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

Who is responsible for obtaining informed consent for surgery?

  1. AThe patient's next of kin, or the closest relative who is present
  2. BAny member of staff who is free at the time
  3. CThe clinician doing the procedure, or a trained delegate
  4. DThe ward clerk who arranges the patient's admission
2.Easy

At which stage of the WHO Surgical Safety Checklist does the team confirm the patient, site and procedure just before the skin incision?

  1. ASign Out
  2. BSign In
  3. CHandover
  4. DTime Out
3.Easy

A patient receiving external beam radiotherapy asks whether they are radioactive. What is correct?

  1. AYes, for one month after each session
  2. BNo, they are not radioactive and can be with family
  3. COnly their clothes are radioactive afterwards
  4. DYes, so they must avoid all contact with children and pregnant women
4.Medium

Which neutrophil count indicates severe neutropenia?

  1. ABelow 7.5 × 109/L
  2. BAbove 2.0 × 109/L
  3. CBelow 0.5 × 109/L
  4. DAbove 10 × 109/L
5.Medium

Which electrolyte abnormality can contribute to a postoperative ileus?

  1. AHypokalaemia
  2. BHypernatraemia
  3. CHyperphosphataemia
  4. DHyperkalaemia
6.Medium

Which dressing is generally suitable for a dry, sloughy wound that needs moisture?

  1. AA hydrogel
  2. BAn alginate
  3. CDry gauze
  4. DA foam
7.Hard

A patient who had a coronary stent placed two months ago, on aspirin and clopidogrel, presents with melaena and is now stable. What is the most appropriate approach to the antiplatelet drugs?

  1. AContinue both drugs unchanged and do not mention the bleeding to the team
  2. BDouble both doses, because bleeding means the stent is at greater risk of clotting
  3. CStop both drugs permanently, because any bleeding means they are no longer safe
  4. DReport the bleed; the team decides with cardiology input, balancing bleeding against stent thrombosis
8.Hard

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

  1. ARestrict fluids until the urge returns
  2. BWait another twelve hours before acting
  3. CGive a diuretic to increase urine flow
  4. DCatheterise as per protocol or prescription

Answer key

  1. 1. C · The clinician doing the procedure, or a trained delegate
  2. 2. D · Time Out
  3. 3. B · No, they are not radioactive and can be with family
  4. 4. C · Below 0.5 × 109/L
  5. 5. A · Hypokalaemia
  6. 6. A · A hydrogel
  7. 7. D · Report the bleed; the team decides with cardiology input, balancing bleeding against stent thrombosis
  8. 8. D · Catheterise as per protocol or prescription

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