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

Which sign suggests acute cholecystitis?

1. AA flapping tremor of the hands when the arms are held out
2. BPain that stops a deep breath when the right upper abdomen is pressed
3. CBruising around the umbilicus and over both flanks of the abdomen
4. DPain in the left lower abdomen when the right side is pressed

How does ileostomy output usually differ from sigmoid colostomy output?

1. ABoth produce formed stool once a day
2. BIleostomy output is formed; colostomy output is liquid
3. CBoth produce only gas and mucus
4. DIleostomy output is liquid; colostomy output is formed

Which blood test is commonly used to diagnose acute pancreatitis?

1. ABilirubin over three times the upper normal limit
2. BThyroid-stimulating hormone level
3. CLipase or amylase over 3 times normal
4. DTroponin above the 99th centile

Which advice helps prevent dumping syndrome after gastrectomy?

1. AA high-sugar diet with fruit juice to keep energy levels up
2. BSmall, frequent meals low in simple sugars, with fluids between meals
3. CThree large meals a day with plenty of sweet drinks with each meal
4. DSit upright and walk briskly straight after every meal

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe patient's eye drops and skin creams
2. BThe colour of the feeding bag label
3. CThe patient's mobility aids and walking distance
4. DThe medicine chart, including laxatives and antibiotics

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AA dislocated shoulder from patient positioning
2. BGas used during surgery irritating the diaphragm
3. CA heart attack during the operation
4. DAn allergy to the dressing on the wound

A nurse spills a small amount of a cytotoxic drug on the floor. What is the correct approach?

1. AUse the spill kit with PPE, clean up, bag as cytotoxic waste and report
2. BWipe it with a paper towel and put it in the general waste bin
3. CMop it up with the ward mop and rinse the mop in the sluice
4. DLeave it to evaporate and keep people away for a few minutes

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AInform the surgeon so that the procedure can be explained again
2. BExplain the surgical risks in detail without involving the surgeon
3. CIgnore the comment because the form is already signed
4. DReassure the patient that the surgeon knows best