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

According to a widely used definition, who is the best judge of a patient's pain?

  1. AThe relatives
  2. BThe nurse
  3. CThe patient
  4. DThe surgeon
2.Easy

What is cancer cachexia?

  1. AA fever that occurs after every chemotherapy cycle and lasts several days
  2. BSevere loss of weight and muscle that diet alone does not reverse
  3. CA skin rash from radiotherapy
  4. DWeight gain caused by steroid treatment
3.Easy

What does the ASA physical status classification describe?

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

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

  1. ADo not use it; re-test later or arrange an X-ray as per policy
  2. BStart the feed slowly and watch the patient closely for coughing
  3. CFlush with 50 mL of air and start the feed
  4. DGive the medicines but not the feed
5.Medium

Which electrolyte problem can occur in severe acute pancreatitis?

  1. AHypernatraemia
  2. BHypercalcaemia
  3. CHyperkalaemia
  4. DHypocalcaemia
6.Medium

Which advice helps a patient with haemorrhoids?

  1. ASit on the toilet for long periods to empty fully
  2. BTake a codeine-based painkiller every day
  3. CEat more fibre, drink enough fluid and avoid straining
  4. DEat less fibre so that stools are smaller
7.Hard

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39.1 °C. What should the nurse suspect and do?

  1. AA normal reaction; give paracetamol and continue the infusion
  2. BLow blood glucose; give a sugary drink
  3. CFluid overload; reduce the infusion rate only
  4. DLine infection; escalate and take blood cultures
8.Hard

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

  1. AIgnore it because skin changes after surgery are normal and expected to fade
  2. BApply a hot water bottle to improve the circulation
  3. CTreat it as a possible burn, report it and complete an incident form
  4. DWash it with alcohol and leave it uncovered

Answer key

  1. 1. C · The patient
  2. 2. B · Severe loss of weight and muscle that diet alone does not reverse
  3. 3. C · The patient's general health before anaesthesia
  4. 4. A · Do not use it; re-test later or arrange an X-ray as per policy
  5. 5. D · Hypocalcaemia
  6. 6. C · Eat more fibre, drink enough fluid and avoid straining
  7. 7. D · Line infection; escalate and take blood cultures
  8. 8. C · Treat it as a possible burn, report it and complete an incident form

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