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

When should pain be reassessed after giving analgesia?

1. AOnly at the next routine observation round the next day
2. BNever, as one assessment is enough
3. COnly if the patient asks for more analgesia
4. DWhen the drug is expected to have taken effect

What is healing by secondary intention?

1. AA wound closed a few days after it was left open
2. BA wound left open that heals from the base upwards
3. CA wound closed with sutures straight after surgery
4. DA wound that heals without any new tissue

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

1. AHandover
2. BTime Out
3. CSign Out
4. DSign In

During which period after surgery is wound dehiscence most likely?

1. AAbout 5–10 days after surgery
2. BOnly during the operation
3. CWithin the first hour
4. DMore than a year after surgery

Which early symptoms suggest local anaesthetic systemic toxicity?

1. ATingling around the mouth, a metallic taste and tinnitus
2. BA red rash only at the injection site, with no other symptoms
3. CMild itching of the feet the next day
4. DIncreased hunger and thirst over several hours, with a dry mouth

How should pancreatic enzyme replacement capsules usually be taken?

1. AOnce a day at bedtime
2. BOne hour after meals, on an empty stomach
3. CWith every meal and snack
4. DOnly on days with abdominal pain

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AInform the surgical and anaesthetic teams, who will check the INR
2. BGive a double dose of vitamin K by mouth without waiting for a prescription
3. CTell her the surgery must be cancelled for a month
4. DProceed with the usual checklist and say nothing

A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?

1. AUse long-handled forceps to put it in the lead container; report it
2. BLeave it in the bed until the end of the shift
3. CThrow it in the clinical waste bag
4. DPick it up with gloved hands and put it in the nearest sharps bin quickly