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

Which investigation is usually used to find and treat the source of an upper GI bleed?

  1. APlain abdominal X-ray
  2. BBarium swallow study
  3. CUpper GI endoscopy
  4. DColonoscopy of the bowel
2.Easy

What is the main purpose of a surgical wound drain?

  1. ATo remove fluid or blood that collects at the operation site
  2. BTo give IV fluids and antibiotics straight into the wound bed
  3. CTo feed the patient after surgery
  4. DTo measure the patient's temperature
3.Easy

Which symptom in an adult over 50 is a red flag for colorectal cancer?

  1. AOne episode of loose stools after a takeaway meal
  2. BOccasional wind and rumbling after eating a meal of beans
  3. CMild bloating before a period
  4. DA lasting change in bowel habit with rectal bleeding
4.Medium

Which monitoring is especially important for a patient receiving parenteral nutrition?

  1. APupil size and limb strength
  2. BPeak flow and visual acuity
  3. CBowel sounds and stool colour only
  4. DBlood glucose and signs of line infection
5.Medium

Which infection control measure is correct for a patient with C. difficile diarrhoea?

  1. ANo special measures once antibiotics have started
  2. BA face mask for the patient and visitors only
  3. CA single room with its own toilet, and soap-and-water handwashing
  4. DA shared bay, as long as alcohol gel is used after every contact
6.Medium

What is the main clinical difference between small and large bowel obstruction?

  1. ASmall bowel: no vomiting at all; large bowel: early profuse vomiting with no distension
  2. BSmall bowel: early vomiting, less distension; large bowel: later vomiting, marked distension
  3. CSmall bowel: marked distension only; large bowel: no pain, no vomiting and no distension at all
  4. DThere is no clinical difference; only a CT scan can tell them apart
7.Hard

During burn resuscitation, an 80 kg adult's urine output is 15 mL/h for 2 hours. What does this indicate?

  1. AUnder-resuscitation; the fluid rate usually needs increasing
  2. BA normal urine output for a patient with burns
  3. CA blocked catheter that should simply be removed
  4. DFluid overload; all IV fluids should be stopped now
8.Hard

Which new prescription for a patient with cirrhosis should the nurse question?

  1. ASpironolactone for ascites
  2. BRegular ibuprofen for back pain
  3. CLactulose to keep the bowels open
  4. DThiamine supplements

Answer key

  1. 1. C · Upper GI endoscopy
  2. 2. A · To remove fluid or blood that collects at the operation site
  3. 3. D · A lasting change in bowel habit with rectal bleeding
  4. 4. D · Blood glucose and signs of line infection
  5. 5. C · A single room with its own toilet, and soap-and-water handwashing
  6. 6. B · Small bowel: early vomiting, less distension; large bowel: later vomiting, marked distension
  7. 7. A · Under-resuscitation; the fluid rate usually needs increasing
  8. 8. B · Regular ibuprofen for back pain

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