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

Which feature is typical of a full-thickness burn?

1. AMoist, pink skin with large, painful blisters
2. BSkin that blanches on pressure and heals within a few days
3. CRed, painful skin without blisters, like sunburn
4. DLeathery, white or brown skin that is not painful

What is the most common cause of small bowel obstruction in adults in high-income countries?

1. ASwallowed foreign objects
2. BColorectal cancer
3. CGallstones lodged in the gallbladder neck
4. DAdhesions from previous surgery

Where should a diathermy return electrode (plate) be placed?

1. AOn clean, dry skin over a well-perfused muscle
2. BOver a bony area such as the hip bone
3. COn skin covered with spirit-based prep that is still wet
4. DOver a metal joint replacement

Which advice has good evidence for reducing cancer-related fatigue?

1. ARegular light to moderate activity, such as walking
2. BAvoiding all daily activities
3. CDrinking several strong coffees every evening
4. DComplete bed rest for the whole course of treatment

A patient with an ileal conduit (urostomy) is worried about mucus in the urine. What is the correct explanation?

1. AIt shows a bowel obstruction is developing
2. BIt means the stoma is failing and needs surgery
3. CIt is normal, as the conduit is made from small bowel
4. DIt is a sign of a kidney stone and must be reported today

Which is a recognised cause of anaphylaxis during surgery?

1. AA warmed blanket
2. BThe patient's own blood from cell salvage
3. CSterile normal saline
4. DChlorhexidine skin preparation

A 74-year-old with chronic kidney disease has severe pain after surgery. Which opioid issue is most important?

1. AOpioids must never be used in older adults, whatever the pain
2. BMorphine is the safest opioid in renal failure, so doses can be increased freely
3. CKidney function has no effect on how opioids are handled
4. DMorphine metabolites accumulate, so a lower dose or another opioid may be needed

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with an ileostomy waiting to change the pouch
2. BA patient with cirrhosis who is newly confused and drowsy
3. CA patient with GORD who wants an antacid
4. DA patient with stable ulcerative colitis asking about diet