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 must a CT scan of the head be done before thrombolysis for a stroke?

  1. ATo measure how long ago the symptoms started
  2. BTo check whether the patient has had a stroke before
  3. CTo see whether the patient also has a skull fracture
  4. DTo exclude bleeding, which thrombolysis would worsen
2.Easy

Which ECG change is typical of hyperkalaemia?

  1. AA shortened PR interval
  2. BTall, peaked T waves
  3. CProminent U waves
  4. DFlattened T waves
3.Easy

Which hormones does the adrenal medulla release?

  1. AInsulin and glucagon
  2. BThyroxine and calcitonin
  3. CCortisol and aldosterone
  4. DAdrenaline and noradrenaline
4.Medium

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

  1. ADehydration from drinking too little
  2. BLiver toxicity from valproate
  3. CA normal adjustment reaction to the drug
  4. DA sign that the dose is too low
5.Medium

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

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

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

  1. AMild pain at the incision site
  2. BA blood pressure slightly above the baseline
  3. CA small amount of dried blood on the dressing
  4. DAn expanding neck swelling with noisy breathing
7.Hard

Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?

  1. AThe diabetes has been cured, so insulin can stop
  2. BThe insulin has gone off and should be replaced
  3. CThe patient actually has type 2 diabetes
  4. DA honeymoon phase, but insulin is still needed
8.Hard

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

  1. AA urinary infection, treated with oral antibiotics only
  2. BA kidney stone, treated with strong pain relief
  3. CAKI from rhabdomyolysis, treated with generous IV fluids
  4. DHypothermia, treated with a fluid restriction

Answer key

  1. 1. D · To exclude bleeding, which thrombolysis would worsen
  2. 2. B · Tall, peaked T waves
  3. 3. D · Adrenaline and noradrenaline
  4. 4. B · Liver toxicity from valproate
  5. 5. A · Use glasses and hearing aids and reorient the patient often
  6. 6. D · An expanding neck swelling with noisy breathing
  7. 7. D · A honeymoon phase, but insulin is still needed
  8. 8. C · AKI from rhabdomyolysis, treated with generous IV fluids

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