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

Which precaution is most important to reduce infection in a patient with neutropenia?

1. AKeeping the patient in bed
2. BStrict hand hygiene by everyone
3. CKeeping the curtains closed all day
4. DAntibiotics for every visitor

Which signs suggest peritonitis?

1. AA small, painless lump near the umbilicus
2. BLoud bowel sounds with a hungry feeling
3. CA soft abdomen with no pain on pressing
4. DGuarding, rebound tenderness and a rigid abdomen

Which sign suggests acute cholecystitis?

1. APain that stops a deep breath when the right upper abdomen is pressed
2. BA flapping tremor of the hands when the arms are held out
3. CBruising around the umbilicus and over both flanks of the abdomen
4. DPain in the left lower abdomen when the right side is pressed

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA single room with its own toilet, and soap-and-water handwashing
2. BA face mask for the patient and visitors only
3. CA shared bay, as long as alcohol gel is used after every contact
4. DNo special measures once antibiotics have started

Why are patients with large burns at risk of hypothermia?

1. ABurns always cause a low thyroid hormone level in the blood
2. BLoss of skin reduces their ability to keep in heat
3. CTheir metabolism stops after the injury
4. DThe fluids given are always chilled

Which treatment often relieves pain from a bone metastasis?

1. AComplete bed rest for a month
2. BIron supplements by mouth for several months
3. CA diet low in calcium and vitamin D
4. DPalliative radiotherapy to the area

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AInform the surgeon so that the procedure can be explained again
2. BReassure the patient that the surgeon knows best
3. CExplain the surgical risks in detail without involving the surgeon
4. DIgnore the comment because the form is already signed

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AProceed and add a band once in recovery
2. BStop and confirm identity, then apply a band
3. CProceed because the patient can say their name
4. DUse the spare identity band from the front of the patient's notes folder