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

Which side effect of metformin is most common?

  1. ANausea and diarrhoea
  2. BGum overgrowth and a rash
  3. CWeight gain and oedema
  4. DA dry cough at night
2.Easy

Why is dexamethasone often given to patients with a brain tumour?

  1. ATo kill the tumour cells directly
  2. BTo raise the blood pressure
  3. CTo reduce swelling around the tumour
  4. DTo prevent infection after a biopsy
3.Easy

What is overflow incontinence?

  1. AWetting caused by not being able to undress quickly
  2. BLeaking after a sudden strong urge
  3. CDribbling from a bladder that does not empty properly
  4. DLeaking when sneezing or jumping
4.Medium

A patient has a homonymous hemianopia after a stroke. How should the nurse help at first?

  1. ACover the eye on the affected side with a patch
  2. BApproach from the seeing side and teach head-turning to scan
  3. CPut the call bell and drinks on the side without vision, to train it
  4. DKeep the room dark to reduce visual stimulation
5.Medium

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

  1. AIt has no effect on these drugs
  2. BDrink it with each dose to improve the absorption
  3. CDrink it daily to protect the kidney
  4. DAvoid it, because it can raise the drug levels
6.Medium

Why is all urine strained in a patient with suspected kidney stones?

  1. ATo measure the urine volume more accurately
  2. BTo remove blood clots before testing
  3. CTo stop the stone from blocking the toilet
  4. DTo catch the stone so it can be analysed
7.Hard

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

  1. AA stable angina attack, which needs only a nitrate spray and rest
  2. BA rib fracture from coughing
  3. CIndigestion from phosphate binders
  4. DUraemic pericarditis, which usually needs urgent dialysis
8.Hard

On the first day after a kidney transplant, urine output suddenly falls from 200 mL/h to 10 mL/h. What should the nurse check first?

  1. AThe patient's temperature and pulse
  2. BWhether the patient has eaten
  3. CThe patient's blood glucose level
  4. DThat the catheter is not blocked or kinked

Answer key

  1. 1. A · Nausea and diarrhoea
  2. 2. C · To reduce swelling around the tumour
  3. 3. C · Dribbling from a bladder that does not empty properly
  4. 4. B · Approach from the seeing side and teach head-turning to scan
  5. 5. D · Avoid it, because it can raise the drug levels
  6. 6. D · To catch the stone so it can be analysed
  7. 7. D · Uraemic pericarditis, which usually needs urgent dialysis
  8. 8. D · That the catheter is not blocked or kinked

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