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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Name: ____________________   Date: ____________

1.Easy

What is a keloid scar?

  1. AA raised scar that grows beyond the edges of the wound
  2. BA scar that forms only on the inside of the body
  3. CA flat, pale scar that fades and softens over time
  4. DA wound that will not close at all
2.Easy

How does the pain of acute appendicitis typically progress?

  1. AIt starts in the right shoulder, then moves to the chest
  2. BIt stays in the upper abdomen and eases after meals
  3. CIt starts in the left lower abdomen, then spreads to the back
  4. DIt starts around the umbilicus, then moves to the right lower abdomen
3.Easy

What is the main aim of palliative care?

  1. ACuring the disease at any cost, whatever the side effects
  2. BReplacing all other medical treatment
  3. COnly providing care in the last hour of life
  4. DImproving quality of life for people with serious illness
4.Medium

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

  1. ASign the form on the patient's behalf as a witness
  2. BAsk the patient to sign quickly before they get sleepier
  3. CTell the surgeon, as the patient may not be able to consent now
  4. DAsk a relative to sign instead of the patient
5.Medium

Which signs suggest severe acute pancreatitis with bleeding into the tissues?

  1. ABruising around the umbilicus or flanks
  2. BYellow discolouration of the fingernails
  3. CA purple rash on the palms and soles
  4. DSwelling of the lips, tongue and face
6.Medium

What is the first priority when a patient arrives in recovery after a general anaesthetic?

  1. AThe wound dressing and drains
  2. BA drink of water
  3. CThe drug history
  4. DAirway and breathing
7.Hard

A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?

  1. ASend a stool sample for faecal occult blood testing
  2. BTurn the patient onto their side to protect the airway
  3. CGive a large glass of iced water to slow the bleeding
  4. DComplete the admission paperwork and medication history
8.Hard

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

  1. AToxic megacolon
  2. BThe flare is getting better
  3. CHaemorrhoids caused by diarrhoea
  4. DSimple constipation from low intake

Answer key

  1. 1. A · A raised scar that grows beyond the edges of the wound
  2. 2. D · It starts around the umbilicus, then moves to the right lower abdomen
  3. 3. D · Improving quality of life for people with serious illness
  4. 4. C · Tell the surgeon, as the patient may not be able to consent now
  5. 5. A · Bruising around the umbilicus or flanks
  6. 6. D · Airway and breathing
  7. 7. B · Turn the patient onto their side to protect the airway
  8. 8. A · Toxic megacolon

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