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

What is the most common cause of small bowel obstruction in adults in high-income countries?

1. ASwallowed foreign objects
2. BAdhesions from previous surgery
3. CGallstones lodged in the gallbladder neck
4. DColorectal cancer

What is the purpose of the WHO Surgical Safety Checklist?

1. ATo replace informed consent for planned operations
2. BTo record what the patient would like to eat and drink after surgery
3. CTo list the training and experience of the surgeon
4. DTo ensure key safety checks happen before, during and after surgery

What is a skin graft donor site?

1. AThe area where the graft was placed on the burn wound
2. BA scar that has fully matured
3. CA blood vessel used to give fluids
4. DA wound where healthy skin was taken for grafting

Which technique is correct when giving a prefilled low molecular weight heparin injection?

1. ALeave the air bubble in and inject into a skin fold
2. BExpel the air bubble first and inject into the deltoid muscle
3. CInject into a vein in the back of the hand
4. DRub the site firmly afterwards to help absorption

Which nursing intervention best reduces preoperative anxiety?

1. AKeeping family members away until after surgery
2. BAvoiding talking about the operation at all
3. CTelling the patient that there is nothing to worry about
4. DExplaining what will happen and answering questions

Which change suggests that a burn wound is becoming infected?

1. ALess exudate on each dressing change
2. BThe wound becoming pink and a little smaller at each dressing change
3. CDry, healing skin with mild itching
4. DA partial-thickness burn becoming deeper, with new discolouration

A patient receiving filgrastim (G-CSF) after chemotherapy asks which side effect to expect. Which side effect is most common?

1. AAching bone pain, as the bone marrow is stimulated
2. BComplete hair loss within days of the first injection
3. CA rapid fall in the white cell count
4. DPermanent hearing loss

On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?

1. APostoperative constipation
2. BA normal day 5 recovery
3. CA urinary tract infection
4. DAn anastomotic leak