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

Which is a role of the scrub practitioner in theatre?

1. AObtaining the patient's surgical consent
2. BMoving equipment outside the sterile field only
3. CPreparing and passing sterile instruments
4. DGiving the anaesthetic drugs to the patient

Which bowel sounds are typical early in a mechanical small bowel obstruction?

1. AA pleural friction rub
2. BHigh-pitched, tinkling sounds
3. CQuiet, normal gurgling sounds
4. DCompletely absent sounds from the start

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA 12-lead ECG
2. BA blood glucose test
3. CA chest X-ray
4. DA bladder ultrasound scan

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. ARegular gentle walking
2. BA low-salt diet
3. CConstipation
4. DA high fluid intake

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo find the bacteria in the wound
2. BTo find out how deep the ulcer is
3. CTo check for a leg bone fracture
4. DTo exclude significant arterial disease

Why should antacids usually be taken at a different time from other medicines?

1. AThey destroy other drugs before they are swallowed
2. BThey can reduce the absorption of many other drugs
3. CThey make all other drugs much more toxic
4. DThey stop the kidneys from clearing other drugs

During an IV vincristine infusion through a peripheral cannula, the patient reports burning, and the site is swollen. What should the nurse do first?

1. ARemove the cannula at once and massage the area to spread the drug
2. BFlush the cannula with saline to push the remaining drug into the vein
3. CContinue the infusion more slowly and apply an ice pack to the site
4. DStop the infusion, leave the cannula to aspirate, follow the policy

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AFeeling sick after eating shellfish once
2. BItching with bananas, avocado and kiwi, and many operations
3. CA rash after taking amoxicillin as a child, with a family history of asthma
4. DHay fever every spring since childhood