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

Which advice helps a patient with oral mucositis from chemotherapy?

  1. AGentle care with a soft toothbrush and saline mouth rinses
  2. BAn alcohol-based mouthwash used several times a day to disinfect
  3. CHot, spicy food to stimulate the flow of saliva
  4. DStopping all mouth care until the soreness settles
2.Easy

What is referred pain?

  1. APain felt at a site away from the organ causing it
  2. BPain that is passed on from one doctor to another
  3. CPain that a patient makes up
  4. DPain that only lasts for a few seconds
3.Easy

What is the MUST tool used for?

  1. AMeasuring pain in confused patients
  2. BAssessing the risk of falls
  3. CScoring the severity of a burn injury
  4. DScreening adults for malnutrition risk
4.Medium

How should a patient with facial burns usually be positioned?

  1. ALying flat with the head lower than the feet
  2. BWith the head of the bed raised to reduce swelling
  3. CLying face down on the pillow to protect the airway
  4. DIn any position that keeps the face covered
5.Medium

Which treatment often relieves pain from a bone metastasis?

  1. AA diet low in calcium and vitamin D
  2. BPalliative radiotherapy to the area
  3. CIron supplements by mouth for several months
  4. DComplete bed rest for a month
6.Medium

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

  1. APupil size and limb strength
  2. BBowel sounds and stool colour only
  3. CBlood glucose and signs of line infection
  4. DPeak flow and visual acuity
7.Hard

Four patients are on a surgical ward. Which patient should the nurse assess first?

  1. AFour hours after bowel surgery: pulse 118/min, BP 90/55 mmHg
  2. BStable ileostomy: asking for help to change the pouch
  3. CDay 3 after surgery: asking for a laxative for constipation
  4. DNeutropenic: temperature normal one hour ago, feels well
8.Hard

The skin around a patient's ileostomy is red, raw and weeping, and the pouch leaks often. What is the most likely cause?

  1. AA normal reaction that needs no change in care
  2. BIschaemia of the stoma, which needs urgent surgery
  3. COutput on the skin, often from a poorly fitting appliance
  4. DAn allergy to the stool itself, which needs steroids

Answer key

  1. 1. A · Gentle care with a soft toothbrush and saline mouth rinses
  2. 2. A · Pain felt at a site away from the organ causing it
  3. 3. D · Screening adults for malnutrition risk
  4. 4. B · With the head of the bed raised to reduce swelling
  5. 5. B · Palliative radiotherapy to the area
  6. 6. C · Blood glucose and signs of line infection
  7. 7. A · Four hours after bowel surgery: pulse 118/min, BP 90/55 mmHg
  8. 8. C · Output on the skin, often from a poorly fitting appliance

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