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

What is the first aid for a dry chemical powder on the skin?

1. ARub it in with a wet cloth to spread it thinly over the skin
2. BBrush off the powder, then irrigate with plenty of water
3. CAdd vinegar to neutralise it at once
4. DCover it with a tight dressing and wait

When should an ostomy pouch usually be emptied?

1. AOnly when it is completely full to the top
2. BOnly when it starts to leak
3. COnce a day, at the same time
4. DWhen it is one third to half full

Which finding is typical of a perforated peptic ulcer?

1. AA soft, non-tender abdomen with loud, frequent bowel sounds
2. BSlow onset of mild pain relieved fully by eating
3. CSudden severe abdominal pain with a rigid, board-like abdomen
4. DPainless bright red bleeding from the rectum over several days

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. AMigraine caused by hospital lighting
2. BRaised blood pressure from pain
3. CA side effect of the antibiotic
4. DPost-dural puncture headache

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

1. AMaturation phase
2. BHaemostasis (clotting) phase
3. CInflammatory phase
4. DProliferative phase

How should a patient use an incentive spirometer after surgery?

1. ABlow out as hard and as fast as possible
2. BBreathe in slowly and deeply, then hold briefly
3. CUse it once a day, just before going to sleep at night
4. DBreathe quickly in and out ten times in a row

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. ACrohn's disease of the ileum
2. BAnal fissure
3. CUpper GI bleeding
4. DColorectal cancer

During an IV vincristine infusion through a peripheral cannula, the patient reports burning, and the site is swollen. What should the nurse do first?

1. ARemove the cannula at once and massage the area to spread the drug
2. BContinue the infusion more slowly and apply an ice pack to the site
3. CStop the infusion, leave the cannula to aspirate, follow the policy
4. DFlush the cannula with saline to push the remaining drug into the vein