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

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

What is referred pain?

  1. APain that is passed on from one doctor to another
  2. BPain that a patient makes up
  3. CPain felt at a site away from the organ causing it
  4. DPain that only lasts for a few seconds
3.Easy

Which finding describes a category 1 pressure ulcer?

  1. AAn open wound with visible bone at the base
  2. BA shallow open wound with a red-pink base and no slough
  3. CA wound covered with thick black eschar
  4. DIntact skin with redness that does not blanch
4.Medium

Which statement about pain in older adults is correct?

  1. AThey may under-report pain, so active assessment is needed
  2. BOlder adults feel less pain because nerves wear out
  3. CPain is a normal part of ageing and does not need any treatment at all
  4. DOpioids must never be used in people over 70
5.Medium

Which finding suggests a deep tissue pressure injury?

  1. ADry, flaky skin on both shins
  2. BA small scratch on the skin with a little fresh red blood
  3. CPale pink skin that blanches quickly when pressed
  4. DIntact skin that is purple or maroon over a bony area
6.Medium

Which advice helps a patient with haemorrhoids?

  1. AEat less fibre so that stools are smaller
  2. BTake a codeine-based painkiller every day
  3. CSit on the toilet for long periods to empty fully
  4. DEat more fibre, drink enough fluid and avoid straining
7.Hard

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

  1. AWait another twelve hours before acting
  2. BCatheterise as per protocol or prescription
  3. CRestrict fluids until the urge returns
  4. DGive a diuretic to increase urine flow
8.Hard

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

  1. ALay the patient flat to help them sleep
  2. BGive a warm drink to soothe the throat
  3. CEncourage the patient to rest the voice and reassess tomorrow
  4. DCall for urgent anaesthetic help, as the airway is swelling

Answer key

  1. 1. B · About 0.5 mL/kg per hour
  2. 2. C · Pain felt at a site away from the organ causing it
  3. 3. D · Intact skin with redness that does not blanch
  4. 4. A · They may under-report pain, so active assessment is needed
  5. 5. D · Intact skin that is purple or maroon over a bony area
  6. 6. D · Eat more fibre, drink enough fluid and avoid straining
  7. 7. B · Catheterise as per protocol or prescription
  8. 8. D · Call for urgent anaesthetic help, as the airway is swelling

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