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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

What is a parastomal hernia?

  1. AA bulge of bowel through the abdominal wall next to a stoma
  2. BA sore, red area of skin under the stoma bag from leaking output
  3. CA stoma that has sunk below the level of the skin
  4. DA narrowing of the stoma opening
2.Easy

Which signs suggest a deep vein thrombosis in the leg?

  1. ACold, pale feet on both sides with no pulse
  2. BA painless rash on both shins
  3. CSwelling, pain, warmth and redness of one calf
  4. DItching between the toes of both feet
3.Easy

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

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

Why are patients taught to support their abdominal wound with a pillow when coughing?

  1. AIt reduces pain and strain, so they can cough well
  2. BIt speeds up the healing of the skin edges
  3. CIt makes the cough weaker so the wound is not put at risk
  4. DIt replaces the need for regular analgesia
5.Medium

A patient with cirrhosis takes lactulose for hepatic encephalopathy. What is the usual aim?

  1. AOne firm stool every week
  2. BTwo to three soft stools a day
  3. CNo bowel movement for several days
  4. DTen or more watery stools a day
6.Medium

For which stoma can colostomy irrigation be considered?

  1. AA new ileostomy in the first week
  2. BAny stoma that has liquid or very loose output
  3. CAn established descending or sigmoid colostomy
  4. DAn ileal conduit draining urine
7.Hard

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

  1. ACut a smaller hole in the pouch
  2. BRecord it as normal postoperative bruising and recheck it next week
  3. CReport it urgently, as the stoma may be necrotic
  4. DRub the stoma to improve its colour
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. AMyoglobin from muscle damage; a higher urine output target
  2. BBleeding from the bladder; stop all fluids
  3. CNormal concentrated urine; restrict fluids
  4. DA urinary infection; send a sample and wait for the result

Answer key

  1. 1. A · A bulge of bowel through the abdominal wall next to a stoma
  2. 2. C · Swelling, pain, warmth and redness of one calf
  3. 3. A · A high-fibre diet with plenty of fluids
  4. 4. A · It reduces pain and strain, so they can cough well
  5. 5. B · Two to three soft stools a day
  6. 6. C · An established descending or sigmoid colostomy
  7. 7. C · Report it urgently, as the stoma may be necrotic
  8. 8. A · Myoglobin from muscle damage; a higher urine output target

Full step-by-step solutions: practise this topic on examproblems.com.