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

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

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

Why is a nasogastric tube often inserted in bowel obstruction?

  1. ATo measure the pressure inside the bowel
  2. BTo decompress the stomach and reduce vomiting
  3. CTo give a high-fibre feed past the blockage directly
  4. DTo give laxatives to clear the obstruction
3.Easy

How does ileostomy output usually differ from sigmoid colostomy output?

  1. ABoth produce formed stool once a day
  2. BIleostomy output is liquid; colostomy output is formed
  3. CIleostomy output is formed; colostomy output is liquid
  4. DBoth produce only gas and mucus
4.Medium

Why are patients with large burns at risk of hypothermia?

  1. ATheir metabolism stops after the injury
  2. BThe fluids given are always chilled
  3. CLoss of skin reduces their ability to keep in heat
  4. DBurns always cause a low thyroid hormone level in the blood
5.Medium

Which lifestyle change most improves the course of Crohn's disease?

  1. AStopping smoking
  2. BDrinking more coffee
  3. CAvoiding all exercise
  4. DEating more red meat
6.Medium

Why is regular (scheduled) analgesia often preferred to "as required" doses in the first days after major surgery?

  1. AIt completely prevents all opioid side effects
  2. BIt removes the need to assess the patient's pain during the day
  3. CIt keeps drug levels steady and prevents severe peaks of pain
  4. DIt allows doses higher than the maximum daily limit to be given
7.Hard

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

  1. AGive the next dose with extra food
  2. BWithhold the next dose and report to the prescriber
  3. CIncrease the dose to treat the pain better and encourage fluids
  4. DChange to a higher-strength NSAID tablet
8.Hard

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

  1. ASodium 138 mmol/L
  2. BPotassium 4.2 mmol/L
  3. CSodium 141 mmol/L
  4. DPotassium 6.0 mmol/L

Answer key

  1. 1. B · Electric clippers on the day of surgery
  2. 2. B · To decompress the stomach and reduce vomiting
  3. 3. B · Ileostomy output is liquid; colostomy output is formed
  4. 4. C · Loss of skin reduces their ability to keep in heat
  5. 5. A · Stopping smoking
  6. 6. C · It keeps drug levels steady and prevents severe peaks of pain
  7. 7. B · Withhold the next dose and report to the prescriber
  8. 8. D · Potassium 6.0 mmol/L

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