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

What is the main purpose of marking the surgical site before an operation?

1. ATo show where the skin should be shaved
2. BTo prevent surgery on the wrong side or site
3. CTo tell the porter which theatre to go to
4. DTo record the patient's allergy status

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

1. ASterile water for injection, given IV
2. BHartmann's (lactated Ringer's)
3. C50% glucose solution IV
4. DOral fizzy cola drinks

Using the rule of nines in an adult, what percentage is the whole front of the trunk?

1. A27%
2. B9%
3. C18%
4. D36%

Which treatment often relieves pain from a bone metastasis?

1. AA diet low in calcium and vitamin D
2. BComplete bed rest for a month
3. CPalliative radiotherapy to the area
4. DIron supplements by mouth for several months

Which drug class is commonly used to reduce acid after endoscopic treatment of a bleeding peptic ulcer?

1. AH1 antihistamines such as cetirizine
2. BProton pump inhibitors
3. CBeta-blockers
4. DLoop diuretics

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. BAvoid taking blood pressure on the arm with the line
3. CLeave the external length unchecked once it is placed
4. DFlush the line only when it blocks

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. ARecord it and continue as planned, as this is expected
2. BEncourage plain water only, as much as possible
3. CGive the rest of the preparation more quickly
4. DStop the preparation and escalate to the medical team

A patient on a long-term opioid for chronic pain is admitted for surgery. Which statement is correct?

1. AThey need lower postoperative opioid doses than opioid-naive patients
2. BThe usual opioid is continued, plus extra analgesia, due to tolerance
3. CAll opioids should be stopped on admission to prevent addiction
4. DThey should receive only paracetamol after the operation is over