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

What is the purpose of the WHO Surgical Safety Checklist?

1. ATo list the training and experience of the surgeon
2. BTo ensure key safety checks happen before, during and after surgery
3. CTo replace informed consent for planned operations
4. DTo record what the patient would like to eat and drink after surgery

How do patients typically describe neuropathic pain?

1. ABurning, shooting or like electric shocks
2. BA dull ache that is worse on movement
3. CA throbbing pain only when the area is pressed
4. DA cramping pain that comes in waves

Why are pressure areas padded when a patient is positioned for surgery?

1. ATo keep the patient from moving during the operation
2. BTo prevent pressure injury and nerve damage
3. CTo warm the patient during the procedure
4. DTo make the operating table look tidy

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. ADrink as little fluid as possible to reduce output
2. BEat a normal, balanced diet and introduce foods gradually
3. CAvoid all fruit and vegetables for the rest of their life
4. DEat only liquids until the stoma is removed

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ABrushing hard with a stiff toothbrush twice a day
2. BFrequent, gentle moistening of the mouth and lips
3. CNo mouth care, to avoid disturbing the patient
4. DLemon and glycerine swabs every hour to stimulate saliva

Which food advice reduces the risk of blockage with a new ileostomy?

1. AChew well, and bring in fibrous foods slowly
2. BSwallow food quickly without chewing much
3. CEat plenty of nuts and seeds from day one
4. DDrink very little fluid to keep the output thick

Which preoperative blood result should the nurse report to the team before elective surgery?

1. APotassium 2.9 mmol/L
2. BSodium 139 mmol/L
3. CFasting glucose 5.4 mmol/L (97 mg/dL)
4. DHaemoglobin 138 g/L (13.8 g/dL) in a man

A nurse spills a small amount of a cytotoxic drug on the floor. What is the correct approach?

1. AMop it up with the ward mop and rinse the mop in the sluice
2. BLeave it to evaporate and keep people away for a few minutes
3. CWipe it with a paper towel and put it in the general waste bin
4. DUse the spill kit with PPE, clean up, bag as cytotoxic waste and report