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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1.Easy

In TNM staging of cancer, what does "N" describe?

  1. AThe number of tumours in the body
  2. BSpread to nearby lymph nodes
  3. CThe nerve damage caused by the tumour
  4. DThe new cells formed after treatment
2.Easy

What is the main purpose of marking the surgical site before an operation?

  1. ATo record the patient's allergy status
  2. BTo tell the porter which theatre to go to
  3. CTo prevent surgery on the wrong side or site
  4. DTo show where the skin should be shaved
3.Easy

What does black tissue in a wound bed usually indicate?

  1. ANew epithelial cells
  2. BNecrotic (dead) tissue
  3. CHealthy granulation tissue
  4. DNormal blood clot from a fresh cut
4.Medium

Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?

  1. AMild tiredness after a busy day
  2. BSlight hair thinning over months
  3. CNew diarrhoea or abdominal pain
  4. DA small bruise after a knock
5.Medium

Why might a patient's platelet count be monitored while they receive heparin?

  1. ATo check whether the heparin is causing anaemia
  2. BTo see whether the patient has an infection
  3. CTo detect heparin-induced thrombocytopenia
  4. DTo measure the heparin dose in the blood exactly
6.Medium

Which dressing is generally suitable for a wound with heavy exudate?

  1. AA thin transparent film
  2. BAn alginate or foam
  3. CA hydrogel sheet
  4. DDry gauze changed weekly
7.Hard

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

  1. AAn allergic reaction to the sedative
  2. BOesophageal perforation
  3. CNormal discomfort after the procedure
  4. DSimple reflux after the dilatation
8.Hard

A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and says they feel completely well. Which statement is correct?

  1. AFeeling well means the dose was too small to cause harm
  2. BLiver damage may still develop, and appears only days later
  3. CTreatment is not needed if the patient has not vomited
  4. DLiver damage after paracetamol occurs only within the first hour or so

Answer key

  1. 1. B · Spread to nearby lymph nodes
  2. 2. C · To prevent surgery on the wrong side or site
  3. 3. B · Necrotic (dead) tissue
  4. 4. C · New diarrhoea or abdominal pain
  5. 5. C · To detect heparin-induced thrombocytopenia
  6. 6. B · An alginate or foam
  7. 7. B · Oesophageal perforation
  8. 8. B · Liver damage may still develop, and appears only days later

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