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

What is the key difference between a benign and a malignant tumour?

1. AA benign tumour always spreads to the lymph nodes
2. BA benign tumour always grows faster than a malignant one
3. CA malignant tumour invades nearby tissue and can spread
4. DA malignant tumour never needs any treatment

What is haematochezia?

1. ACoughing up bright red, blood-stained sputum
2. BFresh red blood passed from the rectum
3. CBlack, tarry, foul-smelling stools
4. DVomiting of fresh red blood

What does dysphagia mean?

1. AIndigestion after fatty food
2. BDifficulty swallowing
3. CDifficulty speaking clearly
4. DPainful passing of urine

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ALess pain and a shorter hospital stay
2. BNo risk of any complications at all
3. CLarger wounds that heal faster
4. DNo need for a general anaesthetic ever

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

1. ASign the form on the patient's behalf as a witness
2. BAsk the patient to sign quickly before they get sleepier
3. CTell the surgeon, as the patient may not be able to consent now
4. DAsk a relative to sign instead of the patient

Which statement about feeding in mild acute pancreatitis fits current guidance?

1. AFood is withheld until the amylase is back to normal
2. BPatients should be fed only by parenteral nutrition
3. CPatients must stay nil by mouth for at least three weeks to rest the pancreas
4. DOral feeding can restart early, once pain and nausea allow

Which fluid strategy is generally recommended in the first hours of acute pancreatitis?

1. AIV albumin alone instead of any crystalloid
2. BVery large volumes, whatever the patient's response
3. CNo IV fluid at all, only small sips of oral water
4. DGoal-directed balanced crystalloid, guided by the response

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AProthrombin complex concentrate with IV vitamin K
2. BOral aspirin to balance the clotting system quickly
3. CProtamine sulfate on its own
4. DMore warfarin to stabilise the INR