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

Which is a main benefit of early mobilisation after surgery?

  1. AIt prevents all postoperative pain
  2. BLess need to check the wound at all
  3. CFaster absorption of the anaesthetic gas
  4. DLower risk of chest infection and blood clots
2.Easy

What is a hiatus hernia?

  1. AA bulge of bowel through an old surgical scar
  2. BPart of the bowel pushing through the groin into the scrotum
  3. CPart of the stomach pushing up through the diaphragm
  4. DBowel bulging through a weak point in the muscle at the umbilicus
3.Easy

What is a skin graft donor site?

  1. AA scar that has fully matured
  2. BThe area where the graft was placed on the burn wound
  3. CA wound where healthy skin was taken for grafting
  4. DA blood vessel used to give fluids
4.Medium

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

  1. AA very low-protein diet for the rest of their life to lower ammonia
  2. BNo food at all until the confusion settles
  3. CNormal protein and enough calories, with a late-evening snack
  4. DOnly clear fluids for several weeks
5.Medium

Why is it important when a patient on opioids becomes more sedated?

  1. ASedation is a harmless and expected effect of all opioids
  2. BSedation means that a higher dose is now needed
  3. CRising sedation usually comes before respiratory depression
  4. DSedation means that the pain is now fully and safely controlled
6.Medium

Why is IV albumin often given after a large-volume paracentesis?

  1. ATo prevent low blood pressure and kidney injury from fluid shifts
  2. BTo replace the clotting factors and platelets lost in the drained fluid
  3. CTo treat infection in the ascitic fluid
  4. DTo raise the blood glucose after the procedure
7.Hard

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

  1. AA blistered forearm burn and a small cut on the knee
  2. BRedness on the backs of both hands, and very anxious
  3. CCircumferential chest burns, with breathing becoming shallow and laboured
  4. DPartial-thickness burns to both legs, with pain rated 8/10
8.Hard

Which new prescription for a patient with cirrhosis should the nurse question?

  1. ARegular ibuprofen for back pain
  2. BThiamine supplements
  3. CLactulose to keep the bowels open
  4. DSpironolactone for ascites

Answer key

  1. 1. D · Lower risk of chest infection and blood clots
  2. 2. C · Part of the stomach pushing up through the diaphragm
  3. 3. C · A wound where healthy skin was taken for grafting
  4. 4. C · Normal protein and enough calories, with a late-evening snack
  5. 5. C · Rising sedation usually comes before respiratory depression
  6. 6. A · To prevent low blood pressure and kidney injury from fluid shifts
  7. 7. C · Circumferential chest burns, with breathing becoming shallow and laboured
  8. 8. A · Regular ibuprofen for back pain

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