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

What is an autograft in burn care?

1. ASkin taken from another part of the patient's own body
2. BSkin taken from a donor who has died
3. CA synthetic dressing made in a laboratory from collagen
4. DSkin taken from a pig or other animal

What is the main purpose of a biopsy when cancer is suspected?

1. ATo confirm the diagnosis by examining tissue
2. BTo give chemotherapy directly into the tumour
3. CTo remove all the cancer at once
4. DTo measure the patient's blood count

Which sign suggests acute cholecystitis?

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

Which bedside assessments are used to follow ascites?

1. ACapillary glucose before each meal
2. BPupil size and reaction twice daily
3. CPeak flow and oxygen saturation
4. DDaily weight and abdominal girth

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

1. AAwake, with a clear airway, stable observations and controlled pain
2. BSystolic BP falling steadily over the last hour, with a rising pulse rate
3. CPain score 9/10 and vomiting repeatedly
4. DStill drowsy and needing a jaw thrust to breathe

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. AOn the left side, to drain the liver
2. BProne, with the head lower than the feet
3. COn the right side, to press on the puncture site
4. DSitting upright, with the legs over the edge of the bed

A patient with lung cancer becomes hypotensive and breathless, with distended neck veins and quiet heart sounds. What should the nurse suspect?

1. AA side effect of anti-sickness drugs
2. BHypercalcaemia of malignancy from bone metastases
3. CCardiac tamponade from a pericardial effusion
4. DSuperior vena cava obstruction from the tumour

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

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