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 electrolyte typically falls in refeeding syndrome?

  1. APhosphate
  2. BCalcium
  3. CChloride
  4. DSodium
2.Easy

What is metastasis?

  1. AHealing of tissue after a biopsy
  2. BThe first appearance of a tumour in a single organ of the body
  3. CShrinking of a tumour after treatment
  4. DSpread of cancer cells to a distant part of the body
3.Easy

Which blood test is commonly used to diagnose acute pancreatitis?

  1. ALipase or amylase over 3 times normal
  2. BTroponin above the 99th centile
  3. CThyroid-stimulating hormone level
  4. DBilirubin over three times the upper normal limit
4.Medium

Why are patients with cirrhosis at increased risk of bleeding?

  1. AThe scarred liver releases anticoagulant substances such as heparin into the blood
  2. BHigh arterial blood pressure in cirrhosis makes vessels burst
  3. CCirrhosis raises the platelet count, which makes platelets weaker
  4. DFewer clotting factors, low platelets and varices from portal hypertension
5.Medium

Which nursing care helps a new skin graft take?

  1. AKeeping the area still and avoiding shearing forces
  2. BEncouraging the patient to exercise the area straight away
  3. CMassaging the graft firmly several times a day
  4. DRemoving the dressing every hour to look at it
6.Medium

Why is it important to prevent perioperative hypothermia?

  1. AIt increases bleeding, wound infection and heart complications
  2. BIt makes patients wake up from the anaesthetic too quickly
  3. CIt reduces the amount of anaesthetic needed, which is unsafe
  4. DIt lowers the risk of pain after surgery
7.Hard

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

  1. ARegular ibuprofen for back pain
  2. BThiamine supplements
  3. CSpironolactone for ascites
  4. DLactulose to keep the bowels open
8.Hard

A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?

  1. A"I should report a fever or a swollen, painful abdomen."
  2. B"Severe abdominal pain is normal for a week afterwards."
  3. C"Some wind and bloating today is expected."
  4. D"I'll report heavy bleeding from my bottom."

Answer key

  1. 1. A · Phosphate
  2. 2. D · Spread of cancer cells to a distant part of the body
  3. 3. A · Lipase or amylase over 3 times normal
  4. 4. D · Fewer clotting factors, low platelets and varices from portal hypertension
  5. 5. A · Keeping the area still and avoiding shearing forces
  6. 6. A · It increases bleeding, wound infection and heart complications
  7. 7. A · Regular ibuprofen for back pain
  8. 8. B · "Severe abdominal pain is normal for a week afterwards."

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