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

Free printable Med-surg: GI, perioperative & oncology worksheet: 8 problems from easy to exam level, with an answer key. Print it or save it as a PDF.

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1.Easy

How does ileostomy output usually differ from sigmoid colostomy output?

  1. AIleostomy output is liquid; colostomy output is formed
  2. BBoth produce only gas and mucus
  3. CIleostomy output is formed; colostomy output is liquid
  4. DBoth produce formed stool once a day
2.Easy

How is the length of a nasogastric tube usually estimated before insertion?

  1. AAny length, as long as the whole tube is inserted
  2. BFrom the nose tip to the earlobe, then to the xiphisternum
  3. CFrom the mouth to the knee on the same side of the body
  4. DFrom the chin to the umbilicus in a straight line
3.Easy

What does a faecal immunochemical test (FIT) detect?

  1. ABacteria that cause food poisoning
  2. BParasites and their eggs in the stool
  3. CFat in the stool from poor absorption
  4. DHidden human blood in the stool
4.Medium

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

  1. ATo check for a leg bone fracture
  2. BTo find the bacteria in the wound
  3. CTo find out how deep the ulcer is
  4. DTo exclude significant arterial disease
5.Medium

Why are antiemetics usually given before chemotherapy starts?

  1. AAntiemetics make the chemotherapy work better
  2. BPreventing nausea works better than treating it later
  3. CThey cannot be given once nausea has started
  4. DThey stop the chemotherapy from causing hair loss and mouth sores
6.Medium

Which phase of wound healing involves the formation of granulation tissue and new blood vessels?

  1. AMaturation phase
  2. BInflammatory phase
  3. CHaemostasis (clotting) phase
  4. DProliferative phase
7.Hard

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

  1. AReposition, explain the cause and give prescribed drugs if needed
  2. BPerform deep suction every hour
  3. CAsk the family to leave the room
  4. DGive large volumes of IV fluid to loosen and thin the secretions
8.Hard

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

  1. AVitamin B12 deficiency and bile-acid diarrhoea
  2. BInsulin deficiency and high blood glucose from loss of the islets
  3. CExcess vitamin D and calcium kidney stones in the first year
  4. DIron overload and constipation

Answer key

  1. 1. A · Ileostomy output is liquid; colostomy output is formed
  2. 2. B · From the nose tip to the earlobe, then to the xiphisternum
  3. 3. D · Hidden human blood in the stool
  4. 4. D · To exclude significant arterial disease
  5. 5. B · Preventing nausea works better than treating it later
  6. 6. D · Proliferative phase
  7. 7. A · Reposition, explain the cause and give prescribed drugs if needed
  8. 8. A · Vitamin B12 deficiency and bile-acid diarrhoea

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