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 the first phase of wound healing?

  1. AProliferation
  2. BMaturation
  3. CHaemostasis
  4. DEpithelialisation
2.Easy

If hair must be removed before surgery, which method is recommended?

  1. AElectric clippers on the day of surgery
  2. BPulling the hairs out with tweezers
  3. CA razor shave the night before surgery
  4. DA wax strip several days before surgery
3.Easy

Why is adrenaline sometimes added to a local anaesthetic?

  1. AIt narrows vessels, so the block lasts longer and bleeding is less
  2. BIt turns the local anaesthetic into a general anaesthetic
  3. CIt stops the local anaesthetic causing any allergy
  4. DIt makes the patient fall asleep more quickly
4.Medium

Which liver function test pattern suggests bile duct obstruction?

  1. AA low albumin with all other results normal
  2. BVery high ALT with a normal bilirubin only
  3. CHigh bilirubin with a markedly raised ALP and GGT
  4. DNormal bilirubin with a low ALP and low GGT
5.Medium

Which drug class is commonly used to reduce acid after endoscopic treatment of a bleeding peptic ulcer?

  1. ALoop diuretics
  2. BProton pump inhibitors
  3. CBeta-blockers
  4. DH1 antihistamines such as cetirizine
6.Medium

Aspirate from a nasogastric tube has a pH of 7. What should the nurse do?

  1. AGive the medicines but not the feed
  2. BDo not use it; re-test later or arrange an X-ray as per policy
  3. CFlush with 50 mL of air and start the feed
  4. DStart the feed slowly and watch the patient closely for coughing
7.Hard

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

  1. AGive loperamide and review next week
  2. BEscalate urgently, as immune-related colitis is likely
  3. CAdvise eating more fibre and fruit to firm up the stools
  4. DReassure that diarrhoea is normal and harmless
8.Hard

Four patients are on a surgical ward. Which patient should the nurse assess first?

  1. AFour hours after bowel surgery: pulse 118/min, BP 90/55 mmHg
  2. BStable ileostomy: asking for help to change the pouch
  3. CDay 3 after surgery: asking for a laxative for constipation
  4. DNeutropenic: temperature normal one hour ago, feels well

Answer key

  1. 1. C · Haemostasis
  2. 2. A · Electric clippers on the day of surgery
  3. 3. A · It narrows vessels, so the block lasts longer and bleeding is less
  4. 4. C · High bilirubin with a markedly raised ALP and GGT
  5. 5. B · Proton pump inhibitors
  6. 6. B · Do not use it; re-test later or arrange an X-ray as per policy
  7. 7. B · Escalate urgently, as immune-related colitis is likely
  8. 8. A · Four hours after bowel surgery: pulse 118/min, BP 90/55 mmHg

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