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

Which signs suggest early hypovolaemic shock after surgery?

1. ASlow heart rate, flushed skin and warm hands
2. BNormal pulse with heavy sweating only after meals
3. CRising heart rate, cool skin and slow capillary refill
4. DHigh blood pressure with a fast, bounding pulse

Which nutrient is especially important for wound healing?

1. AAlcohol
2. BCaffeine
3. CProtein
4. DSalt

What does a healthy stoma look like?

1. ADry and black
2. BMoist and red or pink
3. CPurple or dusky and dry
4. DPale and cold

Which is a recognised cause of anaphylaxis during surgery?

1. AChlorhexidine skin preparation
2. BA warmed blanket
3. CThe patient's own blood from cell salvage
4. DSterile normal saline

Which liver function test pattern suggests bile duct obstruction?

1. ANormal bilirubin with a low ALP and low GGT
2. BVery high ALT with a normal bilirubin only
3. CHigh bilirubin with a markedly raised ALP and GGT
4. DA low albumin with all other results normal

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AThe liver can no longer store any vitamins
2. BIntrinsic factor from the stomach is no longer made
3. CThe small bowel stops absorbing all nutrients
4. DVitamin B₁₂ is lost in the urine after the surgery

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. ASodium 141 mmol/L
2. BSodium 138 mmol/L
3. CPotassium 6.0 mmol/L
4. DPotassium 4.2 mmol/L

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. ALay the patient flat to help them rest
2. BIncrease the feed rate to finish it sooner
3. CGive a drink of water to clear the throat
4. DStop the feed and assess the airway and breathing