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

Which side effect is common when starting a GLP-1 receptor agonist such as semaglutide?

  1. ANausea
  2. BA dry cough
  3. CHair growth
  4. DWeight gain
2.Easy

What is a suprapubic catheter?

  1. AA catheter put into the bladder through the abdomen
  2. BA tube placed into the kidney through the back
  3. CA catheter passed into the bladder through the urethra
  4. DA small catheter used only once and then removed
3.Easy

How should levothyroxine usually be taken?

  1. AOn an empty stomach, 30–60 minutes before breakfast
  2. BWith a large breakfast that includes milk and coffee
  3. CAt bedtime, together with a calcium or iron tablet
  4. DOnly on the days when the patient feels tired
4.Medium

Which signs suggest rejection of a kidney transplant?

  1. ALess urine, a rising creatinine and a tender graft
  2. BMore urine, a falling creatinine and weight loss
  3. CA cough, wheeze and a runny nose with sneezing
  4. DA rash on the face after sun exposure
5.Medium

Which nursing care is most important for a patient with diabetes insipidus?

  1. AGiving a loop diuretic to clear extra fluid
  2. BWeighing the patient once a month
  3. CA strict fluid restriction to reduce the amount of urine passed
  4. DStrict fluid balance, daily weight and free access to water
6.Medium

A patient wakes up with stroke symptoms. They went to bed well at 23:00 and woke at 06:30. Which time is used as the time of onset?

  1. A06:30, when the symptoms were first noticed
  2. BThe time of arrival at the hospital
  3. C23:00, when they were last known to be well
  4. DThe time the CT scan was performed
7.Hard

A patient with suspected stroke arrives two hours after onset. The capillary glucose is 2.4 mmol/L (43 mg/dL). What should happen next?

  1. AIgnore the glucose, as it is not relevant to stroke assessment
  2. BTreat the low glucose and reassess the neurological signs
  3. CGive thrombolysis at once without further checks
  4. DGive IV insulin to protect the brain cells
8.Hard

A patient with AKI has a low urine sodium and concentrated urine. What does this suggest?

  1. AA pre-renal cause, with kidneys holding salt and water
  2. BA post-renal blockage, with urine backed up
  3. CDiabetes insipidus, with too little ADH
  4. DAcute tubular necrosis, with damaged and leaking tubules

Answer key

  1. 1. A · Nausea
  2. 2. A · A catheter put into the bladder through the abdomen
  3. 3. A · On an empty stomach, 30–60 minutes before breakfast
  4. 4. A · Less urine, a rising creatinine and a tender graft
  5. 5. D · Strict fluid balance, daily weight and free access to water
  6. 6. C · 23:00, when they were last known to be well
  7. 7. B · Treat the low glucose and reassess the neurological signs
  8. 8. A · A pre-renal cause, with kidneys holding salt and water

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