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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1.Easy

Which fluid is usually used for initial burn resuscitation in adults?

  1. A50% glucose solution IV
  2. BHartmann's (lactated Ringer's)
  3. COral fizzy cola drinks
  4. DSterile water for injection, given IV
2.Easy

What is the purpose of anti-embolism stockings for surgical patients?

  1. ATo prevent pressure ulcers on the heels
  2. BTo reduce the risk of deep vein thrombosis
  3. CTo keep the legs warm in theatre
  4. DTo lower the blood pressure after surgery
3.Easy

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

  1. A9%
  2. B27%
  3. C18%
  4. D36%
4.Medium

Which monitoring is especially important for a patient receiving parenteral nutrition?

  1. ABowel sounds and stool colour only
  2. BBlood glucose and signs of line infection
  3. CPupil size and limb strength
  4. DPeak flow and visual acuity
5.Medium

Which risk is particularly linked with tramadol?

  1. ARapid liver failure at normal doses
  2. BHigh blood pressure that needs emergency treatment in most patients
  3. CSevere stomach ulcers in all patients
  4. DSerotonin syndrome with some antidepressants, and seizures
6.Medium

Why is IV albumin often given after a large-volume paracentesis?

  1. ATo raise the blood glucose after the procedure
  2. BTo replace the clotting factors and platelets lost in the drained fluid
  3. CTo treat infection in the ascitic fluid
  4. DTo prevent low blood pressure and kidney injury from fluid shifts
7.Hard

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0.4 mmol/L. What is most likely?

  1. AAn allergy to the feed formula
  2. BNormal adjustment to the new feed
  3. CRefeeding syndrome
  4. DToo little calorie intake
8.Hard

A sacral wound has heavy exudate, and the surrounding skin is white, soft and wrinkled. What should the nurse do?

  1. AProtect the skin edges and use a more absorbent dressing
  2. BApply a tight plastic film directly over the wound
  3. CUse a dressing that adds even more moisture
  4. DLeave the same dressing in place for a week so the wound is not disturbed

Answer key

  1. 1. B · Hartmann's (lactated Ringer's)
  2. 2. B · To reduce the risk of deep vein thrombosis
  3. 3. C · 18%
  4. 4. B · Blood glucose and signs of line infection
  5. 5. D · Serotonin syndrome with some antidepressants, and seizures
  6. 6. D · To prevent low blood pressure and kidney injury from fluid shifts
  7. 7. C · Refeeding syndrome
  8. 8. A · Protect the skin edges and use a more absorbent dressing

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