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

Which tissue in a healing wound looks red, moist and granular?

1. AYellow slough tissue
2. BGranulation tissue
3. CNecrotic tissue
4. DDry eschar

Why are rectal temperatures and suppositories avoided in a patient with neutropenia?

1. AThey can damage the mucosa and let bacteria into the blood
2. BThey interfere with the absorption of chemotherapy
3. CThey make the patient's white cell count fall even further
4. DThey always give falsely low temperature readings

Which drug group is commonly used to prevent venous thromboembolism after surgery?

1. ANon-steroidal anti-inflammatory drugs
2. BProton pump inhibitors
3. CLoop diuretics
4. DLow molecular weight heparins

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AA very low-protein diet for the rest of their life to lower ammonia
2. BOnly clear fluids for several weeks
3. CNo food at all until the confusion settles
4. DNormal protein and enough calories, with a late-evening snack

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

1. ABowel sounds and stool colour only
2. BBlood glucose and signs of line infection
3. CPeak flow and visual acuity
4. DPupil size and limb strength

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. AFemoral nerve
2. BUlnar nerve
3. CSciatic nerve
4. DFacial nerve

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

1. APerform deep suction every hour
2. BAsk the family to leave the room
3. CGive large volumes of IV fluid to loosen and thin the secretions
4. DReposition, explain the cause and give prescribed drugs if needed

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. AWait another twelve hours before acting
2. BCatheterise as per protocol or prescription
3. CRestrict fluids until the urge returns
4. DGive a diuretic to increase urine flow