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

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

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

Which feature is typical of Crohn's disease?

1. AIt affects only the liver and bile ducts
2. BIt can affect any part of the gut, with normal bowel in between
3. CIt affects only the stomach lining and causes ulcers there
4. DIt affects only the rectum and colon, in one continuous stretch

Which diet is usually advised to help prevent symptoms of diverticular disease?

1. AA diet based mainly on red meat
2. BA high-fibre diet with plenty of fluids
3. CA diet with no fruit or vegetables
4. DA low-fibre diet with very little fluid

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AOral calcium tablets and vitamin D
2. BA high-calcium diet with extra milk
3. CIV fluids followed by an IV bisphosphonate
4. DFluid restriction and a thiazide diuretic

A nasogastric feeding tube appears blocked. What is usually the first step?

1. APush the guidewire back in to clear it
2. BUse a small 5 mL syringe with firm pressure
3. CFlush gently with warm water in a 50 mL enteral syringe
4. DCut the end of the tube to release the blockage inside it

What is the most important safety point about misoprostol?

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

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AReassure the patient that the surgeon knows best
2. BExplain the surgical risks in detail without involving the surgeon
3. CInform the surgeon so that the procedure can be explained again
4. DIgnore the comment because the form is already signed

A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?

1. APush the hernia firmly back in, then discharge home
2. BAdvise the patient to wear a tight truss and rest
3. CKeep them nil by mouth and arrange urgent surgical review
4. DApply a hot water bottle and give a laxative