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

Why is nail varnish or a gel nail often removed from at least one finger before surgery?

  1. ABecause it is a checklist rule with no clinical reason
  2. BBecause varnish raises the patient's blood pressure
  3. CSo pulse oximetry readings and nail colour can be assessed accurately
  4. DBecause the varnish can make the anaesthetic gas less effective
2.Easy

What is slough in a wound?

  1. ARed, healthy granulation tissue
  2. BYellow, soft, stringy dead tissue
  3. CPink, new skin at the wound edge
  4. DA thick, hard black crust
3.Easy

What is a PEG tube?

  1. AA catheter placed in a large vein for medicines
  2. BA drain placed in the chest to remove air
  3. CA thin tube passed through the nose and down into the small bowel area
  4. DA feeding tube placed through the abdominal wall into the stomach
4.Medium

Which wound drain observation should be reported immediately?

  1. ADrainage slowly falling each day
  2. BSmall amounts of pink serous fluid
  3. CA sudden large volume of fresh red blood
  4. DA little dried blood around the drain site
5.Medium

Which is a common side effect of opioids, especially when given by epidural or spinal route?

  1. AItching
  2. BHair growth
  3. CRinging in the ears
  4. DIncreased hunger
6.Medium

Why are antiemetics usually given before chemotherapy starts?

  1. AThey stop the chemotherapy from causing hair loss and mouth sores
  2. BThey cannot be given once nausea has started
  3. CPreventing nausea works better than treating it later
  4. DAntiemetics make the chemotherapy work better
7.Hard

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

  1. AThe patient cannot have any anaesthetic at all
  2. BPacemakers stop all bleeding during surgery
  3. CDiathermy can interfere with the pacemaker's function
  4. DThe pacemaker will always be removed during surgery
8.Hard

A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?

  1. AKeep the head of the bed at or below 30° if possible; use slide sheets
  2. BUse a dry sheet and drag the patient up the bed
  3. CSit the patient upright without any support for the feet
  4. DRaise the head of the bed to 90° and pull the patient up the bed by the arms

Answer key

  1. 1. C · So pulse oximetry readings and nail colour can be assessed accurately
  2. 2. B · Yellow, soft, stringy dead tissue
  3. 3. D · A feeding tube placed through the abdominal wall into the stomach
  4. 4. C · A sudden large volume of fresh red blood
  5. 5. A · Itching
  6. 6. C · Preventing nausea works better than treating it later
  7. 7. C · Diathermy can interfere with the pacemaker's function
  8. 8. A · Keep the head of the bed at or below 30° if possible; use slide sheets

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