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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Name: ____________________   Date: ____________

1.Easy

What is the most common type of kidney stone?

  1. ACystine
  2. BStruvite
  3. CUric acid
  4. DCalcium oxalate
2.Easy

Which isolation precautions are used for a patient with suspected meningococcal meningitis?

  1. ADroplet precautions until about 24 hours of effective antibiotics
  2. BAirborne precautions in a negative pressure room for 2 weeks
  3. CNo extra precautions, because it is not infectious
  4. DContact precautions only, with gloves for skin contact
3.Easy

How is the pain of renal colic typically described?

  1. ABurning pain in the chest after meals
  2. BSevere pain that comes in waves from the loin to the groin
  3. CPain in the right lower abdomen that started near the navel
  4. DA dull ache in the lower back after lifting
4.Medium

A patient's fistula starts to bleed at home after the needles were removed. What should they do first?

  1. AWait for the next dialysis session
  2. BPress firmly on the site with clean gauze
  3. CRaise the arm and let it bleed freely
  4. DApply a tight tourniquet above the fistula
5.Medium

After a thyroidectomy, why are suture or clip removers often kept at the bedside?

  1. AThey are needed to take blood from the neck veins
  2. BThey are used to adjust the drain when it stops working
  3. CA neck haematoma can compress the airway and may need release
  4. DThe sutures must be removed on the first evening after surgery
6.Medium

A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?

  1. AAcute pancreatitis
  2. BA simple urinary tract infection
  3. CNormal nausea from the drug
  4. DLow blood glucose
7.Hard

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3.1 mmol/L. What is the priority?

  1. ASuspect failed insulin delivery and give insulin by another route
  2. BIncrease the pump rate and recheck the ketones in 12 hours
  3. CGive an antiemetic only, because nausea is causing the high glucose
  4. DDisconnect the pump and give no insulin until the ketones clear
8.Hard

A patient with long-standing diabetes suddenly has many new floaters and painless loss of vision in one eye. What is most likely, and what is needed?

  1. ADry eyes, needing lubricating drops
  2. BNormal ageing of the lens, needing new glasses
  3. CA migraine aura, needing pain relief
  4. DA bleed into the eye from retinopathy, needing urgent review

Answer key

  1. 1. D · Calcium oxalate
  2. 2. A · Droplet precautions until about 24 hours of effective antibiotics
  3. 3. B · Severe pain that comes in waves from the loin to the groin
  4. 4. B · Press firmly on the site with clean gauze
  5. 5. C · A neck haematoma can compress the airway and may need release
  6. 6. A · Acute pancreatitis
  7. 7. A · Suspect failed insulin delivery and give insulin by another route
  8. 8. D · A bleed into the eye from retinopathy, needing urgent review

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