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 nutrient is especially important for wound healing?

  1. AProtein
  2. BAlcohol
  3. CCaffeine
  4. DSalt
2.Easy

Which bowel sounds are typical early in a mechanical small bowel obstruction?

  1. AHigh-pitched, tinkling sounds
  2. BQuiet, normal gurgling sounds
  3. CA pleural friction rub
  4. DCompletely absent sounds from the start
3.Easy

Why is a nasogastric tube often inserted in bowel obstruction?

  1. ATo give laxatives to clear the obstruction
  2. BTo give a high-fibre feed past the blockage directly
  3. CTo measure the pressure inside the bowel
  4. DTo decompress the stomach and reduce vomiting
4.Medium

Which infection control measure is correct for a patient with C. difficile diarrhoea?

  1. AA single room with its own toilet, and soap-and-water handwashing
  2. BNo special measures once antibiotics have started
  3. CA face mask for the patient and visitors only
  4. DA shared bay, as long as alcohol gel is used after every contact
5.Medium

Which signs suggest severe acute pancreatitis with bleeding into the tissues?

  1. AA purple rash on the palms and soles
  2. BSwelling of the lips, tongue and face
  3. CBruising around the umbilicus or flanks
  4. DYellow discolouration of the fingernails
6.Medium

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

  1. AOnly clear fluids for several weeks
  2. BNo food at all until the confusion settles
  3. CNormal protein and enough calories, with a late-evening snack
  4. DA very low-protein diet for the rest of their life to lower ammonia
7.Hard

Ten days after chemotherapy, a patient has a temperature of 37.6 °C but feels shivery and unwell, with a pulse of 112/min and BP 95/60 mmHg. What is the correct action?

  1. AWait for the neutrophil count before deciding on any treatment
  2. BReassure the patient, because the temperature is still below 38 °C
  3. CGive paracetamol and recheck the temperature again in four hours
  4. DTreat as possible neutropenic sepsis: IV antibiotics within an hour
8.Hard

A patient with gallstones has a temperature of 39 °C with rigors, jaundice and right upper abdominal pain. What should the nurse suspect?

  1. ASimple biliary colic
  2. BAcute hepatitis A
  3. CAscending cholangitis
  4. DUncomplicated reflux

Answer key

  1. 1. A · Protein
  2. 2. A · High-pitched, tinkling sounds
  3. 3. D · To decompress the stomach and reduce vomiting
  4. 4. A · A single room with its own toilet, and soap-and-water handwashing
  5. 5. C · Bruising around the umbilicus or flanks
  6. 6. C · Normal protein and enough calories, with a late-evening snack
  7. 7. D · Treat as possible neutropenic sepsis: IV antibiotics within an hour
  8. 8. C · Ascending cholangitis

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