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 feature is typical of a full-thickness burn?

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

What is atelectasis?

  1. AA blood clot in a leg vein
  2. BSwelling of both ankles caused by lying in bed after surgery
  3. CCollapse of small air sacs in part of the lung
  4. DInfection of the surgical wound
3.Easy

On a numerical rating scale for pain, what do 0 and 10 usually mean?

  1. A0 is no pain and 10 is the worst pain imaginable
  2. BThe numbers show how many hours the pain has lasted
  3. C0 is mild pain and 10 is moderate pain
  4. D0 is the worst pain and 10 is no pain at all
4.Medium

A patient with an ileal conduit (urostomy) is worried about mucus in the urine. What is the correct explanation?

  1. AIt is normal, as the conduit is made from small bowel
  2. BIt is a sign of a kidney stone and must be reported today
  3. CIt shows a bowel obstruction is developing
  4. DIt means the stoma is failing and needs surgery
5.Medium

Which is a recognised cause of anaphylaxis during surgery?

  1. ASterile normal saline
  2. BA warmed blanket
  3. CChlorhexidine skin preparation
  4. DThe patient's own blood from cell salvage
6.Medium

Why is blood lactate measured when sepsis is suspected?

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

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

  1. ACall for help, give 100% oxygen and use a jaw thrust
  2. BWait a few minutes to see if it passes
  3. CGive an opioid to calm the patient's breathing and reduce anxiety
  4. DSit the patient up and give a drink of water
8.Hard

A patient with lung cancer develops facial swelling, distended neck veins and breathlessness that worsens when lying down. Which emergency is likely?

  1. AHypercalcaemia of malignancy
  2. BSpinal cord compression
  3. CSuperior vena cava obstruction
  4. DMassive pulmonary embolism

Answer key

  1. 1. B · Leathery, white or brown skin that is not painful
  2. 2. C · Collapse of small air sacs in part of the lung
  3. 3. A · 0 is no pain and 10 is the worst pain imaginable
  4. 4. A · It is normal, as the conduit is made from small bowel
  5. 5. C · Chlorhexidine skin preparation
  6. 6. D · A raised level suggests poor tissue perfusion
  7. 7. A · Call for help, give 100% oxygen and use a jaw thrust
  8. 8. C · Superior vena cava obstruction

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