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

Which bedside test is commonly used to check for postoperative urinary retention?

1. AA chest X-ray
2. BA bladder ultrasound scan
3. CA 12-lead ECG
4. DA blood glucose test

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 exact length of the planned operation
4. DThe type of anaesthetic drug the surgeon prefers

What is a skin graft donor site?

1. AA wound where healthy skin was taken for grafting
2. BA blood vessel used to give fluids
3. CThe area where the graft was placed on the burn wound
4. DA scar that has fully matured

Which statement best describes tolerance to opioids?

1. AA higher dose is needed over time for the same effect
2. BThe patient has developed an allergy to the drug
3. CThe patient has a compulsive craving for more of the drug
4. DThe drug no longer causes any constipation

Which advice has good evidence for reducing cancer-related fatigue?

1. ADrinking several strong coffees every evening
2. BRegular light to moderate activity, such as walking
3. CComplete bed rest for the whole course of treatment
4. DAvoiding all daily activities

Which statement correctly describes physical dependence on opioids?

1. AThe drug no longer has any side effects
2. BThe patient always craves the drug and misuses it despite harm
3. CWithdrawal occurs if the drug is stopped suddenly
4. DThe patient is allergic to opioids

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

1. ASit the patient up and give a drink of water
2. BCall for help, give 100% oxygen and use a jaw thrust
3. CWait a few minutes to see if it passes
4. DGive an opioid to calm the patient's breathing and reduce anxiety

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHyponatraemia from hypotonic fluids
2. BHypoglycaemia from the glucose
3. CNormal confusion after any anaesthetic
4. DHypernatraemia from too much salt