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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1.Easy

Why is it important to record when a stroke patient was last known to be well?

  1. APatients seen after one hour cannot be admitted to a stroke unit
  2. BThe time decides which side of the brain is affected
  3. CThe time is needed to calculate the patient's GCS score
  4. DTreatments such as thrombolysis depend on the time since onset
2.Easy

What is a common complication after a lumbar puncture?

  1. ALoss of hearing in one ear
  2. BPermanent paralysis of both legs from nerve damage
  3. CA headache that is worse when sitting or standing
  4. DA rapid rise in blood glucose
3.Easy

How is the pain of renal colic typically described?

  1. AA dull ache in the lower back after lifting
  2. BBurning pain in the chest after meals
  3. CSevere pain that comes in waves from the loin to the groin
  4. DPain in the right lower abdomen that started near the navel
4.Medium

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

  1. AThere are no precautions, because the dose is tiny
  2. BLimit close contact with children and pregnant women for a time
  3. CStay in strict isolation in hospital for several months
  4. DStart breastfeeding again the next day
5.Medium

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

  1. AMild pain at the incision site
  2. BAn expanding neck swelling with noisy breathing
  3. CA small amount of dried blood on the dressing
  4. DA blood pressure slightly above the baseline
6.Medium

Which long-term risk should a kidney transplant recipient be taught to reduce with sun protection?

  1. AKidney stones
  2. BGout
  3. CHair loss
  4. DSkin cancer
7.Hard

A patient with renal colic has normal kidney function and no other contraindications. Which drug is usually the first choice for pain?

  1. AOral paracetamol (acetaminophen) alone
  2. BAn NSAID such as diclofenac
  3. CAn oral antihistamine such as cetirizine
  4. DA benzodiazepine such as diazepam
8.Hard

The nurse has four patients with diabetes. Which one needs to be seen first?

  1. AA patient waiting for a routine HbA1c test
  2. BA patient with a glucose of 2.8 mmol/L (50 mg/dL) who is sweaty and confused
  3. CA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
  4. DA newly diagnosed patient asking about which foods to eat

Answer key

  1. 1. D · Treatments such as thrombolysis depend on the time since onset
  2. 2. C · A headache that is worse when sitting or standing
  3. 3. C · Severe pain that comes in waves from the loin to the groin
  4. 4. B · Limit close contact with children and pregnant women for a time
  5. 5. B · An expanding neck swelling with noisy breathing
  6. 6. D · Skin cancer
  7. 7. B · An NSAID such as diclofenac
  8. 8. B · A patient with a glucose of 2.8 mmol/L (50 mg/dL) who is sweaty and confused

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