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

Why are pressure garments worn after burns heal?

  1. ATo reduce raised, thick scarring
  2. BTo hide the scars from other people
  3. CTo keep the patient warm in winter
  4. DTo prevent infection of the healed skin
2.Easy

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

  1. A1%
  2. B18%
  3. C9%
  4. D4.5%
3.Easy

What is neutropenia?

  1. AA low neutrophil count
  2. BA low red cell count
  3. CA high white cell count
  4. DA low platelet count
4.Medium

What is TENS?

  1. AA strong opioid given through the skin as a weekly adhesive patch
  2. BA type of epidural catheter inserted in theatre
  3. CA pain score used for babies
  4. DA device that sends mild electrical pulses through skin pads
5.Medium

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

  1. ACo-codamol must be stopped a week before any paracetamol
  2. BParacetamol and codeine cause a severe allergic reaction when combined
  3. CCo-codamol stops paracetamol from working
  4. DIt already contains paracetamol, so overdose could occur
6.Medium

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

  1. ATo check that the patient is still hungry
  2. BTo remove any feed left in the stomach
  3. CTo stop the inner bumper becoming buried in the stomach wall
  4. DTo make the tube longer as the patient grows or gains weight
7.Hard

Two days after starting chemotherapy for a high-grade lymphoma, a patient's urine output falls; potassium is 6.4 mmol/L, phosphate high and calcium low. What should the nurse suspect and do?

  1. ATumour lysis syndrome: escalate, start cardiac monitoring and expect IV fluids
  2. BExpected chemotherapy side effects: no action needed until the next cycle
  3. CSimple dehydration: encourage oral fluids and recheck bloods next week
  4. DAn allergic reaction: give an antihistamine and continue as normal
8.Hard

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

  1. AGive large volumes of IV fluid to loosen and thin the secretions
  2. BPerform deep suction every hour
  3. CAsk the family to leave the room
  4. DReposition, explain the cause and give prescribed drugs if needed

Answer key

  1. 1. A · To reduce raised, thick scarring
  2. 2. C · 9%
  3. 3. A · A low neutrophil count
  4. 4. D · A device that sends mild electrical pulses through skin pads
  5. 5. D · It already contains paracetamol, so overdose could occur
  6. 6. C · To stop the inner bumper becoming buried in the stomach wall
  7. 7. A · Tumour lysis syndrome: escalate, start cardiac monitoring and expect IV fluids
  8. 8. D · Reposition, explain the cause and give prescribed drugs if needed

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