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

How does ileostomy output usually differ from sigmoid colostomy output?

  1. ABoth produce formed stool once a day
  2. BIleostomy output is formed; colostomy output is liquid
  3. CIleostomy output is liquid; colostomy output is formed
  4. DBoth produce only gas and mucus
2.Easy

Which advice helps a patient with oral mucositis from chemotherapy?

  1. AHot, spicy food to stimulate the flow of saliva
  2. BStopping all mouth care until the soreness settles
  3. CAn alcohol-based mouthwash used several times a day to disinfect
  4. DGentle care with a soft toothbrush and saline mouth rinses
3.Easy

How is hepatitis A mainly spread?

  1. ABreathing in airborne droplets
  2. BFaecal-oral route
  3. CBlood transfusion and needles
  4. DTick and mosquito bites
4.Medium

Which lung problem is a known toxicity of bleomycin?

  1. APneumothorax from coughing
  2. BAsthma from pollen
  3. CPulmonary fibrosis
  4. DLung cancer within weeks
5.Medium

Why are patients taught to support their abdominal wound with a pillow when coughing?

  1. AIt reduces pain and strain, so they can cough well
  2. BIt speeds up the healing of the skin edges
  3. CIt replaces the need for regular analgesia
  4. DIt makes the cough weaker so the wound is not put at risk
6.Medium

Which advice is appropriate for a patient with a very low platelet count?

  1. AFloss hard every day to prevent gum disease
  2. BUse a razor blade for shaving every day
  3. CUse a soft toothbrush and an electric razor
  4. DTake aspirin regularly for headaches
7.Hard

An 80-year-old has a fluid balance 3 L positive two days after surgery. They are now breathless, with crackles at both lung bases and swollen ankles. What should the nurse do?

  1. AIncrease the IV fluid rate to improve kidney flow
  2. BLie the patient flat with the legs raised
  3. CEncourage the patient to drink more fluids
  4. DStop the IV fluids, sit the patient up and escalate
8.Hard

A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?

  1. A"I'll eat soft, moist food at first and chew it well."
  2. B"Fizzy drinks will help me bring up wind after meals."
  3. C"I should eat smaller meals for a while after the operation."
  4. D"Some difficulty swallowing can happen in the early weeks."

Answer key

  1. 1. C · Ileostomy output is liquid; colostomy output is formed
  2. 2. D · Gentle care with a soft toothbrush and saline mouth rinses
  3. 3. B · Faecal-oral route
  4. 4. C · Pulmonary fibrosis
  5. 5. A · It reduces pain and strain, so they can cough well
  6. 6. C · Use a soft toothbrush and an electric razor
  7. 7. D · Stop the IV fluids, sit the patient up and escalate
  8. 8. B · "Fizzy drinks will help me bring up wind after meals."

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