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

Which fluid is usually used for initial burn resuscitation in adults?

  1. A50% glucose solution IV
  2. BHartmann's (lactated Ringer's)
  3. COral fizzy cola drinks
  4. DSterile water for injection, given IV
2.Easy

Which factor most increases the risk of Clostridioides difficile infection?

  1. AA diet high in fibre
  2. BRegular exercise
  3. CDrinking bottled water
  4. DRecent antibiotic treatment
3.Easy

What is the basic idea of the WHO analgesic ladder?

  1. AUse only one drug at a time, never in combination
  2. BStep up from non-opioids to weak, then strong, opioids as needed
  3. CAlways start with the strongest opioid available and then reduce it slowly
  4. DGive analgesia only when the patient asks for it
4.Medium

Which measure helps reduce the risk of delirium in an older surgical patient?

  1. AKeeping the room dark during the day
  2. BGiving a sleeping tablet every night
  3. CMaking sure they have their glasses and hearing aids
  4. DMoving them to a new bed space each night to reduce boredom
5.Medium

Which is correct when caring for a patient with a PICC line?

  1. AUse the PICC arm for heavy lifting to keep it flexible
  2. BFlush the line only when it blocks
  3. CAvoid taking blood pressure on the arm with the line
  4. DLeave the external length unchecked once it is placed
6.Medium

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

  1. ATo confirm that the vaccine produced immunity
  2. BTo decide whether they need a liver biopsy
  3. CTo check whether they caught hepatitis B from the vaccine
  4. DTo measure liver damage caused by the vaccine
7.Hard

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

  1. AApply a hot water bottle to improve the circulation
  2. BWash it with alcohol and leave it uncovered
  3. CIgnore it because skin changes after surgery are normal and expected to fade
  4. DTreat it as a possible burn, report it and complete an incident form
8.Hard

Why is folinic acid (leucovorin) given after high-dose methotrexate?

  1. ATo increase the anticancer effect on the tumour
  2. BTo prevent hair loss during treatment
  3. CTo treat the patient's anaemia only
  4. DTo rescue normal cells from methotrexate toxicity

Answer key

  1. 1. B · Hartmann's (lactated Ringer's)
  2. 2. D · Recent antibiotic treatment
  3. 3. B · Step up from non-opioids to weak, then strong, opioids as needed
  4. 4. C · Making sure they have their glasses and hearing aids
  5. 5. C · Avoid taking blood pressure on the arm with the line
  6. 6. A · To confirm that the vaccine produced immunity
  7. 7. D · Treat it as a possible burn, report it and complete an incident form
  8. 8. D · To rescue normal cells from methotrexate toxicity

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