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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1.Easy

Why is a temporary loop ileostomy often formed after a low bowel resection?

  1. ATo drain urine from the kidneys
  2. BTo divert stool while the join further down heals
  3. CTo remove the whole colon permanently in a single operation
  4. DTo let the patient eat without chewing
2.Easy

What is an ERCP?

  1. AAn endoscopic test to view and treat the bile and pancreatic ducts
  2. BAn open operation to remove the gallbladder
  3. CA CT scan of the abdomen without contrast
  4. DA blood test that measures pancreatic enzymes
3.Easy

Which factor most increases the risk of Clostridioides difficile infection?

  1. ADrinking bottled water
  2. BRecent antibiotic treatment
  3. CA diet high in fibre
  4. DRegular exercise
4.Medium

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

  1. AIt always causes severe diarrhoea
  2. BIt makes the bowel stop moving completely
  3. CIt blocks the effect of all opioids
  4. DIt increases gut movement against the blockage
5.Medium

Why is a pregnancy test often done before surgery in women who could be pregnant?

  1. AIt is needed to calculate the anaesthetic drug dose
  2. BPregnant women cannot sign consent forms
  3. CPregnancy always makes surgery impossible
  4. DAnaesthesia, drugs and some tests may harm a fetus
6.Medium

Why is it important when a patient on opioids becomes more sedated?

  1. ASedation means that a higher dose is now needed
  2. BSedation is a harmless and expected effect of all opioids
  3. CSedation means that the pain is now fully and safely controlled
  4. DRising sedation usually comes before respiratory depression
7.Hard

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

  1. AFaecal impaction with overflow
  2. BAcute infective gastroenteritis
  3. CA flare of ulcerative colitis
  4. DNormal stool pattern on opioids
8.Hard

Four patients are on a surgical ward. Which patient should the nurse assess first?

  1. AFour hours after bowel surgery: pulse 118/min, BP 90/55 mmHg
  2. BDay 3 after surgery: asking for a laxative for constipation
  3. CStable ileostomy: asking for help to change the pouch
  4. DNeutropenic: temperature normal one hour ago, feels well

Answer key

  1. 1. B · To divert stool while the join further down heals
  2. 2. A · An endoscopic test to view and treat the bile and pancreatic ducts
  3. 3. B · Recent antibiotic treatment
  4. 4. D · It increases gut movement against the blockage
  5. 5. D · Anaesthesia, drugs and some tests may harm a fetus
  6. 6. D · Rising sedation usually comes before respiratory depression
  7. 7. A · Faecal impaction with overflow
  8. 8. A · Four hours after bowel surgery: pulse 118/min, BP 90/55 mmHg

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