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 urge incontinence?

  1. ADribbling because the bladder never empties
  2. BLeaking only when laughing, coughing or lifting heavy objects
  3. CA sudden, strong need to pass urine, followed by leaking
  4. DLeaking because the toilet is too far away
2.Easy

Which equipment should be ready at the bedside of a patient on seizure precautions?

  1. AWrist restraints to stop the limbs jerking
  2. BWorking suction and oxygen
  3. CA tongue depressor to place between the teeth
  4. DA urinary catheter in case of incontinence
3.Easy

What does a complete spinal cord injury mean?

  1. AThe spinal cord has been cut into two separate pieces
  2. BThe patient can move but cannot feel below the injury
  3. CNo movement or feeling below the injury, even in the sacral area
  4. DAll vertebrae in the neck are broken
4.Medium

An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?

  1. ANo antibiotics, as long as there are no symptoms
  2. BRemove the catheter permanently at once
  3. CA full course of antibiotics straight away
  4. DAntibiotics for life to keep the urine sterile
5.Medium

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

  1. AA sign that the dose is too low
  2. BA normal adjustment reaction to the drug
  3. CDehydration from drinking too little
  4. DLiver toxicity from valproate
6.Medium

Which electrolyte pattern is typical of Addison's disease?

  1. AHigh sodium and low potassium
  2. BLow potassium and low glucose
  3. CLow sodium and high potassium
  4. DHigh calcium and low phosphate
7.Hard

Which of these patients with acute ischaemic stroke is least likely to be eligible for IV thrombolysis?

  1. AA patient who had major abdominal surgery five days ago
  2. BA patient whose blood pressure is 170/95 mmHg
  3. CA patient whose CT scan shows no sign of any intracranial bleeding
  4. DA patient whose symptoms began 90 minutes ago
8.Hard

After a total thyroidectomy, a patient becomes anxious with stridor and a tense swelling in the neck. What should the nurse do first?

  1. AGive analgesia and reassess the swelling again in an hour
  2. BAsk the patient to talk as much as possible to test the voice
  3. CCall for emergency help: a haematoma may compress the airway
  4. DApply an ice pack to the neck and lie the patient flat

Answer key

  1. 1. C · A sudden, strong need to pass urine, followed by leaking
  2. 2. B · Working suction and oxygen
  3. 3. C · No movement or feeling below the injury, even in the sacral area
  4. 4. A · No antibiotics, as long as there are no symptoms
  5. 5. D · Liver toxicity from valproate
  6. 6. C · Low sodium and high potassium
  7. 7. A · A patient who had major abdominal surgery five days ago
  8. 8. C · Call for emergency help: a haematoma may compress the airway

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