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

What is cancer cachexia?

1. ASevere loss of weight and muscle that diet alone does not reverse
2. BA fever that occurs after every chemotherapy cycle and lasts several days
3. CWeight gain caused by steroid treatment
4. DA skin rash from radiotherapy

What is Barrett's oesophagus?

1. AA tear in the oesophagus caused by forceful vomiting
2. BA pouch in the upper oesophagus that traps food
3. CA change of the lower oesophageal lining to a stomach-like type
4. DDilated veins in the lower oesophagus caused by portal hypertension

What does a faecal immunochemical test (FIT) detect?

1. AHidden human blood in the stool
2. BBacteria that cause food poisoning
3. CFat in the stool from poor absorption
4. DParasites and their eggs in the stool

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AStop eating fibre completely
2. BStart a regular laxative at the same time
3. CWait until there has been no stool for a week
4. DTake a bulk-forming laxative only with very little water

Which patient is at highest risk of refeeding syndrome?

1. AA healthy adult after an overnight fast for minor surgery
2. BA patient with a normal BMI eating three meals a day
3. CA patient who missed one lunch because of a scan
4. DAn underweight patient who has eaten very little for 10 days

How should a patient with facial burns usually be positioned?

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

On day 2 after upper abdominal surgery, a patient has a temperature of 37.8 °C, SpO₂ 93% on air and reduced breath sounds at both bases. They have not used their incentive spirometer because of pain. What is the most appropriate nursing plan?

1. AGive oxygen at 15 L/min and leave the patient to rest quietly
2. BBetter pain control, sitting up, deep breathing, mobilising and reporting
3. CStop all analgesia so that the patient can cough more strongly
4. DKeep the patient in bed and restrict movement until the fever settles

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. ASimple reflux after the dilatation
2. BOesophageal perforation
3. CNormal discomfort after the procedure
4. DAn allergic reaction to the sedative