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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

Which breathing pattern is typical of diabetic ketoacidosis?

  1. ASlow, shallow breathing
  2. BRapid, shallow panting with wheeze
  3. CDeep, rapid (Kussmaul) breathing
  4. DCheyne–Stokes breathing
2.Easy

During a seizure, what is the most useful thing to record?

  1. AWhen it started and stopped, and how it looked
  2. BThe patient's blood pressure every minute throughout
  3. CWhen the patient last had something to eat
  4. DThe patient's temperature at the end only
3.Easy

What is the main laboratory finding in SIADH (syndrome of inappropriate ADH secretion)?

  1. ALow serum calcium from kidney losses
  2. BLow serum sodium from water retention
  3. CHigh serum sodium from water loss
  4. DHigh blood glucose from insulin resistance
4.Medium

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. BNormal mucus produced after crying
  3. CA CSF leak from a skull fracture
  4. DA simple cold or a bout of hay fever
5.Medium

Which CSF result is most typical of bacterial meningitis?

  1. AClear fluid with normal cells, glucose and protein
  2. BCloudy fluid, many neutrophils, low glucose and high protein
  3. CBlood-stained fluid that clears in later tubes
  4. DClear fluid, many lymphocytes, normal glucose and slightly raised protein
6.Medium

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

  1. AAll vaccines are completely safe after a transplant
  2. BVaccines will cause the kidney to be rejected
  3. COnly live vaccines are effective after a transplant
  4. DLive vaccines are usually avoided
7.Hard

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

  1. AA normal response to the drug
  2. BThe dose is too high
  3. CThe thyroid has stopped working
  4. DThe dose is too low
8.Hard

A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?

  1. A"I will check food labels for added salt when I go shopping."
  2. B"I will boil my potatoes and throw away the water."
  3. C"I will use a salt substitute instead of ordinary salt."
  4. D"I will keep bananas and dried fruit to a minimum."

Answer key

  1. 1. C · Deep, rapid (Kussmaul) breathing
  2. 2. A · When it started and stopped, and how it looked
  3. 3. B · Low serum sodium from water retention
  4. 4. C · A CSF leak from a skull fracture
  5. 5. B · Cloudy fluid, many neutrophils, low glucose and high protein
  6. 6. D · Live vaccines are usually avoided
  7. 7. B · The dose is too high
  8. 8. C · "I will use a salt substitute instead of ordinary salt."

Full step-by-step solutions: practise this topic on examproblems.com.