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

What is the basic idea of the WHO analgesic ladder?

1. AStep up from non-opioids to weak, then strong, opioids as needed
2. BAlways start with the strongest opioid available and then reduce it slowly
3. CUse only one drug at a time, never in combination
4. DGive analgesia only when the patient asks for it

Where is the pain of acute pancreatitis typically felt?

1. AIn the left shoulder tip, worse on deep breathing
2. BIn the right lower abdomen, near the hip
3. CLow in the back, eased by lying flat
4. DIn the epigastrium, often radiating to the back

When should pain be reassessed after giving analgesia?

1. ANever, as one assessment is enough
2. BOnly if the patient asks for more analgesia
3. COnly at the next routine observation round the next day
4. DWhen the drug is expected to have taken effect

Why is IV hydration given with cisplatin?

1. ATo prevent hair loss
2. BTo protect the kidneys from damage
3. CTo make the drug less effective
4. DTo raise the blood pressure during treatment

Which group of findings suggests obstruction of the bile duct?

1. ANormal skin colour with diarrhoea and fever
2. BRed urine, black stools and a high blood glucose
3. CJaundice, dark urine, pale stools and itching
4. DPale urine, dark stools and a flapping tremor

A nasogastric feeding tube appears blocked. What is usually the first step?

1. ACut the end of the tube to release the blockage inside it
2. BFlush gently with warm water in a 50 mL enteral syringe
3. CUse a small 5 mL syringe with firm pressure
4. DPush the guidewire back in to clear it

A patient with small bowel obstruction has a nasogastric tube draining 2 L a day. Which nursing focus is most important?

1. AAccurate fluid balance with IV replacement and electrolyte checks
2. BClamping the tube for long periods to save the stomach fluid
3. CGiving oral fluids freely to replace what the tube removes
4. DRemoving the tube once 1 L has drained to prevent losses

A nurse has a needlestick injury after taking blood from a patient with hepatitis B. What should the nurse do first?

1. AWash the site with soap and running water, without scrubbing
2. BFinish the shift and report it the next day
3. CSuck the wound to remove as much of the blood as possible
4. DScrub the area hard with a nail brush and alcohol