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

Which adverse effects are linked with NSAIDs such as ibuprofen?

1. AStomach bleeding and kidney injury
2. BHair loss and low white cell count
3. CWeight gain and high potassium only
4. DConstipation and pinpoint pupils

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 5 mL/kg per hour
2. BAbout 0.05 mL/kg per hour
3. CAbout 50 mL/kg per hour
4. DAbout 0.5 mL/kg per hour

Which tool helps assess pain in a person with advanced dementia who cannot report it?

1. AThe Glasgow Coma Scale, scored every hour
2. BThe MUST nutrition score
3. CAn observational scale such as PAINAD or Abbey
4. DA numerical rating scale from 0 to 10, read out slowly

Which practice is correct when giving parenteral nutrition through a central line?

1. AUse a dedicated lumen and strict aseptic technique
2. BLet the bag hang at room temperature for several days
3. CGive other IV drugs through the same lumen to save time
4. DDisconnect and reconnect the line without cleaning the hub

Why is the "whoosh" test no longer used to check nasogastric tube position?

1. AIt needs an X-ray machine at the bedside
2. BThe test is far too painful for most patients to tolerate
3. CAir can be heard even when the tube is in the lung
4. DThe air always makes the tube block

Which liver function test pattern suggests bile duct obstruction?

1. ANormal bilirubin with a low ALP and low GGT
2. BA low albumin with all other results normal
3. CVery high ALT with a normal bilirubin only
4. DHigh bilirubin with a markedly raised ALP and GGT

A patient finds daily wound dressing changes very painful. What is the most effective nursing approach?

1. AAvoid analgesia so the patient can report any problems during the change
2. BChange the dressing less often than the plan says
3. CGive analgesia timed so it works during the dressing change
4. DDo the dressing quickly and give analgesia afterwards

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AAn anastomotic leak; insert a nasogastric tube at once
2. BLate dumping with low blood glucose; check capillary glucose
3. CVitamin B₁₂ deficiency; give an injection now
4. DEarly dumping from fluid shifts; give a large drink of water