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

What does a faecal immunochemical test (FIT) detect?

1. AParasites and their eggs in the stool
2. BFat in the stool from poor absorption
3. CBacteria that cause food poisoning
4. DHidden human blood in the stool

In TNM staging of cancer, what does "N" describe?

1. AThe nerve damage caused by the tumour
2. BThe new cells formed after treatment
3. CThe number of tumours in the body
4. DSpread to nearby lymph nodes

Which measure helps prevent burn scar contractures?

1. AApplying ice packs to the scar every day
2. BAvoiding all movement until the wound has healed
3. CKeeping the joint bent in the most comfortable position
4. DPositioning, splinting and regular stretching exercises

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. ARegular gentle walking
2. BA high fluid intake
3. CA low-salt diet
4. DConstipation

Which statement about fatigue during radiotherapy is correct?

1. AIt means the radiotherapy has failed
2. BIt occurs only after the first session and then disappears completely
3. CIt often builds during the course and can last for weeks
4. DIt is caused by the patient becoming radioactive

Why is the time a surgical limb tourniquet is inflated carefully recorded?

1. AThe tourniquet slowly loses all its air after one minute
2. BLong inflation can cause nerve and muscle damage
3. CThe surgeon is paid per minute of use
4. DIt shows how long the anaesthetic gas was used

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

1. AHaemorrhoids caused by diarrhoea
2. BToxic megacolon
3. CThe flare is getting better
4. DSimple constipation from low intake

A patient with a high-voltage electrical injury has small entry and exit wounds. Why is close monitoring needed?

1. ASmall skin wounds show that the internal injury must also be minor
2. BThe only real risk is a minor infection of the skin wounds
3. CElectrical injuries never cause damage beneath the skin surface
4. DHidden muscle damage: arrhythmias, rhabdomyolysis, kidney injury