Med-surg: GI, perioperative & oncology worksheet with answers

What is lymphoedema?

1. AFluid in the lungs from heart failure
2. BInflammation of the lymph nodes in the neck and armpits from a virus
3. CSwelling from poor lymph drainage, for example after node removal
4. DSwelling from a broken bone in the arm

Which feature is typical of a full-thickness burn?

1. AMoist, pink skin with large, painful blisters
2. BLeathery, white or brown skin that is not painful
3. CSkin that blanches on pressure and heals within a few days
4. DRed, painful skin without blisters, like sunburn

Which is an example of a non-drug method of pain relief?

1. ARelaxation and distraction
2. BA morphine injection into the thigh
3. CA lidocaine patch
4. DAn ibuprofen tablet with food

Which is a recognised cause of anaphylaxis during surgery?

1. AThe patient's own blood from cell salvage
2. BSterile normal saline
3. CA warmed blanket
4. DChlorhexidine skin preparation

Why is blood lactate measured when sepsis is suspected?

1. AIt measures the effect of antibiotics on the kidney
2. BIt replaces the need for blood cultures
3. CIt shows which bacteria are causing the infection
4. DA raised level suggests poor tissue perfusion

Which patient is at highest risk of refeeding syndrome?

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

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. ANormal discomfort after the procedure
2. BAn allergic reaction to the sedative
3. COesophageal perforation
4. DSimple reflux after the dilatation

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. AAmlodipine
2. BOmeprazole
3. CParacetamol (acetaminophen)
4. DLevothyroxine