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

How should a patient be positioned during enteral tube feeding?

  1. ALying completely flat on the back with one pillow
  2. BWith the head lower than the feet
  3. CLying on the stomach with the head turned to one side
  4. DWith the head of the bed raised to at least 30–45°
2.Easy

What is healing by secondary intention?

  1. AA wound closed with sutures straight after surgery
  2. BA wound left open that heals from the base upwards
  3. CA wound that heals without any new tissue
  4. DA wound closed a few days after it was left open
3.Easy

What is atelectasis?

  1. AA blood clot in a leg vein
  2. BCollapse of small air sacs in part of the lung
  3. CInfection of the surgical wound
  4. DSwelling of both ankles caused by lying in bed after surgery
4.Medium

Which signs suggest severe acute pancreatitis with bleeding into the tissues?

  1. AA purple rash on the palms and soles
  2. BYellow discolouration of the fingernails
  3. CBruising around the umbilicus or flanks
  4. DSwelling of the lips, tongue and face
5.Medium

Which food advice reduces the risk of blockage with a new ileostomy?

  1. AChew well, and bring in fibrous foods slowly
  2. BDrink very little fluid to keep the output thick
  3. CSwallow food quickly without chewing much
  4. DEat plenty of nuts and seeds from day one
6.Medium

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

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

A patient with breast cancer becomes confused, thirsty and constipated, with polyuria. Which oncological emergency should be considered?

  1. AHypoglycaemia
  2. BHypercalcaemia of malignancy
  3. CSuperior vena cava obstruction
  4. DTumour lysis syndrome
8.Hard

A 74-year-old with chronic kidney disease has severe pain after surgery. Which opioid issue is most important?

  1. AMorphine is the safest opioid in renal failure, so doses can be increased freely
  2. BOpioids must never be used in older adults, whatever the pain
  3. CKidney function has no effect on how opioids are handled
  4. DMorphine metabolites accumulate, so a lower dose or another opioid may be needed

Answer key

  1. 1. D · With the head of the bed raised to at least 30–45°
  2. 2. B · A wound left open that heals from the base upwards
  3. 3. B · Collapse of small air sacs in part of the lung
  4. 4. C · Bruising around the umbilicus or flanks
  5. 5. A · Chew well, and bring in fibrous foods slowly
  6. 6. C · Awake, with a clear airway, stable observations and controlled pain
  7. 7. B · Hypercalcaemia of malignancy
  8. 8. D · Morphine metabolites accumulate, so a lower dose or another opioid may be needed

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