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 signs suggest a deep vein thrombosis in the leg?

  1. AItching between the toes of both feet
  2. BSwelling, pain, warmth and redness of one calf
  3. CCold, pale feet on both sides with no pulse
  4. DA painless rash on both shins
2.Easy

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

  1. ABurning pain behind the breastbone (heartburn)
  2. BPainless yellowing of the skin and eyes
  3. CCramping pain low in the left side of the abdomen
  4. DSharp pain in the right shoulder after meals
3.Easy

Which drug is commonly used to prevent or treat postoperative nausea and vomiting?

  1. AOndansetron
  2. BAmlodipine
  3. CFurosemide
  4. DAtorvastatin
4.Medium

Which dressing is generally suitable for a dry, sloughy wound that needs moisture?

  1. AA foam
  2. BAn alginate
  3. CA hydrogel
  4. DDry gauze
5.Medium

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

  1. ATo remove any feed left in the stomach
  2. BTo make the tube longer as the patient grows or gains weight
  3. CTo stop the inner bumper becoming buried in the stomach wall
  4. DTo check that the patient is still hungry
6.Medium

Which is a recognised risk of long-term proton pump inhibitor use?

  1. AHypomagnesaemia
  2. BHypernatraemia
  3. CHypercalcaemia
  4. DHyperkalaemia
7.Hard

A patient with bowel obstruction develops constant severe pain (no longer colicky), fever, a heart rate of 120/min and a rigid, tender abdomen. What does this suggest?

  1. ANormal progress that only needs regular simple analgesia
  2. BThe obstruction is resolving as the bowel starts to move
  3. CConstipation that should be treated with a stimulant laxative
  4. DStrangulation or perforation needing urgent surgical review
8.Hard

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

  1. AGive paracetamol and recheck in four hours
  2. BEscalate urgently and start the sepsis pathway
  3. CRecord the observations and continue routine care
  4. DEncourage oral fluids and wait for the doctor's round

Answer key

  1. 1. B · Swelling, pain, warmth and redness of one calf
  2. 2. A · Burning pain behind the breastbone (heartburn)
  3. 3. A · Ondansetron
  4. 4. C · A hydrogel
  5. 5. C · To stop the inner bumper becoming buried in the stomach wall
  6. 6. A · Hypomagnesaemia
  7. 7. D · Strangulation or perforation needing urgent surgical review
  8. 8. B · Escalate urgently and start the sepsis pathway

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