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

Which drug reverses the effects of opioids?

  1. AProtamine
  2. BFlumazenil
  3. CVitamin K
  4. DNaloxone
2.Easy

What is lymphoedema?

  1. ASwelling from a broken bone in the arm
  2. BInflammation of the lymph nodes in the neck and armpits from a virus
  3. CSwelling from poor lymph drainage, for example after node removal
  4. DFluid in the lungs from heart failure
3.Easy

What is a skin graft donor site?

  1. AA blood vessel used to give fluids
  2. BA scar that has fully matured
  3. CThe area where the graft was placed on the burn wound
  4. DA wound where healthy skin was taken for grafting
4.Medium

Why is IV albumin often given after a large-volume paracentesis?

  1. ATo prevent low blood pressure and kidney injury from fluid shifts
  2. BTo treat infection in the ascitic fluid
  3. CTo replace the clotting factors and platelets lost in the drained fluid
  4. DTo raise the blood glucose after the procedure
5.Medium

Which dressing is generally suitable for a wound with heavy exudate?

  1. AAn alginate or foam
  2. BDry gauze changed weekly
  3. CA hydrogel sheet
  4. DA thin transparent film
6.Medium

Why is it important to prevent perioperative hypothermia?

  1. AIt increases bleeding, wound infection and heart complications
  2. BIt makes patients wake up from the anaesthetic too quickly
  3. CIt lowers the risk of pain after surgery
  4. DIt reduces the amount of anaesthetic needed, which is unsafe
7.Hard

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

  1. ASupport the patient's decision and help the team talk with the family
  2. BTell the patient that stopping is not allowed
  3. CContinue treatment because the family has asked for it
  4. DAsk the family to sign a new consent form
8.Hard

Which preoperative task can a registered nurse usually delegate to a healthcare assistant (nursing assistant)?

  1. ADeciding whether abnormal results need reporting
  2. BTeaching the patient how to use a PCA pump
  3. CRecording baseline vital signs
  4. DAssessing the patient's understanding of the surgery

Answer key

  1. 1. D · Naloxone
  2. 2. C · Swelling from poor lymph drainage, for example after node removal
  3. 3. D · A wound where healthy skin was taken for grafting
  4. 4. A · To prevent low blood pressure and kidney injury from fluid shifts
  5. 5. A · An alginate or foam
  6. 6. A · It increases bleeding, wound infection and heart complications
  7. 7. A · Support the patient's decision and help the team talk with the family
  8. 8. C · Recording baseline vital signs

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