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

In primary hypothyroidism, what is the usual TSH result?

1. AUndetectable
2. BHigh
3. CLow
4. DNormal

Which features are typical of Addison's disease (primary adrenal insufficiency)?

1. AHeat intolerance, tremor and bulging eyes
2. BHigh blood sodium and low blood potassium
3. CWeight gain, high blood pressure and purple stretch marks
4. DFatigue, weight loss, low blood pressure and dark skin

Which hourly urine output is usually taken as the minimum acceptable for an adult?

1. AAbout 10 mL/kg per hour
2. BAbout 0.05 mL/kg per hour
3. CAbout 5 mL/kg per hour
4. DAbout 0.5 mL/kg per hour

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. AIV thrombolysis within 4.5 hours
2. BStarting aspirin to prevent further clots
3. CDoubling the warfarin dose to stabilise the INR
4. DUrgent reversal of the anticoagulant effect

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AShe should take both at the same time so they are absorbed together
2. BThe pill makes carbamazepine toxic, so she must stop the pill
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DThere is no interaction between these two medicines

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AKeep the lights on all night so the patient can see clearly
2. BRestrain the patient so that they do not wander off the ward
3. CMove the patient to a different room each day for variety
4. DUse glasses and hearing aids and reorient the patient often

A patient with CKD has a haemoglobin of 92 g/L and starts an erythropoiesis-stimulating agent (ESA). What should the nurse monitor?

1. ALiver enzymes, because ESAs are toxic to the liver
2. BBlood glucose, because ESAs often cause hypoglycaemia
3. CBlood pressure and haemoglobin, as overshoot raises clot risk
4. DHearing, because ESAs can damage the inner ear

A patient with Guillain–Barré syndrome has a blood pressure that swings between 80/50 and 190/100 mmHg and a heart rate that changes suddenly. What does this suggest?

1. AA faulty blood pressure cuff that should be replaced and the readings ignored
2. BA drug reaction that means all medicines must stop
3. CAnxiety that will settle with reassurance alone
4. DAutonomic dysfunction, which needs continuous cardiac monitoring