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 does a healthy stoma look like?

  1. APurple or dusky and dry
  2. BDry and black
  3. CPale and cold
  4. DMoist and red or pink
2.Easy

What does the ASA physical status classification describe?

  1. AThe patient's general health before anaesthesia
  2. BThe patient's pain score after surgery
  3. CThe type of anaesthetic drug the surgeon prefers
  4. DThe exact length of the planned operation
3.Easy

Which signs suggest an inhalation injury in a burns patient?

  1. AFacial burns, singed nasal hair, soot and hoarseness
  2. BA blister on one finger from touching a hot pan handle
  3. CSunburn across the back after a day outdoors
  4. DA burn on one foot with normal sensation
4.Medium

Which liver function test pattern suggests bile duct obstruction?

  1. AVery high ALT with a normal bilirubin only
  2. BA low albumin with all other results normal
  3. CNormal bilirubin with a low ALP and low GGT
  4. DHigh bilirubin with a markedly raised ALP and GGT
5.Medium

Why are urinary catheters removed as early as possible after surgery?

  1. ABecause patients cannot drink normally while a catheter is in place
  2. BBecause the catheter stops the bowel working
  3. CBecause catheters always cause kidney stones
  4. DTo reduce the risk of catheter-associated infection
6.Medium

Which practice is correct when giving parenteral nutrition through a central line?

  1. AGive other IV drugs through the same lumen to save time
  2. BUse a dedicated lumen and strict aseptic technique
  3. CLet the bag hang at room temperature for several days
  4. DDisconnect and reconnect the line without cleaning the hub
7.Hard

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

  1. A375 mL/h
  2. B500 mL/h
  3. C1000 mL/h
  4. D250 mL/h
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. AWait another twelve hours before acting
  2. BRestrict fluids until the urge returns
  3. CCatheterise as per protocol or prescription
  4. DGive a diuretic to increase urine flow

Answer key

  1. 1. D · Moist and red or pink
  2. 2. A · The patient's general health before anaesthesia
  3. 3. A · Facial burns, singed nasal hair, soot and hoarseness
  4. 4. D · High bilirubin with a markedly raised ALP and GGT
  5. 5. D · To reduce the risk of catheter-associated infection
  6. 6. B · Use a dedicated lumen and strict aseptic technique
  7. 7. B · 500 mL/h
  8. 8. C · Catheterise as per protocol or prescription

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