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 signs suggest an inhalation injury in a burns patient?

  1. AA blister on one finger from touching a hot pan handle
  2. BFacial burns, singed nasal hair, soot and hoarseness
  3. CA burn on one foot with normal sensation
  4. DSunburn across the back after a day outdoors
2.Easy

Using the rule of nines in an adult, what percentage is one whole leg?

  1. A18%
  2. B27%
  3. C4.5%
  4. D9%
3.Easy

Who should press the button of a patient-controlled analgesia (PCA) pump?

  1. AOnly the patient
  2. BAny visitor the patient asks
  3. CThe nurse, at the start of each shift
  4. DA relative, while the patient sleeps
4.Medium

When is cold therapy most useful for pain?

  1. ADirectly on skin with poor circulation
  2. BOver numb areas where sensation is lost
  3. CFor long-term muscle stiffness, applied continuously for several hours
  4. DSoon after an acute soft tissue injury, to reduce swelling
5.Medium

Which presentation fits acute diverticulitis?

  1. ARight upper abdominal pain after fatty meals
  2. BPainless jaundice with a palpable gallbladder
  3. CLeft lower abdominal pain, fever and a raised CRP
  4. DCentral chest pain spreading to the left arm
6.Medium

In the UK National Early Warning Score (NEWS2), what does an aggregate score of 5 or more usually trigger?

  1. ARoutine observations once every 12 hours, with no other change in care
  2. BNo change unless the patient complains
  3. CDischarge planning for the next day
  4. DAn urgent review by a clinician skilled in acute illness
7.Hard

A patient taking oral capecitabine reports red, painful, peeling palms and soles. What should the nurse do?

  1. AReport it; this is hand-foot syndrome and treatment may need changing
  2. BReassure that it is a sign of an unrelated allergy to washing powder
  3. CAdvise hot soaks for the hands and feet
  4. DTell the patient to take a double dose next time
8.Hard

A patient with cirrhosis and ascites has a new fever, abdominal tenderness and worsening confusion. Which complication should be suspected?

  1. ANormal progression of ascites
  2. BSpontaneous bacterial peritonitis
  3. CSimple constipation
  4. DAcute pancreatitis

Answer key

  1. 1. B · Facial burns, singed nasal hair, soot and hoarseness
  2. 2. A · 18%
  3. 3. A · Only the patient
  4. 4. D · Soon after an acute soft tissue injury, to reduce swelling
  5. 5. C · Left lower abdominal pain, fever and a raised CRP
  6. 6. D · An urgent review by a clinician skilled in acute illness
  7. 7. A · Report it; this is hand-foot syndrome and treatment may need changing
  8. 8. B · Spontaneous bacterial peritonitis

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