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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1.Easy

When should pain be reassessed after giving analgesia?

  1. AOnly if the patient asks for more analgesia
  2. BWhen the drug is expected to have taken effect
  3. COnly at the next routine observation round the next day
  4. DNever, as one assessment is enough
2.Easy

On a numerical rating scale for pain, what do 0 and 10 usually mean?

  1. A0 is the worst pain and 10 is no pain at all
  2. B0 is no pain and 10 is the worst pain imaginable
  3. CThe numbers show how many hours the pain has lasted
  4. D0 is mild pain and 10 is moderate pain
3.Easy

Why are pressure garments worn after burns heal?

  1. ATo reduce raised, thick scarring
  2. BTo prevent infection of the healed skin
  3. CTo keep the patient warm in winter
  4. DTo hide the scars from other people
4.Medium

Which statement about multimodal analgesia is correct?

  1. ADrugs with different actions are combined to reduce opioid needs
  2. BIt is a method used only for long-term chronic pain
  3. COnly one analgesic should ever be given at any one time
  4. DSeveral different opioids are combined for a stronger overall effect
5.Medium

Why is thiamine given to patients with alcohol dependence admitted to hospital?

  1. ATo prevent bleeding from varices
  2. BTo treat the cirrhosis directly
  3. CTo prevent Wernicke's encephalopathy
  4. DTo reduce the craving for alcohol
6.Medium

Which food advice reduces the risk of blockage with a new ileostomy?

  1. AEat plenty of nuts and seeds from day one
  2. BChew well, and bring in fibrous foods slowly
  3. CSwallow food quickly without chewing much
  4. DDrink very little fluid to keep the output thick
7.Hard

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

  1. AInform the anaesthetist, as surgery may be delayed
  2. BSay nothing, since toast is a light food
  3. CGive a large drink to wash the food through
  4. DAsk the patient to try to vomit to empty the stomach
8.Hard

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

  1. ATall, peaked T waves on a 12-lead ECG
  2. BFree air under the diaphragm on an erect chest X-ray
  3. CA raised serum lipase three times the upper limit
  4. DFluid levels in the bladder on an ultrasound scan

Answer key

  1. 1. B · When the drug is expected to have taken effect
  2. 2. B · 0 is no pain and 10 is the worst pain imaginable
  3. 3. A · To reduce raised, thick scarring
  4. 4. A · Drugs with different actions are combined to reduce opioid needs
  5. 5. C · To prevent Wernicke's encephalopathy
  6. 6. B · Chew well, and bring in fibrous foods slowly
  7. 7. A · Inform the anaesthetist, as surgery may be delayed
  8. 8. B · Free air under the diaphragm on an erect chest X-ray

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