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

Which finding describes a category 1 pressure ulcer?

1. AIntact skin with redness that does not blanch
2. BAn open wound with visible bone at the base
3. CA shallow open wound with a red-pink base and no slough
4. DA wound covered with thick black eschar

Which type of healing describes a clean surgical incision closed with sutures?

1. ADelayed intention
2. BSecondary intention
3. CPrimary intention
4. DTertiary intention

Which sign suggests acute cholecystitis?

1. APain in the left lower abdomen when the right side is pressed
2. BBruising around the umbilicus and over both flanks of the abdomen
3. CPain that stops a deep breath when the right upper abdomen is pressed
4. DA flapping tremor of the hands when the arms are held out

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. ABleeding only from the rectum
2. BFistulas between the bowel and other organs
3. CInflammation limited to the rectal lining
4. DDisease that is cured by removing the colon

A patient with a new ileostomy has a very high output. What is the main risk?

1. AConstipation and faecal impaction in the bowel above the stoma
2. BDehydration and loss of sodium, potassium and magnesium
3. CHigh calcium and kidney stones within days
4. DFluid overload and swelling of the ankles

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

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. ATell the patient firmly that they must stop hiding their pain from staff
2. BInsist they walk without any analgesia
3. CAccept the statement and record a pain score of 0
4. DExplore their beliefs and explain how analgesia aids recovery

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

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