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

Which blood glucose level is commonly used to define hypoglycaemia in a person with diabetes?

1. ABelow 4.0 mmol/L (about 70 mg/dL)
2. BBelow 10 mmol/L (about 180 mg/dL)
3. CBelow 1.0 mmol/L (about 18 mg/dL)
4. DBelow 7.0 mmol/L (about 126 mg/dL)

Which picture is typical of Guillain–Barré syndrome?

1. AA resting tremor that slowly spreads to the other hand
2. BMuscle weakness that worsens late in the day and improves with rest
3. CA sudden one-sided facial droop with slurred speech
4. DRising weakness from the legs, weeks after an infection

In dialysis care, what does "dry weight" mean?

1. AThe weight without excess fluid in the body
2. BThe weight after the patient has drunk nothing for a day
3. CThe weight measured with an empty bladder
4. DThe weight of the patient's clothes

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

1. ADrink it with each dose to improve the absorption
2. BDrink it daily to protect the kidney
3. CAvoid it, because it can raise the drug levels
4. DIt has no effect on these drugs

Which group of problems is typical of primary hyperparathyroidism?

1. AMuscle cramps, tingling lips and seizures
2. BKidney stones, bone pain, abdominal pain and low mood
3. CHeat intolerance, tremor, weight loss and diarrhoea
4. DHair loss, weight gain and feeling cold

A patient with myasthenia gravis wants to plan a busy day. Which advice fits the disease?

1. AExercise to exhaustion so the muscles get stronger quickly
2. BAvoid rest periods, because rest makes the weakness worse
3. CDo demanding tasks in the morning or when the drug works best
4. DDo the hardest tasks in the evening when muscles are warmed up

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

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

A patient on IV gentamicin has a rising creatinine and a high trough level. What should the nurse do?

1. AGive the next dose early to clear the infection quickly
2. BStop measuring the drug levels
3. CEncourage more fluids and give the dose as planned
4. DHold the next dose and inform the prescriber