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

What is the main purpose of a surgical wound drain?

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

Using the rule of nines in an adult, what percentage of body surface area is one whole arm?

  1. A9%
  2. B1%
  3. C36%
  4. D18%
3.Easy

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

  1. AOccasional wind and rumbling after eating a meal of beans
  2. BMild bloating before a period
  3. CA lasting change in bowel habit with rectal bleeding
  4. DOne episode of loose stools after a takeaway meal
4.Medium

Which signs suggest severe acute pancreatitis with bleeding into the tissues?

  1. ABruising around the umbilicus or flanks
  2. BSwelling of the lips, tongue and face
  3. CA purple rash on the palms and soles
  4. DYellow discolouration of the fingernails
5.Medium

Why is regular (scheduled) analgesia often preferred to "as required" doses in the first days after major surgery?

  1. AIt removes the need to assess the patient's pain during the day
  2. BIt keeps drug levels steady and prevents severe peaks of pain
  3. CIt allows doses higher than the maximum daily limit to be given
  4. DIt completely prevents all opioid side effects
6.Medium

Which statement best describes tolerance to opioids?

  1. AA higher dose is needed over time for the same effect
  2. BThe patient has developed an allergy to the drug
  3. CThe patient has a compulsive craving for more of the drug
  4. DThe drug no longer causes any constipation
7.Hard

A patient with lung cancer develops facial swelling, distended neck veins and breathlessness that worsens when lying down. Which emergency is likely?

  1. AHypercalcaemia of malignancy
  2. BSpinal cord compression
  3. CMassive pulmonary embolism
  4. DSuperior vena cava obstruction
8.Hard

After a coughing fit, the external mark on a patient's nasogastric tube has moved 10 cm. Feed is due. What should the nurse do?

  1. AGive the medicines only and save the feed for later
  2. BDo not use the tube until its position is confirmed by policy
  3. CStart the feed at a slow rate and watch for coughing
  4. DPush the tube back to the original mark and start the feed

Answer key

  1. 1. C · To remove fluid or blood that collects at the operation site
  2. 2. A · 9%
  3. 3. C · A lasting change in bowel habit with rectal bleeding
  4. 4. A · Bruising around the umbilicus or flanks
  5. 5. B · It keeps drug levels steady and prevents severe peaks of pain
  6. 6. A · A higher dose is needed over time for the same effect
  7. 7. D · Superior vena cava obstruction
  8. 8. B · Do not use the tube until its position is confirmed by policy

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