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

In many adult guidelines, how long before an elective anaesthetic can clear fluids usually be drunk?

  1. AUp to 10 minutes before
  2. BUp to 12 hours before
  3. CUp to 2 hours before
  4. DUp to 24 hours before
2.Easy

What is a PICC line?

  1. AA short cannula in a vein on the back of the hand
  2. BA tube inserted into the stomach through the abdomen
  3. CA central venous catheter inserted through a vein in the arm
  4. DA catheter placed in the bladder through the lower abdominal wall
3.Easy

Which drug is commonly used to prevent or treat postoperative nausea and vomiting?

  1. AFurosemide
  2. BOndansetron
  3. CAtorvastatin
  4. DAmlodipine
4.Medium

Why are patients with large burns at risk of hypothermia?

  1. ABurns always cause a low thyroid hormone level in the blood
  2. BThe fluids given are always chilled
  3. CLoss of skin reduces their ability to keep in heat
  4. DTheir metabolism stops after the injury
5.Medium

Why do patients with major burns lose so much fluid in the first 24–48 hours?

  1. AThe burned skin absorbs fluid from the air
  2. BPatients drink far too little in hospital in the first days
  3. CLeaky capillaries let plasma move into the tissues
  4. DThe kidneys stop making urine completely
6.Medium

During which period after surgery is wound dehiscence most likely?

  1. AAbout 5–10 days after surgery
  2. BOnly during the operation
  3. CMore than a year after surgery
  4. DWithin the first hour
7.Hard

A patient with known oesophageal varices is vomiting large amounts of fresh blood. Which treatments should the nurse anticipate before endoscopy?

  1. AOctreotide or terlipressin, plus IV antibiotics, during resuscitation
  2. BRapid saline infusion to a high blood pressure
  3. COral NSAID for pain and a high-protein meal
  4. DAn urgent barium swallow before any drug treatment
8.Hard

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

  1. APain may be undertreated; reassess and ask for a review of the plan
  2. BThe patient is exaggerating, so the pain scores should be ignored for now
  3. CThe patient needs only distraction and no change in drugs
  4. DThe patient is addicted and should have analgesia withheld

Answer key

  1. 1. C · Up to 2 hours before
  2. 2. C · A central venous catheter inserted through a vein in the arm
  3. 3. B · Ondansetron
  4. 4. C · Loss of skin reduces their ability to keep in heat
  5. 5. C · Leaky capillaries let plasma move into the tissues
  6. 6. A · About 5–10 days after surgery
  7. 7. A · Octreotide or terlipressin, plus IV antibiotics, during resuscitation
  8. 8. A · Pain may be undertreated; reassess and ask for a review of the plan

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