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

When should pain be reassessed after giving analgesia?

1. AWhen the drug is expected to have taken effect
2. BOnly if the patient asks for more analgesia
3. COnly at the next routine observation round the next day
4. DNever, as one assessment is enough

What does the ASA physical status classification describe?

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

Which type of healing describes a clean surgical incision closed with sutures?

1. ASecondary intention
2. BTertiary intention
3. CDelayed intention
4. DPrimary intention

Which statement about fatigue during radiotherapy is correct?

1. AIt is caused by the patient becoming radioactive
2. BIt means the radiotherapy has failed
3. CIt often builds during the course and can last for weeks
4. DIt occurs only after the first session and then disappears completely

What does "neoadjuvant" treatment mean?

1. ATreatment given only for pain relief
2. BTreatment that is given only after the cancer has already spread
3. CTreatment before the main treatment, often to shrink the tumour
4. DTreatment that is given instead of any surgery

Which statement about giving medicines through a feeding tube is correct?

1. AMedicines can be added to the bag of feed
2. BTubes do not need flushing between medicines
3. CAll tablets can be crushed together and given at once
4. DModified-release tablets should not be crushed

A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?

1. AUse long-handled forceps to put it in the lead container; report it
2. BPick it up with gloved hands and put it in the nearest sharps bin quickly
3. CThrow it in the clinical waste bag
4. DLeave it in the bed until the end of the shift

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AVitamin B₁₂ deficiency; give an injection now
2. BLate dumping with low blood glucose; check capillary glucose
3. CEarly dumping from fluid shifts; give a large drink of water
4. DAn anastomotic leak; insert a nasogastric tube at once