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 bedside test is commonly used to check for postoperative urinary retention?

  1. AA bladder ultrasound scan
  2. BA blood glucose test
  3. CA chest X-ray
  4. DA 12-lead ECG
2.Easy

Which measure helps prevent burn scar contractures?

  1. AKeeping the joint bent in the most comfortable position
  2. BApplying ice packs to the scar every day
  3. CAvoiding all movement until the wound has healed
  4. DPositioning, splinting and regular stretching exercises
3.Easy

When should an ostomy pouch usually be emptied?

  1. AOnce a day, at the same time
  2. BWhen it is one third to half full
  3. COnly when it starts to leak
  4. DOnly when it is completely full to the top
4.Medium

What is the purpose of the lockout interval on a PCA pump?

  1. AIt stops the patient from getting any doses at night
  2. BIt makes the patient wait a day between large doses
  3. CIt locks the pump so the syringe cannot be changed
  4. DIt stops a new dose before the last one has worked
5.Medium

Which herbal supplement is commonly asked about before surgery because it may increase bleeding?

  1. AChamomile
  2. BCranberry
  3. CGinkgo biloba
  4. DPeppermint oil
6.Medium

Which electrolyte abnormality can contribute to a postoperative ileus?

  1. AHypernatraemia
  2. BHypokalaemia
  3. CHyperphosphataemia
  4. DHyperkalaemia
7.Hard

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

  1. AThe patient needs only distraction and no change in drugs
  2. BPain may be undertreated; reassess and ask for a review of the plan
  3. CThe patient is addicted and should have analgesia withheld
  4. DThe patient is exaggerating, so the pain scores should be ignored for now
8.Hard

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

  1. AReassure that diarrhoea is normal and harmless
  2. BAdvise eating more fibre and fruit to firm up the stools
  3. CGive loperamide and review next week
  4. DEscalate urgently, as immune-related colitis is likely

Answer key

  1. 1. A · A bladder ultrasound scan
  2. 2. D · Positioning, splinting and regular stretching exercises
  3. 3. B · When it is one third to half full
  4. 4. D · It stops a new dose before the last one has worked
  5. 5. C · Ginkgo biloba
  6. 6. B · Hypokalaemia
  7. 7. B · Pain may be undertreated; reassess and ask for a review of the plan
  8. 8. D · Escalate urgently, as immune-related colitis is likely

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