Med-surg: GI, perioperative & oncology worksheet with answers

What is the main purpose of marking the surgical site before an operation?

1. ATo prevent surgery on the wrong side or site
2. BTo show where the skin should be shaved
3. CTo record the patient's allergy status
4. DTo tell the porter which theatre to go to

What is a PICC line?

1. AA central venous catheter inserted through a vein in the arm
2. BA tube inserted into the stomach through the abdomen
3. CA short cannula in a vein on the back of the hand
4. DA catheter placed in the bladder through the lower abdominal wall

Which measure helps prevent burn scar contractures?

1. AKeeping the joint bent in the most comfortable position
2. BApplying ice packs to the scar every day
3. CAvoiding all movement until the wound has healed
4. DPositioning, splinting and regular stretching exercises

Why are carbohydrate drinks often given before surgery in enhanced recovery programmes?

1. ATo raise the blood pressure during the anaesthetic
2. BTo make the bowels open before the operation
3. CTo reduce insulin resistance and improve recovery
4. DTo replace the need for any IV fluids afterwards

Which advice is appropriate for a patient with a very low platelet count?

1. AUse a soft toothbrush and an electric razor
2. BUse a razor blade for shaving every day
3. CTake aspirin regularly for headaches
4. DFloss hard every day to prevent gum disease

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

1. AProton pump inhibitors
2. BH1 antihistamines such as cetirizine
3. CBeta-blockers
4. DLoop diuretics

After several days of a tight CPAP mask, a patient has a red, broken area on the bridge of the nose. What is this, and what should the nurse do?

1. AA burn from the oxygen; apply ice to the area
2. BA device-related pressure injury; protect skin and refit the mask
3. CA normal mark; take no action until it heals
4. DAn allergic rash; stop the CPAP for good and give oral antihistamines

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

1. AIgnore it because skin changes after surgery are normal and expected to fade
2. BApply a hot water bottle to improve the circulation
3. CTreat it as a possible burn, report it and complete an incident form
4. DWash it with alcohol and leave it uncovered