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

Which non-invasive test is commonly used to detect Helicobacter pylori infection?

  1. AFaecal occult blood test
  2. BSerum amylase test
  3. CUrea breath test
  4. DLiver function tests
2.Easy

Which investigation is usually used to find and treat the source of an upper GI bleed?

  1. ABarium swallow study
  2. BPlain abdominal X-ray
  3. CUpper GI endoscopy
  4. DColonoscopy of the bowel
3.Easy

Which two causes account for most cases of acute pancreatitis?

  1. ASmoking and obesity
  2. BHigh fibre and dehydration
  3. CViral colds and stress
  4. DGallstones and alcohol
4.Medium

How should a patient with facial burns usually be positioned?

  1. AIn any position that keeps the face covered
  2. BWith the head of the bed raised to reduce swelling
  3. CLying face down on the pillow to protect the airway
  4. DLying flat with the head lower than the feet
5.Medium

Which nursing intervention best reduces preoperative anxiety?

  1. AExplaining what will happen and answering questions
  2. BAvoiding talking about the operation at all
  3. CTelling the patient that there is nothing to worry about
  4. DKeeping family members away until after surgery
6.Medium

What is anticipatory nausea in chemotherapy?

  1. ANausea triggered by reminders of treatment before it is given
  2. BNausea caused by low blood glucose
  3. CNausea caused only by the smell of food
  4. DNausea that starts about a week after each cycle and lasts for days
7.Hard

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

  1. ASit the patient fully upright and flush the line
  2. BRemove the central line straight away and leave the site open to the air
  3. CGive the patient a drink and observe for an hour
  4. DClamp the line, lie the patient left side down, head low; give oxygen
8.Hard

A patient on immunotherapy for melanoma has six watery stools a day and abdominal cramps. What should the nurse do?

  1. AGive loperamide and review next week
  2. BReassure that diarrhoea is normal and harmless
  3. CAdvise eating more fibre and fruit to firm up the stools
  4. DEscalate urgently, as immune-related colitis is likely

Answer key

  1. 1. C · Urea breath test
  2. 2. C · Upper GI endoscopy
  3. 3. D · Gallstones and alcohol
  4. 4. B · With the head of the bed raised to reduce swelling
  5. 5. A · Explaining what will happen and answering questions
  6. 6. A · Nausea triggered by reminders of treatment before it is given
  7. 7. D · Clamp the line, lie the patient left side down, head low; give oxygen
  8. 8. D · Escalate urgently, as immune-related colitis is likely

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