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

Which drug group is commonly used to prevent venous thromboembolism after surgery?

  1. ALoop diuretics
  2. BLow molecular weight heparins
  3. CProton pump inhibitors
  4. DNon-steroidal anti-inflammatory drugs
2.Easy

What is adjuvant chemotherapy?

  1. ATreatment after surgery to reduce the risk of recurrence
  2. BTreatment given before a biopsy is taken
  3. CTreatment given only to patients who refuse surgery or radiotherapy
  4. DTreatment given only to relieve symptoms
3.Easy

Which statement about hepatitis C is correct?

  1. AIt is spread mainly by food, and a vaccine is given to babies
  2. BIt can be treated only with a liver transplant
  3. CIt is spread mainly through blood, and there is no vaccine
  4. DIt always clears by itself within two weeks
4.Medium

Which bedside assessments are used to follow ascites?

  1. ACapillary glucose before each meal
  2. BPupil size and reaction twice daily
  3. CDaily weight and abdominal girth
  4. DPeak flow and oxygen saturation
5.Medium

A patient with an ileal conduit (urostomy) is worried about mucus in the urine. What is the correct explanation?

  1. AIt shows a bowel obstruction is developing
  2. BIt means the stoma is failing and needs surgery
  3. CIt is normal, as the conduit is made from small bowel
  4. DIt is a sign of a kidney stone and must be reported today
6.Medium

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. BPush the guidewire back in to clear it
  3. CFlush gently with warm water in a 50 mL enteral syringe
  4. DUse a small 5 mL syringe with firm pressure
7.Hard

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

  1. AA stomach ulcer; give an antacid after meals only
  2. BRadiation oesophagitis; analgesia, soft food and nutrition support
  3. CNormal ageing; no action needed
  4. DA heart attack; give aspirin and arrange an ECG
8.Hard

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

  1. AScrub the area with soap to prevent infection
  2. BApply adhesive tape directly over the area to protect it from clothing
  3. CReport it, keep it clean and use a non-adherent dressing
  4. DUse a heat pad to speed healing

Answer key

  1. 1. B · Low molecular weight heparins
  2. 2. A · Treatment after surgery to reduce the risk of recurrence
  3. 3. C · It is spread mainly through blood, and there is no vaccine
  4. 4. C · Daily weight and abdominal girth
  5. 5. C · It is normal, as the conduit is made from small bowel
  6. 6. C · Flush gently with warm water in a 50 mL enteral syringe
  7. 7. B · Radiation oesophagitis; analgesia, soft food and nutrition support
  8. 8. C · Report it, keep it clean and use a non-adherent dressing

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