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

What is an anastomosis in bowel surgery?

  1. AAn opening of the bowel onto the skin
  2. BA surgical join between two ends of bowel
  3. CA tube placed in the bowel for feeding
  4. DA drain placed beside the bowel
2.Easy

What is the typical main symptom of gastro-oesophageal reflux disease (GORD)?

  1. ASharp pain in the right shoulder after meals
  2. BBurning pain behind the breastbone (heartburn)
  3. CCramping pain low in the left side of the abdomen
  4. DPainless yellowing of the skin and eyes
3.Easy

What is the main purpose of a biopsy when cancer is suspected?

  1. ATo give chemotherapy directly into the tumour
  2. BTo remove all the cancer at once
  3. CTo confirm the diagnosis by examining tissue
  4. DTo measure the patient's blood count
4.Medium

How are skin staples usually removed from a healed incision?

  1. AThe staples are left in permanently under the skin
  2. BAlternate staples first, then the rest if the wound holds
  3. CAll staples at once by pulling each one straight up from the skin
  4. DOnly the staples at each end, leaving the others for good
5.Medium

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

  1. ATo decide whether they need a liver biopsy
  2. BTo check whether they caught hepatitis B from the vaccine
  3. CTo confirm that the vaccine produced immunity
  4. DTo measure liver damage caused by the vaccine
6.Medium

In the SBAR communication tool, what belongs under "A"?

  1. AThe patient's admission date only
  2. BThe nurse's assessment of what the problem is
  3. CThe address and phone number of the patient's next of kin
  4. DA list of the patient's allergies only
7.Hard

Ten days after chemotherapy, a patient has a temperature of 37.6 °C but feels shivery and unwell, with a pulse of 112/min and BP 95/60 mmHg. What is the correct action?

  1. AReassure the patient, because the temperature is still below 38 °C
  2. BTreat as possible neutropenic sepsis: IV antibiotics within an hour
  3. CGive paracetamol and recheck the temperature again in four hours
  4. DWait for the neutrophil count before deciding on any treatment
8.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. AAnaphylaxis to the local anaesthetic
  2. BHypovolaemic shock from blood loss
  3. CCardiogenic shock after surgery
  4. DSympathetic block from the epidural

Answer key

  1. 1. B · A surgical join between two ends of bowel
  2. 2. B · Burning pain behind the breastbone (heartburn)
  3. 3. C · To confirm the diagnosis by examining tissue
  4. 4. B · Alternate staples first, then the rest if the wound holds
  5. 5. C · To confirm that the vaccine produced immunity
  6. 6. B · The nurse's assessment of what the problem is
  7. 7. B · Treat as possible neutropenic sepsis: IV antibiotics within an hour
  8. 8. D · Sympathetic block from the epidural

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