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

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

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

Where are venous leg ulcers usually found?

  1. AAround the inner ankle, in the gaiter area
  2. BOn the sole of the foot under the heel
  3. COn the tips of the toes and between the toes
  4. DOn the front of the thigh
3.Easy

What is diverticulosis?

  1. AInflammation of the whole small bowel wall
  2. BA twist of the sigmoid colon on itself
  3. CA tumour growing inside the rectum
  4. DSmall pouches in the wall of the colon
4.Medium

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

  1. AExcess growth of body hair
  2. BPermanent high blood glucose
  3. CDamage to the heart muscle
  4. DLoss of the sense of smell
5.Medium

Which area is used as a quick estimate of 1% of body surface area for small or scattered burns?

  1. AThe patient's palm including the fingers
  2. BThe patient's thumbnail
  3. CThe patient's hand and forearm
  4. DThe examiner's palm including the fingers
6.Medium

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

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

After a high-voltage electrical injury, a patient's urine is dark red-brown. What does this suggest and what is the usual aim?

  1. ANormal concentrated urine; restrict fluids
  2. BA urinary infection; send a sample and wait for the result
  3. CMyoglobin from muscle damage; a higher urine output target
  4. DBleeding from the bladder; stop all fluids
8.Hard

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

  1. ASay nothing, since toast is a light food
  2. BInform the anaesthetist, as surgery may be delayed
  3. CAsk the patient to try to vomit to empty the stomach
  4. DGive a large drink to wash the food through

Answer key

  1. 1. B · So pulse oximetry readings and nail colour can be assessed accurately
  2. 2. A · Around the inner ankle, in the gaiter area
  3. 3. D · Small pouches in the wall of the colon
  4. 4. C · Damage to the heart muscle
  5. 5. A · The patient's palm including the fingers
  6. 6. A · Less pain and a shorter hospital stay
  7. 7. C · Myoglobin from muscle damage; a higher urine output target
  8. 8. B · Inform the anaesthetist, as surgery may be delayed

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