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

Which is the single largest preventable risk factor for cancer?

1. ATobacco smoking
2. BWearing synthetic clothing
3. CDrinking tap water
4. DUsing mobile phones

Which exercises are usually taught to patients before major surgery?

1. AHeavy weightlifting to build strength
2. BHolding the breath for as long as possible
3. CLong-distance running every day
4. DDeep breathing, coughing and leg exercises

What is enhanced recovery after surgery (ERAS)?

1. AA care pathway that helps patients recover faster after surgery
2. BA surgical technique that avoids the need for any anaesthesia at all
3. CA rule that patients must stay in bed for three days
4. DA method of giving all medicines through the veins

Which instruction is important during bowel preparation for colonoscopy?

1. AEat a high-fibre meal the evening before the test
2. BTake the preparation only if the bowels have not opened
3. CAvoid all fluids for 24 hours before the test
4. DDrink plenty of clear fluids while taking the preparation

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol must be stopped a week before any paracetamol
2. BCo-codamol stops paracetamol from working
3. CParacetamol and codeine cause a severe allergic reaction when combined
4. DIt already contains paracetamol, so overdose could occur

Which finding means a patient is usually ready to leave recovery for the ward?

1. ASystolic BP falling steadily over the last hour, with a rising pulse rate
2. BPain score 9/10 and vomiting repeatedly
3. CAwake, with a clear airway, stable observations and controlled pain
4. DStill drowsy and needing a jaw thrust to breathe

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AAn arterial ulcer caused by poor circulation
2. BA category 4 pressure ulcer over the sacrum
3. CIncontinence-associated dermatitis
4. DA full-thickness burn

On day 5 after bowel resection, a patient has a fever, tachycardia and worsening abdominal pain, and the drain contains brown, faeculent fluid. What is most likely?

1. AA urinary tract infection
2. BA normal day 5 recovery
3. CPostoperative constipation
4. DAn anastomotic leak