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

Why is a temporary loop ileostomy often formed after a low bowel resection?

  1. ATo divert stool while the join further down heals
  2. BTo let the patient eat without chewing
  3. CTo drain urine from the kidneys
  4. DTo remove the whole colon permanently in a single operation
2.Easy

Which two sites are most common for pressure ulcers in patients lying in bed?

  1. AThe thighs and the upper arms
  2. BThe sacrum and the heels
  3. CThe palms and the forehead
  4. DThe forearms and the knees
3.Easy

What is breakthrough pain?

  1. AA flare of pain despite regular background analgesia
  2. BPain caused only by an allergy to analgesics
  3. CPain that has gone away completely with regular treatment
  4. DPain felt only during the operation
4.Medium

What is the most important safety point about misoprostol?

  1. AIt can cause miscarriage and must not be used in pregnancy
  2. BIt causes severe constipation in most patients
  3. CIt strongly raises blood glucose in people with diabetes
  4. DIt must be given only by deep intramuscular injection
5.Medium

Before an anti-TNF biologic such as infliximab is started for Crohn's disease, which screening is essential?

  1. AA bone density scan
  2. BScreening for tuberculosis
  3. CA test of colour vision
  4. DA test for coeliac disease
6.Medium

Which dressing is generally suitable for a dry, sloughy wound that needs moisture?

  1. AAn alginate
  2. BA hydrogel
  3. CA foam
  4. DDry gauze
7.Hard

On day 5 after a major burn, a patient is confused, with a temperature of 39.2 °C, tachycardia, and an offensive, discoloured wound. What should the nurse suspect?

  1. AAn allergy to the dressing only
  2. BDelirium from boredom on the ward
  3. CThe normal hypermetabolic response alone
  4. DBurn wound infection with sepsis
8.Hard

A nurse spills a small amount of a cytotoxic drug on the floor. What is the correct approach?

  1. AWipe it with a paper towel and put it in the general waste bin
  2. BLeave it to evaporate and keep people away for a few minutes
  3. CMop it up with the ward mop and rinse the mop in the sluice
  4. DUse the spill kit with PPE, clean up, bag as cytotoxic waste and report

Answer key

  1. 1. A · To divert stool while the join further down heals
  2. 2. B · The sacrum and the heels
  3. 3. A · A flare of pain despite regular background analgesia
  4. 4. A · It can cause miscarriage and must not be used in pregnancy
  5. 5. B · Screening for tuberculosis
  6. 6. B · A hydrogel
  7. 7. D · Burn wound infection with sepsis
  8. 8. D · Use the spill kit with PPE, clean up, bag as cytotoxic waste and report

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