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

What is the key difference between a benign and a malignant tumour?

1. AA benign tumour always spreads to the lymph nodes
2. BA malignant tumour never needs any treatment
3. CA malignant tumour invades nearby tissue and can spread
4. DA benign tumour always grows faster than a malignant one

Which is a main benefit of early mobilisation after surgery?

1. AFaster absorption of the anaesthetic gas
2. BLower risk of chest infection and blood clots
3. CLess need to check the wound at all
4. DIt prevents all postoperative pain

What is enhanced recovery after surgery (ERAS)?

1. AA surgical technique that avoids the need for any anaesthesia at all
2. BA rule that patients must stay in bed for three days
3. CA method of giving all medicines through the veins
4. DA care pathway that helps patients recover faster after surgery

Which statement about moist wound healing is correct?

1. AWounds should be soaked in water for hours every day
2. BWounds heal fastest when left to dry out and form a scab
3. CA wet wound bed always prevents infection
4. DA moist, not wet, wound bed helps cells move and heal faster

What is anticipatory nausea in chemotherapy?

1. ANausea caused by low blood glucose
2. BNausea that starts about a week after each cycle and lasts for days
3. CNausea triggered by reminders of treatment before it is given
4. DNausea caused only by the smell of food

For how long are special precautions often taken with body fluids after many chemotherapy drugs?

1. AFor a whole year
2. BCommonly about 48 hours
3. COnly during the infusion
4. DThey are never needed

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

1. ACardiac tamponade from a pericardial effusion
2. BSuperior vena cava obstruction from the tumour
3. CA side effect of anti-sickness drugs
4. DHypercalcaemia of malignancy from bone metastases

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHypernatraemia from too much salt
2. BNormal confusion after any anaesthetic
3. CHypoglycaemia from the glucose
4. DHyponatraemia from hypotonic fluids