, percussion over a lung field produces a dull sound. What does this most likely indicate?
Improper finger technique causing artifact
Hyperinflated lung with increased tympany
Presence of a mass or consolidation in tissue
Normal aerated lung tissue with resonance
Which action correctly describes clinical percussion during a physical exam?
Observing chest rise to estimate tidal volume
Using a stethoscope to amplify internal sounds
Applying firm pressure to detect tissue resistance
Striking the body surface with fingers to create vibrations
You percuss the right lower quadrant and hear a full, flat note. Which interpretation is most consistent with this finding?
Air-filled bowel producing resonance
Subcutaneous emphysema causing crepitus
Underlying fluid accumulation in a cavity
Normal liver edge at the costal margin
A patient’s urine has a distinctly fishy odor. Which clinical concern should be prioritized?
Uncontrolled diabetes with ketone production
Alcohol intoxication affecting breath smell
Urinary tract infection causing bacterial odor
Gastrointestinal bleeding with melena stool
Which odor on the breath is commonly associated with diabetic ketoacidosis?
Ammonia-like smell from renal failure
Ketone or acetone smell from fat metabolism
Putrid smell from anaerobic wound infection
Alcohol smell from recent ethanol intake
A wound emits a musty, offensive smell. What does this most likely signify?
Infected wound with bacterial colonization
Ischemic tissue without bacterial growth
Sterile wound with healthy granulation
Allergic contact dermatitis reaction
Which clinical finding best matches steatorrhoea noted in stool assessment?
Black, tarry stool with blood digestion
Excess fat in feces due to malabsorption
Clay-colored stool from bile obstruction
Watery diarrhea from viral infection
A patient presents with halitosis and gum inflammation. Which implication aligns with bedside olfactory assessment?
Physiologic fasting causing acetone breath
Kidney failure producing uremic breath
Upper GI bleed causing melena odor
Likely mouth infection contributing to odor
Which task best describes the nurse’s role in reviewing patient information during admission?
Confirm current medications and past surgeries
Estimate prognosis using lab trends only
Defer history review to the attending physician
Focus solely on allergies noted by pharmacy
During the initial observation at admission, what should the nurse prioritize?
Immediate calculation of BMI and waist ratio
Overall appearance, skin color, and hygiene
Pulse oximetry trending over 24 hours
Detailed cranial nerve testing with tools
What is the most appropriate approach for a head-to-toe assessment?
Check vital signs once and proceed to discharge
Focus only on painful areas reported by patient
Perform a quick scan without documentation notes
Systematically assess each body system for changes
A nurse is determining functional status on admission. Which focus is most appropriate?
Future goals for outpatient rehabilitation
Preferred leisure activities on weekends
Sleep architecture and REM percentage
Mobility and activities of daily living
Which statement reflects accurate documentation during admission assessment?
Delay charting until physician validates findings
Enter only abnormal results to save charting time
Summarize verbally to the next nurse during handoff
Record findings comprehensively in the medical record
Which hospital unit is responsible for receiving patient valuables for safekeeping?
Ward nursing station staff
Finance section department
Admissions counter clerks
Security office personnel
How should gold ornaments be described when itemizing them for safekeeping?
By brand and purchase date
By weight and market value
By colour and type of article
By owner’s verbal description only
What general principle applies to a patient’s belongings regarding value?
Cash above $100 is valuable
All patient property is considered valuable
Only jewelry is considered valuable
Electronics are not considered valuable
During hospitalization, what amount of cash is permitted for incidental expenses?
No cash is permitted
Any amount if kept hidden
$10 nominal amount is permitted
$50 is recommended
If a patient insists on keeping valuables, what must they be advised?
Finance will insure items automatically
Hospital will not be held liable for any loss
Nurses are personally liable for loss
Security will guard items at bedside
What documentation should occur when valuables are handled at admission?
Verbal note to team lead
Informal text message is acceptable
Acknowledge receipt should be recorded
Photo of items is sufficient
For an unconscious or unaccompanied patient, how must valuables be received?
Left with patient until relatives arrive
Received and witnessed by another nursing staff
Held by security without documentation
Received by any available staff
What is the purpose of the ‘Safekeeping of Patient’s Property’ form?
To request insurance for items
To list items kept in ward and finance
To authorize bedside storage of valuables
To estimate resale value of property
Where should the ‘Safekeeping of Patient’s Property’ form be filed?
Finance archive only
Ward incident log
Security office records
Patient’s case notes
Within what timeframe should items listed for safekeeping in the ward be returned to a relative when possible?
Within 6 to 12 hours
Within 3 to 5 days
Upon discharge only
Within 24 to 48 hours
What should patients be informed about items left unclaimed after six months from discharge?
Items will be donated immediately
Items may be disposed of by hospital authorities
Items will be stored indefinitely at no cost
Items will be mailed to their home
Which action best protects a patient’s valuables during hospitalization?
Hand valuables to any staff-looking person
Keep all valuables inside the patient’s locker
Store valuables under the patient’s pillow
Leave valuables with trusted relatives
A person claims to be a nurse and asks for the patient’s wallet. What is the most appropriate immediate response?
Ignore and let the patient decide
Call security without informing staff
Allow them if they seem confident
Request and check their hospital ID
Relatives notice someone lingering near lockers and touching items. What should they do first?
Record video for social media evidence
Confront the person aggressively in public
Inform the staff nurse or officer-in-charge
Wait to see if theft actually occurs
Which statement reflects the hospital’s cash collection policy during admission?
