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

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

  1. ASign Out
  2. BTime Out
  3. CHandover
  4. DSign In
2.Easy

What is the key difference between a benign and a malignant tumour?

  1. AA benign tumour always grows faster than a malignant one
  2. BA malignant tumour never needs any treatment
  3. CA malignant tumour invades nearby tissue and can spread
  4. DA benign tumour always spreads to the lymph nodes
3.Easy

Which signs suggest peritonitis?

  1. AA small, painless lump near the umbilicus
  2. BLoud bowel sounds with a hungry feeling
  3. CGuarding, rebound tenderness and a rigid abdomen
  4. DA soft abdomen with no pain on pressing
4.Medium

Which finding suggests a deep tissue pressure injury?

  1. AIntact skin that is purple or maroon over a bony area
  2. BPale pink skin that blanches quickly when pressed
  3. CA small scratch on the skin with a little fresh red blood
  4. DDry, flaky skin on both shins
5.Medium

Why might a patient's platelet count be monitored while they receive heparin?

  1. ATo check whether the heparin is causing anaemia
  2. BTo see whether the patient has an infection
  3. CTo detect heparin-induced thrombocytopenia
  4. DTo measure the heparin dose in the blood exactly
6.Medium

Which score is used to assess risk in an upper GI bleed before endoscopy?

  1. AWaterlow pressure ulcer risk score
  2. BGlasgow Coma Scale
  3. CWells score for DVT
  4. DGlasgow-Blatchford score
7.Hard

A nurse teaches a patient about a fentanyl skin patch. Which statement shows a need for further teaching?

  1. A"I'll fold used patches sticky sides together before disposal."
  2. B"I won't put a hot water bottle over the patch."
  3. C"I can cut the patch in half if I need less."
  4. D"I'll put the new patch on a different area of skin."
8.Hard

During burn resuscitation, an 80 kg adult's urine output is 15 mL/h for 2 hours. What does this indicate?

  1. AUnder-resuscitation; the fluid rate usually needs increasing
  2. BA blocked catheter that should simply be removed
  3. CA normal urine output for a patient with burns
  4. DFluid overload; all IV fluids should be stopped now

Answer key

  1. 1. B · Time Out
  2. 2. C · A malignant tumour invades nearby tissue and can spread
  3. 3. C · Guarding, rebound tenderness and a rigid abdomen
  4. 4. A · Intact skin that is purple or maroon over a bony area
  5. 5. C · To detect heparin-induced thrombocytopenia
  6. 6. D · Glasgow-Blatchford score
  7. 7. C · "I can cut the patch in half if I need less."
  8. 8. A · Under-resuscitation; the fluid rate usually needs increasing

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