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

Which precaution is most important to reduce infection in a patient with neutropenia?

1. AKeeping the curtains closed all day
2. BAntibiotics for every visitor
3. CKeeping the patient in bed
4. DStrict hand hygiene by everyone

Which three principles reduce staff radiation exposure when caring for a patient with a sealed radiation source?

1. ATime, distance and shielding
2. BHeat, light and humidity
3. CGloves, gown and mask
4. DSpeed, noise and lighting

Which is the single largest preventable risk factor for cancer?

1. AWearing synthetic clothing
2. BTobacco smoking
3. CUsing mobile phones
4. DDrinking tap water

Which statement about moist wound healing is correct?

1. AWounds heal fastest when left to dry out and form a scab
2. BA moist, not wet, wound bed helps cells move and heal faster
3. CA wet wound bed always prevents infection
4. DWounds should be soaked in water for hours every day

Which instruction is important during bowel preparation for colonoscopy?

1. ADrink plenty of clear fluids while taking the preparation
2. BTake the preparation only if the bowels have not opened
3. CEat a high-fibre meal the evening before the test
4. DAvoid all fluids for 24 hours before the test

Which liver function test pattern suggests bile duct obstruction?

1. AA low albumin with all other results normal
2. BHigh bilirubin with a markedly raised ALP and GGT
3. CVery high ALT with a normal bilirubin only
4. DNormal bilirubin with a low ALP and low GGT

After a coughing fit, the external mark on a patient's nasogastric tube has moved 10 cm. Feed is due. What should the nurse do?

1. AGive the medicines only and save the feed for later
2. BDo not use the tube until its position is confirmed by policy
3. CStart the feed at a slow rate and watch for coughing
4. DPush the tube back to the original mark and start the feed

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. ACancel the surgery without discussing it
2. BAsk the family to override the decision
3. CRespect the decision, document it and inform the team
4. DPlan to transfuse secretly during the operation if it becomes needed