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 mineral is needed to make thyroid hormones?

  1. AIodine
  2. BIron
  3. CZinc
  4. DCalcium
2.Easy

Why do many patients with chronic kidney disease develop anaemia?

  1. AThe kidneys break down red blood cells
  2. BDialysis removes iron from the blood
  3. CThe kidneys make less erythropoietin
  4. DBlood is lost in the urine every day
3.Easy

What is overflow incontinence?

  1. ALeaking after a sudden strong urge
  2. BDribbling from a bladder that does not empty properly
  3. CLeaking when sneezing or jumping
  4. DWetting caused by not being able to undress quickly
4.Medium

A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?

  1. ASerum amylase
  2. BVitamin B12 level
  3. CThyroid antibodies
  4. DBlood alcohol level
5.Medium

Which nursing care is most important for a patient with diabetes insipidus?

  1. AGiving a loop diuretic to clear extra fluid
  2. BWeighing the patient once a month
  3. CA strict fluid restriction to reduce the amount of urine passed
  4. DStrict fluid balance, daily weight and free access to water
6.Medium

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

  1. ASubarachnoid haemorrhage from an aneurysm
  2. BNormal ageing with mild memory loss
  3. CChronic subdural haematoma
  4. DAcute extradural haematoma
7.Hard

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

  1. AA patient with Parkinson's disease whose next dose is due in one hour
  2. BA patient with Guillain–Barré syndrome whose vital capacity is falling
  3. CA patient with a headache after a lumbar puncture this morning
  4. DA patient with multiple sclerosis who is tired after physiotherapy
8.Hard

A patient had a left-arm AV fistula created yesterday and needs routine bloods. Which instruction is most important?

  1. AUse a tight tourniquet on the left arm to find a good vein
  2. BTake blood from the fistula, as it is easy to find and large
  3. CWrap the left arm tightly in a bandage to protect the fistula
  4. DUse the right arm; check the left hand's circulation and thrill

Answer key

  1. 1. A · Iodine
  2. 2. C · The kidneys make less erythropoietin
  3. 3. B · Dribbling from a bladder that does not empty properly
  4. 4. B · Vitamin B12 level
  5. 5. D · Strict fluid balance, daily weight and free access to water
  6. 6. C · Chronic subdural haematoma
  7. 7. B · A patient with Guillain–Barré syndrome whose vital capacity is falling
  8. 8. D · Use the right arm; check the left hand's circulation and thrill

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