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

Which exercises are usually taught to patients before major surgery?

1. AHeavy weightlifting to build strength
2. BLong-distance running every day
3. CHolding the breath for as long as possible
4. DDeep breathing, coughing and leg exercises

When should an ostomy pouch usually be emptied?

1. AOnly when it is completely full to the top
2. BWhen it is one third to half full
3. COnly when it starts to leak
4. DOnce a day, at the same time

Who should press the button of a patient-controlled analgesia (PCA) pump?

1. AA relative, while the patient sleeps
2. BThe nurse, at the start of each shift
3. COnly the patient
4. DAny visitor the patient asks

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AStop eating fibre completely
2. BWait until there has been no stool for a week
3. CTake a bulk-forming laxative only with very little water
4. DStart a regular laxative at the same time

Which statement about pain relief in acute pancreatitis is correct?

1. AOnly paracetamol may be given
2. BOpioids can be used, and good analgesia is a priority
3. CPain relief should be withheld until the diagnosis is certain
4. DOpioids must never be used in pancreatitis

Which finding means a patient is usually ready to leave recovery for the ward?

1. ASystolic BP falling steadily over the last hour, with a rising pulse rate
2. BPain score 9/10 and vomiting repeatedly
3. CStill drowsy and needing a jaw thrust to breathe
4. DAwake, with a clear airway, stable observations and controlled pain

A nurse teaches a patient after a laparoscopic fundoplication for reflux. Which statement shows a need for further teaching?

1. A"I should eat smaller meals for a while after the operation."
2. B"Fizzy drinks will help me bring up wind after meals."
3. C"I'll eat soft, moist food at first and chew it well."
4. D"Some difficulty swallowing can happen in the early weeks."

A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?

1. AA kidney stone blocking the ureter
2. BA fistula between the colon and the bladder
3. CBowel preparation that was taken too quickly
4. DA simple lower urinary tract infection