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 two causes account for most cases of acute pancreatitis?

  1. ASmoking and obesity
  2. BHigh fibre and dehydration
  3. CViral colds and stress
  4. DGallstones and alcohol
2.Easy

Why are patients advised to stop smoking before surgery?

  1. AIt is needed so that consent forms are valid
  2. BIt stops patients from feeling hungry while fasting
  3. CIt makes the anaesthetic work for a shorter time
  4. DIt lowers the risk of chest and wound complications
3.Easy

What is the main purpose of marking the surgical site before an operation?

  1. ATo tell the porter which theatre to go to
  2. BTo prevent surgery on the wrong side or site
  3. CTo show where the skin should be shaved
  4. DTo record the patient's allergy status
4.Medium

A patient with an ileal conduit (urostomy) is worried about mucus in the urine. What is the correct explanation?

  1. AIt means the stoma is failing and needs surgery
  2. BIt is normal, as the conduit is made from small bowel
  3. CIt shows a bowel obstruction is developing
  4. DIt is a sign of a kidney stone and must be reported today
5.Medium

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

  1. ATake the usual dose on the morning of surgery
  2. BDouble the dose for a week so the blood is ready for surgery
  3. CStop it about 5 days before and check the INR
  4. DSwap to aspirin on the morning of surgery
6.Medium

Which electrolyte abnormality can contribute to a postoperative ileus?

  1. AHypernatraemia
  2. BHyperkalaemia
  3. CHypokalaemia
  4. DHyperphosphataemia
7.Hard

A dying patient has noisy, rattling breathing. The patient seems unaware, but the family is distressed. What is the best nursing approach?

  1. AGive large volumes of IV fluid to loosen and thin the secretions
  2. BPerform deep suction every hour
  3. CAsk the family to leave the room
  4. DReposition, explain the cause and give prescribed drugs if needed
8.Hard

An hour after a line flush, a patient receiving parenteral nutrition has rigors and a temperature of 39.1 °C. What should the nurse suspect and do?

  1. ALine infection; escalate and take blood cultures
  2. BA normal reaction; give paracetamol and continue the infusion
  3. CLow blood glucose; give a sugary drink
  4. DFluid overload; reduce the infusion rate only

Answer key

  1. 1. D · Gallstones and alcohol
  2. 2. D · It lowers the risk of chest and wound complications
  3. 3. B · To prevent surgery on the wrong side or site
  4. 4. B · It is normal, as the conduit is made from small bowel
  5. 5. C · Stop it about 5 days before and check the INR
  6. 6. C · Hypokalaemia
  7. 7. D · Reposition, explain the cause and give prescribed drugs if needed
  8. 8. A · Line infection; escalate and take blood cultures

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