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

Using the rule of nines in an adult, what percentage is one whole leg?

  1. A27%
  2. B4.5%
  3. C9%
  4. D18%
2.Easy

What is an ERCP?

  1. AAn open operation to remove the gallbladder
  2. BA blood test that measures pancreatic enzymes
  3. CAn endoscopic test to view and treat the bile and pancreatic ducts
  4. DA CT scan of the abdomen without contrast
3.Easy

What is the purpose of the WHO Surgical Safety Checklist?

  1. ATo record what the patient would like to eat and drink after surgery
  2. BTo replace informed consent for planned operations
  3. CTo list the training and experience of the surgeon
  4. DTo ensure key safety checks happen before, during and after surgery
4.Medium

Why is it important when a patient on opioids becomes more sedated?

  1. ASedation means that a higher dose is now needed
  2. BSedation means that the pain is now fully and safely controlled
  3. CSedation is a harmless and expected effect of all opioids
  4. DRising sedation usually comes before respiratory depression
5.Medium

What is the purpose of the lockout interval on a PCA pump?

  1. AIt stops a new dose before the last one has worked
  2. BIt makes the patient wait a day between large doses
  3. CIt stops the patient from getting any doses at night
  4. DIt locks the pump so the syringe cannot be changed
6.Medium

Which neutrophil count indicates severe neutropenia?

  1. ABelow 0.5 × 109/L
  2. BAbove 10 × 109/L
  3. CAbove 2.0 × 109/L
  4. DBelow 7.5 × 109/L
7.Hard

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

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

During an IV vincristine infusion through a peripheral cannula, the patient reports burning, and the site is swollen. What should the nurse do first?

  1. AFlush the cannula with saline to push the remaining drug into the vein
  2. BStop the infusion, leave the cannula to aspirate, follow the policy
  3. CContinue the infusion more slowly and apply an ice pack to the site
  4. DRemove the cannula at once and massage the area to spread the drug

Answer key

  1. 1. D · 18%
  2. 2. C · An endoscopic test to view and treat the bile and pancreatic ducts
  3. 3. D · To ensure key safety checks happen before, during and after surgery
  4. 4. D · Rising sedation usually comes before respiratory depression
  5. 5. A · It stops a new dose before the last one has worked
  6. 6. A · Below 0.5 × 109/L
  7. 7. C · To restore breathing without causing severe pain and withdrawal
  8. 8. B · Stop the infusion, leave the cannula to aspirate, follow the policy

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