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

Which is a common effect of long-term corticosteroid treatment?

1. AThinning of the bones
2. BWeight loss and a slim face
3. CLow blood glucose
4. DA lower risk of infections

Which eGFR defines stage 5 chronic kidney disease (kidney failure)?

1. ABelow 120 mL/min/1.73 m²
2. BBelow 60 mL/min/1.73 m²
3. CBelow 15 mL/min/1.73 m²
4. DBelow 90 mL/min/1.73 m²

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

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

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AThey should take very cold baths to reverse the damage
2. BThis shows that the disease has entered a new progressive stage
3. CHeat can briefly worsen MS symptoms, which settle when they cool down
4. DHot baths cause new areas of damage in the brain

A patient uses a continuous glucose monitor. Which statement is correct?

1. AIt works by giving small doses of insulin automatically
2. BIt reads glucose in fluid under the skin, a little behind blood glucose
3. CIt measures glucose directly in the blood every second of the day
4. DIt makes finger-prick checks unnecessary in every situation

After a head injury, a patient has clear fluid dripping from the nose. What is the main concern?

1. AAn allergic reaction to CT contrast
2. BA simple cold or a bout of hay fever
3. CNormal mucus produced after crying
4. DA CSF leak from a skull fracture

A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?

1. A"I will check that the bath water is not too hot using my elbow."
2. B"I will buy corn plasters from the pharmacy for my corn."
3. C"I will wear socks and shoes that fit well and do not rub."
4. D"I will check my feet every day, using a mirror for the soles."

A patient with a T4 spinal cord injury has a pounding headache, BP 210/110 mmHg, flushed sweaty skin above the injury and a pulse of 50/min. After sitting the patient up, what is the next priority?

1. ALie the patient flat again and raise the legs on pillows
2. BFind and remove the trigger, starting with the bladder
3. CGive a rapid IV fluid bolus to support the circulation
4. DGive a sedative and recheck the blood pressure in an hour