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 action must be avoided on the arm with a haemodialysis fistula?

  1. AWashing it with soap and water
  2. BBlood pressure cuffs or blood samples
  3. CFeeling gently over the fistula for the thrill
  4. DMoving the arm in a normal way
2.Easy

What does aldosterone do?

  1. AMakes the kidneys keep sodium and lose potassium
  2. BRaises the blood glucose between meals
  3. CLowers the blood calcium after meals
  4. DMakes the kidneys lose sodium and keep potassium
3.Easy

What is urge incontinence?

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

Which signs suggest rejection of a kidney transplant?

  1. AA rash on the face after sun exposure
  2. BA cough, wheeze and a runny nose with sneezing
  3. CLess urine, a rising creatinine and a tender graft
  4. DMore urine, a falling creatinine and weight loss
5.Medium

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

  1. ANormal progress of migraine
  2. BAn allergy to the painkillers
  3. CA brain tumour, which is almost certain
  4. DMedication overuse headache
6.Medium

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

  1. ADrink coffee in the evening to stay alert
  2. BKeep regular sleep and take every dose on time
  3. CAvoid all physical exercise and stay indoors
  4. DSkip a dose on days without any warning signs
7.Hard

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

  1. AStop measuring the drug levels
  2. BHold the next dose and inform the prescriber
  3. CEncourage more fluids and give the dose as planned
  4. DGive the next dose early to clear the infection quickly
8.Hard

A patient with suspected meningitis has a GCS of 9 and pupils that have become unequal. A doctor plans an immediate lumbar puncture. What is the main concern?

  1. AThere is no concern, because the lumbar puncture lowers pressure safely
  2. BThe patient is too confused to stay still, so it is not needed
  3. CRaised pressure in the skull, so the procedure could cause herniation
  4. DA lumbar puncture would spread the infection to the blood

Answer key

  1. 1. B · Blood pressure cuffs or blood samples
  2. 2. A · Makes the kidneys keep sodium and lose potassium
  3. 3. A · A sudden, strong need to pass urine, followed by leaking
  4. 4. C · Less urine, a rising creatinine and a tender graft
  5. 5. D · Medication overuse headache
  6. 6. B · Keep regular sleep and take every dose on time
  7. 7. B · Hold the next dose and inform the prescriber
  8. 8. C · Raised pressure in the skull, so the procedure could cause herniation

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