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

How does haemodialysis remove waste from the blood?

  1. AThe blood is spun so that waste sinks to the bottom
  2. BThe waste is removed through a tube in the bladder
  3. CA filter in the stomach absorbs waste from food
  4. DWaste diffuses across a membrane into a cleaning fluid
2.Easy

Which sign suggests peritonitis in a patient on peritoneal dialysis?

  1. AClear, straw-coloured drained fluid
  2. BSlightly less fluid drained than usual after a dwell
  3. CCloudy drained fluid with abdominal pain
  4. DMild thirst after a long dwell
3.Easy

Why do many patients with chronic kidney disease develop anaemia?

  1. ABlood is lost in the urine every day
  2. BThe kidneys make less erythropoietin
  3. CDialysis removes iron from the blood
  4. DThe kidneys break down red blood cells
4.Medium

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
5.Medium

A patient with severe vomiting and diarrhoea takes ramipril, furosemide and metformin. Which advice is correct?

  1. ADouble the furosemide to prevent fluid retention
  2. BPause these medicines until eating and drinking again
  3. CKeep taking everything as normal and drink less
  4. DAdd ibuprofen to treat the abdominal cramps
6.Medium

A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?

  1. AA diet very high in caffeine for energy
  2. BA strict low-protein diet
  3. CA high-calorie diet with enough protein
  4. DA low-calorie diet to protect the heart
7.Hard

A patient taking lithium has polyuria and thirst, and the urine does not concentrate after desmopressin. What is the most likely cause?

  1. ACranial DI after a head injury
  2. BSIADH caused by lithium
  3. CNephrogenic DI caused by lithium
  4. DNewly developed type 1 diabetes
8.Hard

A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?

  1. AA subarachnoid haemorrhage from a brain aneurysm
  2. BA migraine linked to high blood pressure
  3. CA urinary infection that has spread
  4. DPain spreading upwards from a kidney cyst

Answer key

  1. 1. D · Waste diffuses across a membrane into a cleaning fluid
  2. 2. C · Cloudy drained fluid with abdominal pain
  3. 3. B · The kidneys make less erythropoietin
  4. 4. C · Avoid it, because it can raise the drug levels
  5. 5. B · Pause these medicines until eating and drinking again
  6. 6. C · A high-calorie diet with enough protein
  7. 7. C · Nephrogenic DI caused by lithium
  8. 8. A · A subarachnoid haemorrhage from a brain aneurysm

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