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

Why are pressure areas padded when a patient is positioned for surgery?

1. ATo keep the patient from moving during the operation
2. BTo prevent pressure injury and nerve damage
3. CTo make the operating table look tidy
4. DTo warm the patient during the procedure

Using the rule of nines in an adult, what percentage is the whole head and neck?

1. A1%
2. B4.5%
3. C18%
4. D9%

Which non-invasive test is commonly used to detect Helicobacter pylori infection?

1. AFaecal occult blood test
2. BUrea breath test
3. CSerum amylase test
4. DLiver function tests

How should a patient use an incentive spirometer after surgery?

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

Which area is used as a quick estimate of 1% of body surface area for small or scattered burns?

1. AThe examiner's palm including the fingers
2. BThe patient's thumbnail
3. CThe patient's palm including the fingers
4. DThe patient's hand and forearm

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA face mask for the patient and visitors only
2. BA single room with its own toilet, and soap-and-water handwashing
3. CNo special measures once antibiotics have started
4. DA shared bay, as long as alcohol gel is used after every contact

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AA category 4 pressure ulcer over the sacrum
2. BAn arterial ulcer caused by poor circulation
3. CA full-thickness burn
4. DIncontinence-associated dermatitis

A patient with hepatic encephalopathy is restless at night. A benzodiazepine is suggested for sleep. What should the nurse do?

1. AGive it, as the liver does not affect sedatives
2. BGive it at double the usual dose to ensure sleep
3. CQuestion it, as sedatives can worsen encephalopathy
4. DGive it and stop the lactulose to avoid diarrhoea