Med-surg: GI, perioperative & oncology worksheet with answers

What does black tissue in a wound bed usually indicate?

1. ANew epithelial cells
2. BNormal blood clot from a fresh cut
3. CHealthy granulation tissue
4. DNecrotic (dead) tissue

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

1. ABecause it is a checklist rule with no clinical reason
2. BBecause the varnish can make the anaesthetic gas less effective
3. CSo pulse oximetry readings and nail colour can be assessed accurately
4. DBecause varnish raises the patient's blood pressure

What is a Hartmann's procedure?

1. APlacing a stent in the bile duct
2. BRemoval of part of the colon with an end colostomy and rectal stump
3. CRemoval of the gallbladder through several small abdominal incisions
4. DJoining the stomach directly to the small bowel

Which monitoring is especially important for a patient receiving parenteral nutrition?

1. ABowel sounds and stool colour only
2. BPeak flow and visual acuity
3. CPupil size and limb strength
4. DBlood glucose and signs of line infection

Which electrolyte abnormality can contribute to a postoperative ileus?

1. AHypokalaemia
2. BHypernatraemia
3. CHyperphosphataemia
4. DHyperkalaemia

Which treatment often relieves pain from a bone metastasis?

1. APalliative radiotherapy to the area
2. BA diet low in calcium and vitamin D
3. CComplete bed rest for a month
4. DIron supplements by mouth for several months

A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and says they feel completely well. Which statement is correct?

1. AFeeling well means the dose was too small to cause harm
2. BLiver damage may still develop, and appears only days later
3. CLiver damage after paracetamol occurs only within the first hour or so
4. DTreatment is not needed if the patient has not vomited

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AIsolate the patient and send a stool sample for testing
2. BGive loperamide after each loose stool and continue as usual
3. CWait two days to see if the diarrhoea settles
4. DMove the patient to a bay with other patients to watch them closely