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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1.Easy

What is dumping syndrome after gastric surgery?

  1. ASlow emptying of the stomach causing food to stay for days
  2. BReflux of bowel contents back into the oesophagus
  3. CRapid passage of food from the stomach into the small bowel
  4. DLeakage of bile from the liver into the abdominal cavity
2.Easy

Which statement about hepatitis C is correct?

  1. AIt always clears by itself within two weeks
  2. BIt is spread mainly by food, and a vaccine is given to babies
  3. CIt is spread mainly through blood, and there is no vaccine
  4. DIt can be treated only with a liver transplant
3.Easy

What is the usual adult reference range for platelets?

  1. AAbout 15–40 × 109/L
  2. BAbout 150–400 × 109/L
  3. CAbout 4–11 × 109/L
  4. DAbout 1500–4000 × 109/L
4.Medium

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

  1. AA very low-protein diet for the rest of their life to lower ammonia
  2. BOnly clear fluids for several weeks
  3. CNormal protein and enough calories, with a late-evening snack
  4. DNo food at all until the confusion settles
5.Medium

Why is it important to prevent perioperative hypothermia?

  1. AIt makes patients wake up from the anaesthetic too quickly
  2. BIt increases bleeding, wound infection and heart complications
  3. CIt reduces the amount of anaesthetic needed, which is unsafe
  4. DIt lowers the risk of pain after surgery
6.Medium

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

  1. ATo make the tube longer as the patient grows or gains weight
  2. BTo remove any feed left in the stomach
  3. CTo stop the inner bumper becoming buried in the stomach wall
  4. DTo check that the patient is still hungry
7.Hard

After forearm fracture surgery, a patient has severe pain not eased by opioids, made worse by passively moving the fingers. What should the nurse do?

  1. AReassure the patient that this pain is expected
  2. BLoosen any tight dressing, keep the arm at heart level and escalate
  3. CApply ice and a tighter bandage to reduce the swelling
  4. DRaise the arm as high as possible and give a further dose of opioid
8.Hard

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

  1. AGive a diuretic to increase urine flow
  2. BWait another twelve hours before acting
  3. CRestrict fluids until the urge returns
  4. DCatheterise as per protocol or prescription

Answer key

  1. 1. C · Rapid passage of food from the stomach into the small bowel
  2. 2. C · It is spread mainly through blood, and there is no vaccine
  3. 3. B · About 150–400 × 109/L
  4. 4. C · Normal protein and enough calories, with a late-evening snack
  5. 5. B · It increases bleeding, wound infection and heart complications
  6. 6. C · To stop the inner bumper becoming buried in the stomach wall
  7. 7. B · Loosen any tight dressing, keep the arm at heart level and escalate
  8. 8. D · Catheterise as per protocol or prescription

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