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

What is the first aid for a dry chemical powder on the skin?

1. ACover it with a tight dressing and wait
2. BBrush off the powder, then irrigate with plenty of water
3. CRub it in with a wet cloth to spread it thinly over the skin
4. DAdd vinegar to neutralise it at once

Using the rule of nines in an adult, what percentage of body surface area is one whole arm?

1. A1%
2. B36%
3. C9%
4. D18%

What is cancer cachexia?

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

Which practice is correct when giving parenteral nutrition through a central line?

1. AUse a dedicated lumen and strict aseptic technique
2. BLet the bag hang at room temperature for several days
3. CGive other IV drugs through the same lumen to save time
4. DDisconnect and reconnect the line without cleaning the hub

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt is used only for burns of the hands
2. BIt counts superficial burns as well
3. CIt adjusts for body proportions that change with age
4. DIt is faster to use than any other method of estimation

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ALemon and glycerine swabs every hour to stimulate saliva
2. BNo mouth care, to avoid disturbing the patient
3. CFrequent, gentle moistening of the mouth and lips
4. DBrushing hard with a stiff toothbrush twice a day

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

1. ALeave the same dressing in place for a week so the wound is not disturbed
2. BUse a dressing that adds even more moisture
3. CApply a tight plastic film directly over the wound
4. DProtect the skin edges and use a more absorbent dressing

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

1. ACall for urgent anaesthetic help, as the airway is swelling
2. BLay the patient flat to help them sleep
3. CGive a warm drink to soothe the throat
4. DEncourage the patient to rest the voice and reassess tomorrow