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 symptom is the classic warning sign of bladder cancer?

  1. ABurning pain on passing urine
  2. BPainless visible blood in the urine
  3. CSevere loin pain that comes in waves
  4. DLeaking urine when coughing
2.Easy

What causes myasthenia gravis?

  1. ALoss of dopamine-producing cells in the midbrain
  2. BDamage to myelin in the brain and spinal cord
  3. CAntibodies against acetylcholine receptors on muscle
  4. DCompression of a nerve root in the lower back
3.Easy

Which gland produces cortisol?

  1. AThe posterior pituitary
  2. BThe thyroid gland
  3. CThe adrenal cortex
  4. DThe adrenal medulla
4.Medium

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

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

Why must Parkinson's medicines be given on time in hospital?

  1. AGiving them on time prevents the disease from getting worse
  2. BLate doses can soon cause stiffness, falls and poor swallowing
  3. CLate doses cause the patient to develop high blood glucose
  4. DLate doses build up in the blood and cause an overdose
6.Medium

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

  1. AAt a full dose from the first day
  2. BAt a low dose, increased slowly
  3. CAs a single large weekly injection
  4. DOnly after the angina has been cured
7.Hard

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

  1. A5% glucose (dextrose, D5W)
  2. B20% human albumin
  3. C3% saline
  4. D8.4% sodium bicarbonate
8.Hard

After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?

  1. ASuspect a clot in the catheter and follow the protocol
  2. BEncourage the patient to strain to pass the clots
  3. CGive an antispasmodic and recheck in four hours
  4. DTurn off the irrigation and leave the catheter alone

Answer key

  1. 1. B · Painless visible blood in the urine
  2. 2. C · Antibodies against acetylcholine receptors on muscle
  3. 3. C · The adrenal cortex
  4. 4. C · No antibiotics, as long as there are no symptoms
  5. 5. B · Late doses can soon cause stiffness, falls and poor swallowing
  6. 6. B · At a low dose, increased slowly
  7. 7. A · 5% glucose (dextrose, D5W)
  8. 8. A · Suspect a clot in the catheter and follow the protocol

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