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 factor most increases the risk of Clostridioides difficile infection?

  1. AA diet high in fibre
  2. BDrinking bottled water
  3. CRegular exercise
  4. DRecent antibiotic treatment
2.Easy

What is the "nadir" in chemotherapy?

  1. AThe time when blood counts are lowest after a cycle
  2. BThe time when blood counts are highest after a cycle
  3. CThe first day of a new chemotherapy cycle
  4. DThe last day of a course of radiotherapy
3.Easy

In widely used guidelines, which core temperature defines perioperative hypothermia?

  1. ABelow 38.0 °C
  2. BBelow 36.0 °C
  3. CBelow 32.0 °C
  4. DBelow 37.5 °C
4.Medium

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

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

Which patient is at highest risk of refeeding syndrome?

  1. AA patient who missed one lunch because of a scan
  2. BA patient with a normal BMI eating three meals a day
  3. CAn underweight patient who has eaten very little for 10 days
  4. DA healthy adult after an overnight fast for minor surgery
6.Medium

Which phase of wound healing involves the formation of granulation tissue and new blood vessels?

  1. AInflammatory phase
  2. BProliferative phase
  3. CMaturation phase
  4. DHaemostasis (clotting) phase
7.Hard

A patient with a leg ulcer has an ABPI of 0.5. The doctor's plan mentions starting strong compression bandages. What should the nurse do?

  1. AApply compression but only at night
  2. BWithhold strong compression and discuss urgent vascular referral
  3. CApply compression and elevate the leg above the heart all day
  4. DApply the strongest compression to speed healing
8.Hard

An adult weighing 70 kg has 40% total body surface area burns. Using the Parkland formula, how is the first 24 hours' crystalloid usually divided?

  1. AAll of it in the first hour, then oral fluids only for the rest of the day
  2. BEqual hourly amounts over 24 hours, counted from arrival at hospital
  3. COne quarter in the first 8 hours from arrival, the rest over 16 hours
  4. DHalf in the first 8 hours from the time of the burn, half over the next 16 hours

Answer key

  1. 1. D · Recent antibiotic treatment
  2. 2. A · The time when blood counts are lowest after a cycle
  3. 3. B · Below 36.0 °C
  4. 4. C · It reduces pain and strain, so they can cough well
  5. 5. C · An underweight patient who has eaten very little for 10 days
  6. 6. B · Proliferative phase
  7. 7. B · Withhold strong compression and discuss urgent vascular referral
  8. 8. D · Half in the first 8 hours from the time of the burn, half over the next 16 hours

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