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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

What is neutropenia?

  1. AA high white cell count
  2. BA low platelet count
  3. CA low neutrophil count
  4. DA low red cell count
2.Easy

Which electrolyte typically falls in refeeding syndrome?

  1. AChloride
  2. BSodium
  3. CPhosphate
  4. DCalcium
3.Easy

Which tissue in a healing wound looks red, moist and granular?

  1. ADry eschar
  2. BNecrotic tissue
  3. CYellow slough tissue
  4. DGranulation tissue
4.Medium

Which nursing care helps a new skin graft take?

  1. ARemoving the dressing every hour to look at it
  2. BMassaging the graft firmly several times a day
  3. CKeeping the area still and avoiding shearing forces
  4. DEncouraging the patient to exercise the area straight away
5.Medium

Why is it important when a patient on opioids becomes more sedated?

  1. ASedation means that a higher dose is now needed
  2. BSedation is a harmless and expected effect of all opioids
  3. CSedation means that the pain is now fully and safely controlled
  4. DRising sedation usually comes before respiratory depression
6.Medium

Which advice helps a patient with haemorrhoids?

  1. ATake a codeine-based painkiller every day
  2. BSit on the toilet for long periods to empty fully
  3. CEat less fibre so that stools are smaller
  4. DEat more fibre, drink enough fluid and avoid straining
7.Hard

Two days after starting chemotherapy for a high-grade lymphoma, a patient's urine output falls; potassium is 6.4 mmol/L, phosphate high and calcium low. What should the nurse suspect and do?

  1. AAn allergic reaction: give an antihistamine and continue as normal
  2. BExpected chemotherapy side effects: no action needed until the next cycle
  3. CSimple dehydration: encourage oral fluids and recheck bloods next week
  4. DTumour lysis syndrome: escalate, start cardiac monitoring and expect IV fluids
8.Hard

A patient with bowel obstruction develops constant severe pain (no longer colicky), fever, a heart rate of 120/min and a rigid, tender abdomen. What does this suggest?

  1. AConstipation that should be treated with a stimulant laxative
  2. BStrangulation or perforation needing urgent surgical review
  3. CThe obstruction is resolving as the bowel starts to move
  4. DNormal progress that only needs regular simple analgesia

Answer key

  1. 1. C · A low neutrophil count
  2. 2. C · Phosphate
  3. 3. D · Granulation tissue
  4. 4. C · Keeping the area still and avoiding shearing forces
  5. 5. D · Rising sedation usually comes before respiratory depression
  6. 6. D · Eat more fibre, drink enough fluid and avoid straining
  7. 7. D · Tumour lysis syndrome: escalate, start cardiac monitoring and expect IV fluids
  8. 8. B · Strangulation or perforation needing urgent surgical review

Full step-by-step solutions: practise this topic on examproblems.com.