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

Which finding describes a category 1 pressure ulcer?

1. AA wound covered with thick black eschar
2. BIntact skin with redness that does not blanch
3. CAn open wound with visible bone at the base
4. DA shallow open wound with a red-pink base and no slough

Which urine output is commonly used as the minimum acceptable value for an adult after surgery?

1. AAbout 50 mL/kg per hour
2. BAbout 5 mL/kg per hour
3. CAbout 0.5 mL/kg per hour
4. DAbout 0.05 mL/kg per hour

What is the Braden scale (or a similar tool such as Waterlow) used for?

1. AMeasuring a patient's level of consciousness
2. BGrading the depth of a burn wound before dressing it
3. CScoring the severity of nausea
4. DAssessing the risk of developing pressure ulcers

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt blocks the effect of all opioids
2. BIt makes the bowel stop moving completely
3. CIt increases gut movement against the blockage
4. DIt always causes severe diarrhoea

In the SBAR communication tool, what belongs under "A"?

1. AThe patient's admission date only
2. BA list of the patient's allergies only
3. CThe address and phone number of the patient's next of kin
4. DThe nurse's assessment of what the problem is

Which liver function test pattern suggests bile duct obstruction?

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

A patient has negative pressure wound therapy. The pump alarms and the dressing has lost its seal. What is the most appropriate action?

1. APack the wound with dry gauze over the foam and tape it tightly
2. BLeave the foam in the wound without suction for several days until review
3. CTurn the suction up to its maximum setting to pull the seal back
4. DRestore the seal; if that fails in time, change to a moist dressing

A patient on an opioid PCA receives oxygen by mask. SpO₂ is 97% and the respiratory rate 11/min, but they are now hard to rouse. What should the nurse conclude?

1. AThe PCA dose should be increased to keep the patient comfortable
2. BOpioid toxicity is likely; the oxygen may be masking hypoventilation
3. CThe patient is safe, because the oxygen saturation is normal
4. DThe patient is simply sleeping well, as the pain is controlled