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

Which two sites are most common for pressure ulcers in patients lying in bed?

1. AThe forearms and the knees
2. BThe sacrum and the heels
3. CThe thighs and the upper arms
4. DThe palms and the forehead

Which symptom in an adult over 50 is a red flag for colorectal cancer?

1. AOne episode of loose stools after a takeaway meal
2. BMild bloating before a period
3. COccasional wind and rumbling after eating a meal of beans
4. DA lasting change in bowel habit with rectal bleeding

Which bedside test is commonly used to check that a nasogastric tube is in the stomach before each use?

1. APutting the tube end in a cup of water
2. BListening for a "whoosh" of injected air
3. CAsking the patient whether it feels comfortable
4. DTesting aspirate with pH paper

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ALess pain and a shorter hospital stay
2. BLarger wounds that heal faster
3. CNo risk of any complications at all
4. DNo need for a general anaesthetic ever

Which patient is at highest risk of refeeding syndrome?

1. AA patient with a normal BMI eating three meals a day
2. BA patient who missed one lunch because of a scan
3. CAn underweight patient who has eaten very little for 10 days
4. DA healthy adult after an overnight fast for minor surgery

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

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

Which preoperative task can a registered nurse usually delegate to a healthcare assistant (nursing assistant)?

1. ARecording baseline vital signs
2. BDeciding whether abnormal results need reporting
3. CTeaching the patient how to use a PCA pump
4. DAssessing the patient's understanding of the surgery

Why is naloxone usually given in small, repeated doses to a postoperative patient with opioid-induced respiratory depression?

1. ABecause high doses of naloxone cause respiratory depression
2. BTo make the opioid work faster and more strongly
3. CTo restore breathing without causing severe pain and withdrawal
4. DBecause large doses of naloxone have no extra effect at all