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

Which is the single largest preventable risk factor for cancer?

1. AUsing mobile phones
2. BDrinking tap water
3. CTobacco smoking
4. DWearing synthetic clothing

Which precaution is most important to reduce infection in a patient with neutropenia?

1. AKeeping the patient in bed
2. BAntibiotics for every visitor
3. CKeeping the curtains closed all day
4. DStrict hand hygiene by everyone

How does the pain of acute appendicitis typically progress?

1. AIt starts in the right shoulder, then moves to the chest
2. BIt stays in the upper abdomen and eases after meals
3. CIt starts in the left lower abdomen, then spreads to the back
4. DIt starts around the umbilicus, then moves to the right lower abdomen

Why is regular (scheduled) analgesia often preferred to "as required" doses in the first days after major surgery?

1. AIt removes the need to assess the patient's pain during the day
2. BIt allows doses higher than the maximum daily limit to be given
3. CIt completely prevents all opioid side effects
4. DIt keeps drug levels steady and prevents severe peaks of pain

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AThe catheter prevents wound infection
2. BHourly urine output guides fluid resuscitation
3. CBurns always cause the bladder to rupture
4. DIt is needed to give medicines into the bladder

Which nursing care helps a new skin graft take?

1. ARemoving the dressing every hour to look at it
2. BKeeping the area still and avoiding shearing forces
3. CEncouraging the patient to exercise the area straight away
4. DMassaging the graft firmly several times a day

An 80 kg adult has 30% TBSA partial- and full-thickness burns. Using the Parkland formula, how much crystalloid is planned for the first 8 hours from the time of the burn?

1. A9600 mL
2. B4800 mL
3. C2400 mL
4. D3200 mL

A patient with 35% TBSA burns is entering the hypermetabolic phase. Which nutrition plan is most appropriate?

1. AA low-protein diet to protect the kidneys from damage
2. BEarly enteral feeding, high in energy and protein
3. CNil by mouth for two weeks to rest the gut fully
4. DClear fluids only until the burn wounds have healed