Med-surg: neuro, endocrine & renal worksheet with answers

Free printable Med-surg: neuro, endocrine & renal 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

A patient has a stroke affecting the left side of the brain. Where is weakness most likely to appear?

  1. AIn the left side of the face only
  2. BOn the right side of the body
  3. COn the left side of the body
  4. DIn both legs but not the arms
2.Easy

Which side effect is linked to SGLT2 inhibitors such as dapagliflozin?

  1. AOrange urine
  2. BHair loss
  3. CGenital fungal infections
  4. DOvergrowth of the gums
3.Easy

Which feature best distinguishes delirium from dementia?

  1. AGetting lost in places that were familiar
  2. BA sudden onset with attention that comes and goes
  3. CDifficulty finding the right words
  4. DMemory problems in a person over the age of 75
4.Medium

Why must potassium be monitored closely when IV insulin is given for DKA?

  1. AInsulin breaks down potassium in the bloodstream
  2. BInsulin moves potassium into cells, so the level can fall quickly
  3. CInsulin has no effect on potassium in DKA
  4. DInsulin makes the kidneys retain potassium, so the level will rise
5.Medium

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

  1. A4, withdraws from pain
  2. B3, abnormal flexion
  3. C6, obeys commands
  4. D5, localises to pain
6.Medium

Why is once-daily prednisolone usually taken in the morning with food?

  1. ATo match the natural cortisol rhythm and protect the stomach
  2. BBecause it cannot be absorbed at night
  3. CBecause it causes drowsiness and is safer to take during the day
  4. DBecause food doubles the strength of the dose
7.Hard

The nurse has four renal patients. Which one needs to be seen first?

  1. AA patient with CKD asking about their phosphate binder
  2. BA patient with a potassium of 6.8 mmol/L who reports palpitations
  3. CA patient with a creatinine slightly above their usual level
  4. DA patient with mild itching from uraemia who wants a cream
8.Hard

The nurse has four neurology patients. Which one needs to be seen first?

  1. AA patient with a headache after a lumbar puncture this morning
  2. BA patient with Guillain–Barré syndrome whose vital capacity is falling
  3. CA patient with Parkinson's disease whose next dose is due in one hour
  4. DA patient with multiple sclerosis who is tired after physiotherapy

Answer key

  1. 1. B · On the right side of the body
  2. 2. C · Genital fungal infections
  3. 3. B · A sudden onset with attention that comes and goes
  4. 4. B · Insulin moves potassium into cells, so the level can fall quickly
  5. 5. D · 5, localises to pain
  6. 6. A · To match the natural cortisol rhythm and protect the stomach
  7. 7. B · A patient with a potassium of 6.8 mmol/L who reports palpitations
  8. 8. B · A patient with Guillain–Barré syndrome whose vital capacity is falling

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