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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1.Easy

What is the most common cause of small bowel obstruction in adults in high-income countries?

  1. AGallstones lodged in the gallbladder neck
  2. BSwallowed foreign objects
  3. CAdhesions from previous surgery
  4. DColorectal cancer
2.Easy

What does the ASA physical status classification describe?

  1. AThe exact length of the planned operation
  2. BThe type of anaesthetic drug the surgeon prefers
  3. CThe patient's general health before anaesthesia
  4. DThe patient's pain score after surgery
3.Easy

When should an ostomy pouch usually be emptied?

  1. AWhen it is one third to half full
  2. BOnly when it starts to leak
  3. COnly when it is completely full to the top
  4. DOnce a day, at the same time
4.Medium

Why do patients with major burns lose so much fluid in the first 24–48 hours?

  1. ALeaky capillaries let plasma move into the tissues
  2. BThe kidneys stop making urine completely
  3. CPatients drink far too little in hospital in the first days
  4. DThe burned skin absorbs fluid from the air
5.Medium

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

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

Which is a recognised cause of anaphylaxis during surgery?

  1. AA warmed blanket
  2. BThe patient's own blood from cell salvage
  3. CChlorhexidine skin preparation
  4. DSterile normal saline
7.Hard

A patient is splashed in the eye with an alkaline cleaning product. What is the first action?

  1. AAsk the patient to rub the eye to clear it
  2. BIrrigate the eye at once with large volumes of water or saline
  3. CAdd a few drops of vinegar to neutralise it
  4. DCover the eye with a pad and wait for a doctor to examine it first
8.Hard

A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and says they feel completely well. Which statement is correct?

  1. AFeeling well means the dose was too small to cause harm
  2. BTreatment is not needed if the patient has not vomited
  3. CLiver damage after paracetamol occurs only within the first hour or so
  4. DLiver damage may still develop, and appears only days later

Answer key

  1. 1. C · Adhesions from previous surgery
  2. 2. C · The patient's general health before anaesthesia
  3. 3. A · When it is one third to half full
  4. 4. A · Leaky capillaries let plasma move into the tissues
  5. 5. C · The nurse's assessment of what the problem is
  6. 6. C · Chlorhexidine skin preparation
  7. 7. B · Irrigate the eye at once with large volumes of water or saline
  8. 8. D · Liver damage may still develop, and appears only days later

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