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 a carcinoma?

  1. AA cancer of white blood cells
  2. BA benign growth of fatty tissue
  3. CA cancer arising from bone or muscle
  4. DA cancer arising from epithelial cells
2.Easy

What is a volvulus?

  1. AA pouch in the wall of the colon that fills with stool
  2. BA twist of a loop of bowel around itself
  3. CA tear in the lining of the anus
  4. DAn infection of the appendix
3.Easy

What is a parastomal hernia?

  1. AA narrowing of the stoma opening
  2. BA stoma that has sunk below the level of the skin
  3. CA bulge of bowel through the abdominal wall next to a stoma
  4. DA sore, red area of skin under the stoma bag from leaking output
4.Medium

Which PPE is usually recommended when giving cytotoxic chemotherapy?

  1. AOrdinary cotton gloves and a plastic apron
  2. BA paper surgical mask but no gloves
  3. CChemo-tested gloves and impermeable gown
  4. DNo PPE, because the infusion bag is sealed
5.Medium

Which advice helps prevent dumping syndrome after gastrectomy?

  1. AThree large meals a day with plenty of sweet drinks with each meal
  2. BSmall, frequent meals low in simple sugars, with fluids between meals
  3. CSit upright and walk briskly straight after every meal
  4. DA high-sugar diet with fruit juice to keep energy levels up
6.Medium

Why are antimotility drugs such as loperamide avoided in C. difficile infection?

  1. AThey cause serious liver failure in most patients who take them
  2. BThey make the stool sample test positive falsely
  3. CThey may keep toxin in the bowel and risk toxic megacolon
  4. DThey kill the normal bowel bacteria
7.Hard

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

  1. AStable ileostomy: asking for help to change the pouch
  2. BDay 3 after surgery: asking for a laxative for constipation
  3. CNeutropenic: temperature normal one hour ago, feels well
  4. DFour hours after bowel surgery: pulse 118/min, BP 90/55 mmHg
8.Hard

Which safety rule applies to vincristine?

  1. AIt can be given by whichever route the prescriber prefers
  2. BIt is usually given intrathecally with other spinal drugs
  3. CNever intrathecal; supplied in a minibag for IV use only
  4. DIt is best given as a fast IV push into a small vein

Answer key

  1. 1. D · A cancer arising from epithelial cells
  2. 2. B · A twist of a loop of bowel around itself
  3. 3. C · A bulge of bowel through the abdominal wall next to a stoma
  4. 4. C · Chemo-tested gloves and impermeable gown
  5. 5. B · Small, frequent meals low in simple sugars, with fluids between meals
  6. 6. C · They may keep toxin in the bowel and risk toxic megacolon
  7. 7. D · Four hours after bowel surgery: pulse 118/min, BP 90/55 mmHg
  8. 8. C · Never intrathecal; supplied in a minibag for IV use only

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