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

Which finding describes a category 1 pressure ulcer?

  1. AA shallow open wound with a red-pink base and no slough
  2. BAn open wound with visible bone at the base
  3. CA wound covered with thick black eschar
  4. DIntact skin with redness that does not blanch
2.Easy

What is adjuvant chemotherapy?

  1. ATreatment given only to relieve symptoms
  2. BTreatment given before a biopsy is taken
  3. CTreatment given only to patients who refuse surgery or radiotherapy
  4. DTreatment after surgery to reduce the risk of recurrence
3.Easy

Why is adrenaline sometimes added to a local anaesthetic?

  1. AIt stops the local anaesthetic causing any allergy
  2. BIt turns the local anaesthetic into a general anaesthetic
  3. CIt makes the patient fall asleep more quickly
  4. DIt narrows vessels, so the block lasts longer and bleeding is less
4.Medium

Why do patients with major burns lose so much fluid in the first 24–48 hours?

  1. AThe kidneys stop making urine completely
  2. BThe burned skin absorbs fluid from the air
  3. CPatients drink far too little in hospital in the first days
  4. DLeaky capillaries let plasma move into the tissues
5.Medium

Why are patients with diabetes often placed early on the operating list?

  1. ABecause they need to go home before midday
  2. BBecause their surgery always takes longer than others
  3. CBecause their wounds heal faster in the morning
  4. DTo shorten fasting and reduce swings in blood glucose
6.Medium

Which nursing intervention best reduces preoperative anxiety?

  1. AKeeping family members away until after surgery
  2. BExplaining what will happen and answering questions
  3. CAvoiding talking about the operation at all
  4. DTelling the patient that there is nothing to worry about
7.Hard

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

  1. AA category 4 pressure ulcer over the sacrum
  2. BAn arterial ulcer caused by poor circulation
  3. CA full-thickness burn
  4. DIncontinence-associated dermatitis
8.Hard

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

  1. ABleeding from the bladder; stop all fluids
  2. BNormal concentrated urine; restrict fluids
  3. CA urinary infection; send a sample and wait for the result
  4. DMyoglobin from muscle damage; a higher urine output target

Answer key

  1. 1. D · Intact skin with redness that does not blanch
  2. 2. D · Treatment after surgery to reduce the risk of recurrence
  3. 3. D · It narrows vessels, so the block lasts longer and bleeding is less
  4. 4. D · Leaky capillaries let plasma move into the tissues
  5. 5. D · To shorten fasting and reduce swings in blood glucose
  6. 6. B · Explaining what will happen and answering questions
  7. 7. D · Incontinence-associated dermatitis
  8. 8. D · Myoglobin from muscle damage; a higher urine output target

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