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 tool helps assess pain in a person with advanced dementia who cannot report it?

  1. AA numerical rating scale from 0 to 10, read out slowly
  2. BThe MUST nutrition score
  3. CThe Glasgow Coma Scale, scored every hour
  4. DAn observational scale such as PAINAD or Abbey
2.Easy

What is a Hartmann's procedure?

  1. ARemoval of the gallbladder through several small abdominal incisions
  2. BJoining the stomach directly to the small bowel
  3. CRemoval of part of the colon with an end colostomy and rectal stump
  4. DPlacing a stent in the bile duct
3.Easy

What is ascites?

  1. AFluid in the peritoneal cavity
  2. BSwelling of both ankles
  3. CFluid in the pleural space around the lungs
  4. DA blocked common bile duct
4.Medium

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

  1. ACo-codamol stops paracetamol from working
  2. BIt already contains paracetamol, so overdose could occur
  3. CParacetamol and codeine cause a severe allergic reaction when combined
  4. DCo-codamol must be stopped a week before any paracetamol
5.Medium

Which drug class is commonly used to reduce acid after endoscopic treatment of a bleeding peptic ulcer?

  1. ALoop diuretics
  2. BH1 antihistamines such as cetirizine
  3. CProton pump inhibitors
  4. DBeta-blockers
6.Medium

Which advice helps prevent dumping syndrome after gastrectomy?

  1. ASmall, frequent meals low in simple sugars, with fluids between meals
  2. BThree large meals a day with plenty of sweet drinks with each meal
  3. CSit upright and walk briskly straight after every meal
  4. DA high-sugar diet with fruit juice to keep energy levels up
7.Hard

A patient with an epidural after abdominal surgery has BP 82/48 mmHg, a pulse of 70/min and warm feet. Bleeding has been excluded. What is the most likely cause?

  1. ACardiogenic shock after surgery
  2. BSympathetic block from the epidural
  3. CAnaphylaxis to the local anaesthetic
  4. DHypovolaemic shock from blood loss
8.Hard

A worker has a hydrofluoric acid burn on the hand and severe pain. After irrigation with water, which specific treatment is commonly applied?

  1. ASodium bicarbonate paste
  2. BCalcium gluconate gel
  3. CSilver sulfadiazine cream
  4. DIce cubes wrapped in a cloth

Answer key

  1. 1. D · An observational scale such as PAINAD or Abbey
  2. 2. C · Removal of part of the colon with an end colostomy and rectal stump
  3. 3. A · Fluid in the peritoneal cavity
  4. 4. B · It already contains paracetamol, so overdose could occur
  5. 5. C · Proton pump inhibitors
  6. 6. A · Small, frequent meals low in simple sugars, with fluids between meals
  7. 7. B · Sympathetic block from the epidural
  8. 8. B · Calcium gluconate gel

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