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

What is the normal intracranial pressure in a resting adult?

  1. AAbout 40–60 mmHg
  2. BAbout 80–100 mmHg
  3. CAbout 5–15 mmHg
  4. DAbout 20–30 mmHg
2.Easy

After an acute stroke, what must happen before the patient is given food, drink or oral medicines?

  1. AA swallow screen by a trained professional
  2. BA check that bowel sounds are present in all four quadrants
  3. CA chest X-ray to check the lungs
  4. DA full set of blood tests
3.Easy

Why do patients with chronic kidney disease often develop bone disease?

  1. AThe kidneys cannot activate vitamin D or clear phosphate
  2. BPatients usually drink too much milk
  3. CThe kidneys release too much calcium into the bones
  4. DThe bones are attacked by antibodies made in the kidneys
4.Medium

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

  1. AStay in strict isolation in hospital for several months
  2. BLimit close contact with children and pregnant women for a time
  3. CStart breastfeeding again the next day
  4. DThere are no precautions, because the dose is tiny
5.Medium

Which electrolyte pattern is typical of Addison's disease?

  1. ALow sodium and high potassium
  2. BLow potassium and low glucose
  3. CHigh sodium and low potassium
  4. DHigh calcium and low phosphate
6.Medium

How is cerebral perfusion pressure (CPP) calculated?

  1. AMean arterial pressure minus intracranial pressure
  2. BSystolic arterial pressure plus intracranial pressure
  3. CDiastolic pressure minus central venous pressure
  4. DMean arterial pressure divided by heart rate
7.Hard

A patient with a brain tumour on high-dose dexamethasone has a capillary glucose of 16 mmol/L (288 mg/dL). They have no history of diabetes. What is the best explanation?

  1. AA sign that the brain tumour has now spread to the pancreas
  2. BSteroid-induced hyperglycaemia, which needs monitoring and treatment
  3. CNormal for this patient, so no action is needed
  4. DA lab error, because steroids lower blood glucose
8.Hard

Which task for a patient with a urinary catheter can the nurse delegate to a healthcare assistant (nursing assistant)?

  1. AEmptying the drainage bag and recording the volume
  2. BAssessing a patient whose irrigation is not draining
  3. CTeaching self-catheterisation for the first time
  4. DDeciding whether the catheter can be removed

Answer key

  1. 1. C · About 5–15 mmHg
  2. 2. A · A swallow screen by a trained professional
  3. 3. A · The kidneys cannot activate vitamin D or clear phosphate
  4. 4. B · Limit close contact with children and pregnant women for a time
  5. 5. A · Low sodium and high potassium
  6. 6. A · Mean arterial pressure minus intracranial pressure
  7. 7. B · Steroid-induced hyperglycaemia, which needs monitoring and treatment
  8. 8. A · Emptying the drainage bag and recording the volume

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