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

How is parenteral nutrition given?

1. ABy mouth as a thick supplement drink
2. BInto a vein, usually through a central line
3. CThrough a nasogastric tube into the stomach
4. DInto the muscle of the thigh

Which investigation is usually used to find and treat the source of an upper GI bleed?

1. AColonoscopy of the bowel
2. BUpper GI endoscopy
3. CBarium swallow study
4. DPlain abdominal X-ray

What is the purpose of the WHO Surgical Safety Checklist?

1. ATo list the training and experience of the surgeon
2. BTo record what the patient would like to eat and drink after surgery
3. CTo replace informed consent for planned operations
4. DTo ensure key safety checks happen before, during and after surgery

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat the patient's blood glucose is above normal
2. BThat bowel sounds are present in all four quadrants
3. CThat swallowing and the gag reflex have returned
4. DThat the patient has passed urine since the procedure

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

1. AOnly during the infusion
2. BFor a whole year
3. CThey are never needed
4. DCommonly about 48 hours

Which practice is correct when giving parenteral nutrition through a central line?

1. ADisconnect and reconnect the line without cleaning the hub
2. BLet the bag hang at room temperature for several days
3. CUse a dedicated lumen and strict aseptic technique
4. DGive other IV drugs through the same lumen to save time

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

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

On day 2 after upper abdominal surgery, a patient has a temperature of 37.8 °C, SpO₂ 93% on air and reduced breath sounds at both bases. They have not used their incentive spirometer because of pain. What is the most appropriate nursing plan?

1. AKeep the patient in bed and restrict movement until the fever settles
2. BStop all analgesia so that the patient can cough more strongly
3. CBetter pain control, sitting up, deep breathing, mobilising and reporting
4. DGive oxygen at 15 L/min and leave the patient to rest quietly