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 type of healing describes a clean surgical incision closed with sutures?

  1. APrimary intention
  2. BTertiary intention
  3. CDelayed intention
  4. DSecondary intention
2.Easy

In TNM staging of cancer, what does "N" describe?

  1. ASpread to nearby lymph nodes
  2. BThe number of tumours in the body
  3. CThe nerve damage caused by the tumour
  4. DThe new cells formed after treatment
3.Easy

How does ileostomy output usually differ from sigmoid colostomy output?

  1. AIleostomy output is formed; colostomy output is liquid
  2. BBoth produce only gas and mucus
  3. CIleostomy output is liquid; colostomy output is formed
  4. DBoth produce formed stool once a day
4.Medium

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

  1. ASciatic nerve
  2. BFacial nerve
  3. CFemoral nerve
  4. DUlnar nerve
5.Medium

Which advice helps prevent dumping syndrome after gastrectomy?

  1. AThree large meals a day with plenty of sweet drinks with each meal
  2. BA high-sugar diet with fruit juice to keep energy levels up
  3. CSmall, frequent meals low in simple sugars, with fluids between meals
  4. DSit upright and walk briskly straight after every meal
6.Medium

Which wound drain observation should be reported immediately?

  1. ASmall amounts of pink serous fluid
  2. BA little dried blood around the drain site
  3. CA sudden large volume of fresh red blood
  4. DDrainage slowly falling each day
7.Hard

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

  1. ACut a smaller hole in the pouch
  2. BRecord it as normal postoperative bruising and recheck it next week
  3. CRub the stoma to improve its colour
  4. DReport it urgently, as the stoma may be necrotic
8.Hard

A patient with known prostate cancer reports new, worsening back pain and leg weakness. What is the most important action?

  1. AReassure the patient that back pain is common and not serious
  2. BPossible cord compression: escalate, steroids as prescribed, urgent MRI
  3. CAdvise rest at home with paracetamol and review at the next clinic visit
  4. DArrange routine physiotherapy for the back pain in the next month

Answer key

  1. 1. A · Primary intention
  2. 2. A · Spread to nearby lymph nodes
  3. 3. C · Ileostomy output is liquid; colostomy output is formed
  4. 4. D · Ulnar nerve
  5. 5. C · Small, frequent meals low in simple sugars, with fluids between meals
  6. 6. C · A sudden large volume of fresh red blood
  7. 7. D · Report it urgently, as the stoma may be necrotic
  8. 8. B · Possible cord compression: escalate, steroids as prescribed, urgent MRI

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