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

How should a patient with a suspected spinal injury be turned?

  1. ALifted by the arms and legs by one person
  2. BAsked to roll over slowly by themselves
  3. CLog-rolled by a team keeping the spine aligned
  4. DTurned at the shoulders first, then at the hips
2.Easy

Which fasting plasma glucose level is used to diagnose diabetes?

  1. A7.0 mmol/L (126 mg/dL) or higher
  2. B4.0 mmol/L (72 mg/dL) or higher
  3. C5.5 mmol/L (99 mg/dL) or higher
  4. D15.0 mmol/L (270 mg/dL) or higher
3.Easy

A patient with an AV fistula says it no longer "buzzes". What should the nurse do?

  1. AApply a tight bandage to restart the flow
  2. BReport it urgently: the fistula may have clotted
  3. CMeasure the blood pressure on that arm to check the flow
  4. DReassure them that this is normal at night
4.Medium

A patient with primary adrenal insufficiency has a fever. What is the usual sick-day advice for steroid replacement?

  1. AKeep the usual dose and avoid drinking extra fluids for now
  2. BIncrease the glucocorticoid dose, often doubling it
  3. CStop the steroid until the fever has settled
  4. DHalve the dose to reduce the side effects
5.Medium

A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?

  1. ADrink only a little to avoid diluting the urine
  2. BDrink plenty of fluid so the urine stays pale
  3. CTake extra vitamin C supplements
  4. DCut all calcium out of the diet
6.Medium

After a kidney biopsy, which observation is most important?

  1. AThe colour of the patient's skin on the face
  2. BSigns of bleeding, such as haematuria and a rising pulse
  3. CThe patient's appetite at the next meal
  4. DThe temperature every four hours only
7.Hard

A patient with nephrotic syndrome suddenly has loin pain, blood in the urine and a rise in creatinine. What is a likely cause?

  1. AToo much dietary protein
  2. BRenal vein thrombosis
  3. CA simple bladder infection
  4. DNormal fluctuation in the disease
8.Hard

A patient in thyroid storm has a temperature of 40 °C (104 °F). Which measure for the fever is usually avoided?

  1. AParacetamol (acetaminophen)
  2. BFanning with cool air
  3. CAspirin
  4. DCooling blankets

Answer key

  1. 1. C · Log-rolled by a team keeping the spine aligned
  2. 2. A · 7.0 mmol/L (126 mg/dL) or higher
  3. 3. B · Report it urgently: the fistula may have clotted
  4. 4. B · Increase the glucocorticoid dose, often doubling it
  5. 5. B · Drink plenty of fluid so the urine stays pale
  6. 6. B · Signs of bleeding, such as haematuria and a rising pulse
  7. 7. B · Renal vein thrombosis
  8. 8. C · Aspirin

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