Med-surg: GI, perioperative & oncology worksheet with answers

When should pain be reassessed after giving analgesia?

1. AOnly if the patient asks for more analgesia
2. BNever, as one assessment is enough
3. CWhen the drug is expected to have taken effect
4. DOnly at the next routine observation round the next day

Which precaution is most important to reduce infection in a patient with neutropenia?

1. AAntibiotics for every visitor
2. BKeeping the patient in bed
3. CStrict hand hygiene by everyone
4. DKeeping the curtains closed all day

Where is the pain of acute pancreatitis typically felt?

1. AIn the epigastrium, often radiating to the back
2. BIn the right lower abdomen, near the hip
3. CIn the left shoulder tip, worse on deep breathing
4. DLow in the back, eased by lying flat

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AHourly urine output guides fluid resuscitation
2. BIt is needed to give medicines into the bladder
3. CThe catheter prevents wound infection
4. DBurns always cause the bladder to rupture

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. ASudden hair loss during the infusion
2. BAn infusion reaction, such as fever, rigors or breathlessness
3. CA rise in platelet count above normal
4. DSevere constipation within the first hour of starting the infusion

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AA high-calcium diet with extra milk
2. BFluid restriction and a thiazide diuretic
3. CIV fluids followed by an IV bisphosphonate
4. DOral calcium tablets and vitamin D

A patient with small bowel obstruction has a nasogastric tube draining 2 L a day. Which nursing focus is most important?

1. AAccurate fluid balance with IV replacement and electrolyte checks
2. BGiving oral fluids freely to replace what the tube removes
3. CClamping the tube for long periods to save the stomach fluid
4. DRemoving the tube once 1 L has drained to prevent losses

A patient with a leg ulcer has an ABPI of 0.5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?

1. AApply the strongest compression to speed healing
2. BWithhold strong compression and discuss urgent vascular referral
3. CApply compression but only at night
4. DApply compression and elevate the leg above the heart all day