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

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
2.Easy

Which is a main benefit of early mobilisation after surgery?

  1. ALower risk of chest infection and blood clots
  2. BIt prevents all postoperative pain
  3. CLess need to check the wound at all
  4. DFaster absorption of the anaesthetic gas
3.Easy

What is a Hartmann's procedure?

  1. AJoining the stomach directly to the small bowel
  2. BRemoval of part of the colon with an end colostomy and rectal stump
  3. CRemoval of the gallbladder through several small abdominal incisions
  4. DPlacing a stent in the bile duct
4.Medium

Why might urea rise much more than creatinine in a patient with an upper GI bleed?

  1. AThe bleed always damages the kidney tubules directly
  2. BCreatinine is lost from the body in the vomit
  3. CDigested blood is a protein load that raises urea
  4. DUrea is produced by the bleeding stomach lining
5.Medium

Which electrolyte pattern is typical of tumour lysis syndrome?

  1. ALow potassium, low phosphate and low uric acid
  2. BHigh sodium and high calcium with a low uric acid level
  3. CHigh potassium, phosphate and uric acid; low calcium
  4. DLow potassium and phosphate with high calcium
6.Medium

Which statement about moist wound healing is correct?

  1. AA moist, not wet, wound bed helps cells move and heal faster
  2. BWounds should be soaked in water for hours every day
  3. CWounds heal fastest when left to dry out and form a scab
  4. DA wet wound bed always prevents infection
7.Hard

Which preoperative blood result should the nurse report to the team before elective surgery?

  1. AHaemoglobin 138 g/L (13.8 g/dL) in a man
  2. BPotassium 2.9 mmol/L
  3. CSodium 139 mmol/L
  4. DFasting glucose 5.4 mmol/L (97 mg/dL)
8.Hard

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

  1. AIV lipid emulsion
  2. BIV glucose 50%
  3. CIV dantrolene
  4. DIV naloxone

Answer key

  1. 1. C · Collapse of small air sacs in part of the lung
  2. 2. A · Lower risk of chest infection and blood clots
  3. 3. B · Removal of part of the colon with an end colostomy and rectal stump
  4. 4. C · Digested blood is a protein load that raises urea
  5. 5. C · High potassium, phosphate and uric acid; low calcium
  6. 6. A · A moist, not wet, wound bed helps cells move and heal faster
  7. 7. B · Potassium 2.9 mmol/L
  8. 8. A · IV lipid emulsion

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