Cash collection is allowed by any ward staff
No cash will be collected in the ward for treatment
Cash must be paid to nurses before procedures
Cash may be collected only at night shifts
Relatives are told to be vigilant of suspicious characters in the ward. Which behavior is the clearest warning sign of an impostor?
Speaking softly while near the bedside
Pretending to be nursing or medical personnel
Wearing casual clothes on weekends
Using medical terms when chatting
Someone opens a patient’s locker without consent. What right should the patient or relatives exercise?
Question or check the person’s ID
Call the cashier to verify payment
Relocate the patient to another ward
File a complaint only after discharge
Which purpose best explains why height and weight are recorded at first contact with a client?
To provide baseline data for future comparisons
To schedule follow‑up visits with the clinic
To ensure insurance claims are processed quickly
To determine the client’s preferred meal choices
A nurse needs to adjust a medication dose for a pediatric client. Which physical measurement is essential to calculate an accurate dose?
Respiratory rate for ventilation
Temperature measurement for fever control
Weight measurement for dosing calculations
Pulse measurement for cardiac rhythm
Which action supports accurate weight measurement before a client steps on the scale?
Record from a different scale each time
Calibrate the scale to zero before use
Allow the client to lean on the railings
Ask the client to wear heavy outer clothing
When measuring height, which positioning instruction is correct to ensure accuracy?
Turn sideways, bend knees slightly, exhale
Sit upright, lean slightly forward, relax
Stand erect, look straight ahead, remain still
Stand relaxed, look downwards, move feet
Why is taking weight at the same time of day on the same scale recommended?
To shorten the documentation process
To make clients feel more comfortable routinely
To meet facility scheduling preferences only
To reduce variability and improve trend accuracy
A client has a full bladder before weighing. What instruction should the nurse give to improve measurement accuracy?
Ask the client to void before stepping on the scale
Delay weighing until the next scheduled visit
Provide a large meal before measurement
Have the client wear shoes for safety
Height and weight help assess nutritional status primarily in which population highlighted in the material?
Elder adults needing nutritional assessment
Young athletes training for competition
Pregnant clients in second trimester
Post‑operative clients recovering from surgery
You are monitoring a child’s response to long‑term therapy. Which measurement practice best supports evaluating treatment effectiveness over time?
Switch scales frequently to check device error
Weigh at random times to avoid routine bias
Measure only height and ignore weight trends
Use consistent calibrated equipment at each visit
Which formula correctly calculates Body Mass Index (BMI) as used in clinical practice?
weight in pounds divided by height squared in inches
height in meters divided by weight in kilograms
weight in kilograms divided by height squared in meters
weight in kilograms divided by height in meters
A patient’s BMI is 18.2. Which risk category best fits this value?
Low risk healthy range
Moderate risk range
Risk of nutritional deficiency
High risk range
Which BMI range represents the low-risk (healthy) category?
17.0 and below
27.5 and above
23.0 to 27.4
18.5 to 22.9
At what BMI value does the high-risk category begin?
18.5 and above
23.0 and above
22.9 and above
27.5 and above
Which action best ensures accurate weight measurement using a scale?
Place scale on soft carpeted surface
Allow the scale to stabilize before recording
Ask patient to lean forward slightly
Record weight immediately after stepping on
During height measurement, how should the patient be positioned to improve accuracy?
Feet together, chin elevated forward
Heels, buttocks, and upper back against the stadiometer
Back arched, heels off the ground
Hands on hips, knees slightly bent
Which equipment choice reduces measurement error for BMI assessment?
Calibrated and standardized height and weight tools
Uncalibrated home scale and tape
Smartphone app for height estimation
Visual estimation of patient’s stature
A nurse measures a patient at 1.70 m and 68 kg. What is the BMI?
21.1 kg/m²
23.7 kg/m²
24.9 kg/m²
22.8 kg/m²
A patient’s BMI is 26.5. Which interpretation is most appropriate?
Low risk healthy range
Moderate risk range
Risk of nutritional deficiency
High risk range
Which combined steps most directly improve accuracy when assessing BMI in clinic?
Use calibrated tools and correct formula
Weigh patient once and round up
Estimate height from age and sex
Measure after meals and hydration
Which patient education point best supports maintaining a healthy BMI?
Emphasize regular physical activity most days
Increase meal frequency without portion control
Rely solely on supplements for weight control
Avoid nutrient-dense foods to reduce calories
When counseling on diet to support BMI, what should be prioritized?
Focus on portion control and nutrient-dense foods
Follow a single-food diet for rapid loss
Eliminate all carbohydrates from meals
Use meal replacements for every dinner
Which tool helps patients self-monitor lifestyle behaviors related to BMI?
Advance care planning templates
Blood transfusion consent forms
Food diaries or activity logs
Radiology referral paperwork
What is the primary purpose of regular follow-up visits in BMI teaching plans?
Provide punishment for missed exercises
Assess progress and give feedback
Replace daily self-monitoring entirely
Determine eligibility for surgical procedures
A patient with low or high BMI should be educated first to understand what?
Insurance premium adjustments
Health risks associated with BMI extremes
Latest fitness fashion trends
Cooking shows featuring low-calorie meals
Which resource would best assist ongoing tracking and healthy lifestyle maintenance?
Generic social media advertisements
Unsupervised fasting retreats
Annual holiday diet challenges
Educational materials, websites, or apps
