Med-surg: GI, perioperative & oncology worksheet with answers

Which advice helps a patient with oral mucositis from chemotherapy?

1. AGentle care with a soft toothbrush and saline mouth rinses
2. BStopping all mouth care until the soreness settles
3. CAn alcohol-based mouthwash used several times a day to disinfect
4. DHot, spicy food to stimulate the flow of saliva

Why are swabs, sharps and instruments counted during surgery?

1. ATo calculate the cost of the operation
2. BTo decide how long the operation took
3. CTo check the stock in the store room
4. DTo prevent items being left inside the patient

Where is the pain of acute pancreatitis typically felt?

1. AIn the epigastrium, often radiating to the back
2. BLow in the back, eased by lying flat
3. CIn the left shoulder tip, worse on deep breathing
4. DIn the right lower abdomen, near the hip

Which statement about giving medicines through a feeding tube is correct?

1. AMedicines can be added to the bag of feed
2. BAll tablets can be crushed together and given at once
3. CTubes do not need flushing between medicines
4. DModified-release tablets should not be crushed

Which group of findings suggests obstruction of the bile duct?

1. AJaundice, dark urine, pale stools and itching
2. BNormal skin colour with diarrhoea and fever
3. CPale urine, dark stools and a flapping tremor
4. DRed urine, black stools and a high blood glucose

Which instruction is important during bowel preparation for colonoscopy?

1. AAvoid all fluids for 24 hours before the test
2. BEat a high-fibre meal the evening before the test
3. CDrink plenty of clear fluids while taking the preparation
4. DTake the preparation only if the bowels have not opened

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ARecord a 12-lead ECG and escalate as possible cardiac pain
2. BGive an antacid and reassess the pain in an hour
3. CBook a routine endoscopy for later in the week
4. DAdvise the patient to avoid spicy food at future meals

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. AA stomach ulcer; give an antacid after meals only
2. BNormal ageing; no action needed
3. CA heart attack; give aspirin and arrange an ECG
4. DRadiation oesophagitis; analgesia, soft food and nutrition support