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

What is atelectasis?

  1. AA blood clot in a leg vein
  2. BSwelling of both ankles caused by lying in bed after surgery
  3. CCollapse of small air sacs in part of the lung
  4. DInfection of the surgical wound
2.Easy

How should a patient be positioned during enteral tube feeding?

  1. ALying on the stomach with the head turned to one side
  2. BLying completely flat on the back with one pillow
  3. CWith the head of the bed raised to at least 30–45°
  4. DWith the head lower than the feet
3.Easy

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

  1. APainless yellowing of the skin and eyes
  2. BCramping pain low in the left side of the abdomen
  3. CBurning pain behind the breastbone (heartburn)
  4. DSharp pain in the right shoulder after meals
4.Medium

What is often the earliest sign of malignant hyperthermia during anaesthesia?

  1. AA steady fall in body temperature
  2. BA slowing heart rate and low blood pressure
  3. CFlushed skin with a falling CO₂ level
  4. DAn unexplained rise in end-tidal CO₂
5.Medium

Why are patients with cirrhosis at increased risk of bleeding?

  1. AFewer clotting factors, low platelets and varices from portal hypertension
  2. BHigh arterial blood pressure in cirrhosis makes vessels burst
  3. CCirrhosis raises the platelet count, which makes platelets weaker
  4. DThe scarred liver releases anticoagulant substances such as heparin into the blood
6.Medium

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

  1. AThe medicine chart, including laxatives and antibiotics
  2. BThe colour of the feeding bag label
  3. CThe patient's mobility aids and walking distance
  4. DThe patient's eye drops and skin creams
7.Hard

Which fluid strategy is generally recommended in the first hours of acute pancreatitis?

  1. AGoal-directed balanced crystalloid, guided by the response
  2. BVery large volumes, whatever the patient's response
  3. CIV albumin alone instead of any crystalloid
  4. DNo IV fluid at all, only small sips of oral water
8.Hard

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

  1. ARadiation oesophagitis; analgesia, soft food and nutrition support
  2. BA stomach ulcer; give an antacid after meals only
  3. CA heart attack; give aspirin and arrange an ECG
  4. DNormal ageing; no action needed

Answer key

  1. 1. C · Collapse of small air sacs in part of the lung
  2. 2. C · With the head of the bed raised to at least 30–45°
  3. 3. C · Burning pain behind the breastbone (heartburn)
  4. 4. D · An unexplained rise in end-tidal CO₂
  5. 5. A · Fewer clotting factors, low platelets and varices from portal hypertension
  6. 6. A · The medicine chart, including laxatives and antibiotics
  7. 7. A · Goal-directed balanced crystalloid, guided by the response
  8. 8. A · Radiation oesophagitis; analgesia, soft food and nutrition support

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