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 the typical main symptom of gastro-oesophageal reflux disease (GORD)?

  1. ACramping pain low in the left side of the abdomen
  2. BSharp pain in the right shoulder after meals
  3. CBurning pain behind the breastbone (heartburn)
  4. DPainless yellowing of the skin and eyes
2.Easy

Why is adrenaline sometimes added to a local anaesthetic?

  1. AIt narrows vessels, so the block lasts longer and bleeding is less
  2. BIt turns the local anaesthetic into a general anaesthetic
  3. CIt makes the patient fall asleep more quickly
  4. DIt stops the local anaesthetic causing any allergy
3.Easy

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

  1. A18%
  2. B36%
  3. C27%
  4. D9%
4.Medium

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

  1. AGas used during surgery irritating the diaphragm
  2. BAn allergy to the dressing on the wound
  3. CA dislocated shoulder from patient positioning
  4. DA heart attack during the operation
5.Medium

In the SBAR communication tool, what belongs under "A"?

  1. AThe nurse's assessment of what the problem is
  2. BThe address and phone number of the patient's next of kin
  3. CA list of the patient's allergies only
  4. DThe patient's admission date only
6.Medium

Which dressing is generally suitable for a wound with heavy exudate?

  1. AA thin transparent film
  2. BA hydrogel sheet
  3. CAn alginate or foam
  4. DDry gauze changed weekly
7.Hard

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

  1. ARefeeding syndrome from too much glucose
  2. BHypoglycaemia if insulin continues without the feed
  3. CDiarrhoea from stopping the feed suddenly
  4. DHyperglycaemia because the stomach is empty
8.Hard

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

  1. ABiliary colic from a new stone
  2. BAcute appendicitis
  3. CPost-ERCP pancreatitis
  4. DHepatitis B infection

Answer key

  1. 1. C · Burning pain behind the breastbone (heartburn)
  2. 2. A · It narrows vessels, so the block lasts longer and bleeding is less
  3. 3. A · 18%
  4. 4. A · Gas used during surgery irritating the diaphragm
  5. 5. A · The nurse's assessment of what the problem is
  6. 6. C · An alginate or foam
  7. 7. B · Hypoglycaemia if insulin continues without the feed
  8. 8. C · Post-ERCP pancreatitis

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