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

What is pulmonary aspiration?

  1. AInhaling stomach contents or other material into the lungs
  2. BRemoving fluid from the chest with a needle through the ribs
  3. CA collapsed lung after a chest drain
  4. DBreathing too fast after surgery
2.Easy

Which signs suggest early hypovolaemic shock after surgery?

  1. AHigh blood pressure with a fast, bounding pulse
  2. BSlow heart rate, flushed skin and warm hands
  3. CRising heart rate, cool skin and slow capillary refill
  4. DNormal pulse with heavy sweating only after meals
3.Easy

What should be done just before taking a wound swab for culture?

  1. ATake the swab from the dry dressing itself
  2. BApply an antiseptic and let it dry completely
  3. CClean it with saline to remove surface debris
  4. DLeave the old dressing on for another full day
4.Medium

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

  1. AAn infusion reaction, such as fever, rigors or breathlessness
  2. BA rise in platelet count above normal
  3. CSevere constipation within the first hour of starting the infusion
  4. DSudden hair loss during the infusion
5.Medium

How can low-dose opioids help a patient with breathlessness from advanced cancer?

  1. AThey open the airways like an inhaler
  2. BThey increase the oxygen level in the blood
  3. CThey reduce the feeling of breathlessness
  4. DThey cure the underlying lung disease
6.Medium

How should a patient use an incentive spirometer after surgery?

  1. ABlow out as hard and as fast as possible
  2. BUse it once a day, just before going to sleep at night
  3. CBreathe quickly in and out ten times in a row
  4. DBreathe in slowly and deeply, then hold briefly
7.Hard

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

  1. ASay nothing, since toast is a light food
  2. BAsk the patient to try to vomit to empty the stomach
  3. CInform the anaesthetist, as surgery may be delayed
  4. DGive a large drink to wash the food through
8.Hard

A patient with gastric outlet obstruction has vomited repeatedly for several days. Which blood picture is most likely?

  1. AHigh chloride, high potassium and metabolic acidosis
  2. BNormal electrolytes with respiratory alkalosis
  3. CHigh calcium, high sodium and respiratory acidosis
  4. DLow chloride, low potassium and metabolic alkalosis

Answer key

  1. 1. A · Inhaling stomach contents or other material into the lungs
  2. 2. C · Rising heart rate, cool skin and slow capillary refill
  3. 3. C · Clean it with saline to remove surface debris
  4. 4. A · An infusion reaction, such as fever, rigors or breathlessness
  5. 5. C · They reduce the feeling of breathlessness
  6. 6. D · Breathe in slowly and deeply, then hold briefly
  7. 7. C · Inform the anaesthetist, as surgery may be delayed
  8. 8. D · Low chloride, low potassium and metabolic alkalosis

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