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

What is the MUST tool used for?

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

Which sign is typical of hepatic encephalopathy?

1. AA stiff neck with sensitivity to light
2. BA flapping tremor of the outstretched hands
3. CA drooping eyelid on one side
4. DA fine rash over the chest and arms

Using the rule of nines in an adult, what percentage of body surface area is one whole arm?

1. A9%
2. B36%
3. C1%
4. D18%

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 hand and forearm
4. DThe patient's palm including the fingers

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AIncreased hunger
2. BItching
3. CRinging in the ears
4. DHair growth

How does sucralfate help a peptic ulcer heal?

1. AIt speeds up emptying of the stomach
2. BIt blocks histamine receptors on parietal cells
3. CIt forms a protective coating over the ulcer base
4. DIt kills H. pylori in the stomach lining

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

1. AEncourage the patient to rest the voice and reassess tomorrow
2. BLay the patient flat to help them sleep
3. CGive a warm drink to soothe the throat
4. DCall for urgent anaesthetic help, as the airway is swelling

A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?

1. AA kidney stone blocking the ureter
2. BA fistula between the colon and the bladder
3. CA simple lower urinary tract infection
4. DBowel preparation that was taken too quickly