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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Name: ____________________   Date: ____________

1.Easy

What does the ASA physical status classification describe?

  1. AThe type of anaesthetic drug the surgeon prefers
  2. BThe exact length of the planned operation
  3. CThe patient's general health before anaesthesia
  4. DThe patient's pain score after surgery
2.Easy

What is the Braden scale (or a similar tool such as Waterlow) used for?

  1. AMeasuring a patient's level of consciousness
  2. BAssessing the risk of developing pressure ulcers
  3. CScoring the severity of nausea
  4. DGrading the depth of a burn wound before dressing it
3.Easy

What does PCA stand for in pain management?

  1. APatient-controlled analgesia
  2. BPost-care assessment
  3. CPain control by an assistant
  4. DPrescribed continuous anaesthesia
4.Medium

How is the height of an epidural sensory block usually checked?

  1. ATesting sensation to cold with ice or a cold spray
  2. BMeasuring the patient's blood glucose level
  3. CChecking the colour of the patient's urine
  4. DTapping the knee with a reflex hammer and recording the score
5.Medium

What is the first priority when a patient arrives in recovery after a general anaesthetic?

  1. AAirway and breathing
  2. BA drink of water
  3. CThe drug history
  4. DThe wound dressing and drains
6.Medium

A nasogastric feeding tube appears blocked. What is usually the first step?

  1. AFlush gently with warm water in a 50 mL enteral syringe
  2. BUse a small 5 mL syringe with firm pressure
  3. CCut the end of the tube to release the blockage inside it
  4. DPush the guidewire back in to clear it
7.Hard

Why is folinic acid (leucovorin) given after high-dose methotrexate?

  1. ATo prevent hair loss during treatment
  2. BTo rescue normal cells from methotrexate toxicity
  3. CTo increase the anticancer effect on the tumour
  4. DTo treat the patient's anaemia only
8.Hard

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

  1. AExcess vitamin D and calcium kidney stones in the first year
  2. BVitamin B12 deficiency and bile-acid diarrhoea
  3. CIron overload and constipation
  4. DInsulin deficiency and high blood glucose from loss of the islets

Answer key

  1. 1. C · The patient's general health before anaesthesia
  2. 2. B · Assessing the risk of developing pressure ulcers
  3. 3. A · Patient-controlled analgesia
  4. 4. A · Testing sensation to cold with ice or a cold spray
  5. 5. A · Airway and breathing
  6. 6. A · Flush gently with warm water in a 50 mL enteral syringe
  7. 7. B · To rescue normal cells from methotrexate toxicity
  8. 8. B · Vitamin B12 deficiency and bile-acid diarrhoea

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