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

Which eGFR defines stage 5 chronic kidney disease (kidney failure)?

  1. ABelow 15 mL/min/1.73 m²
  2. BBelow 60 mL/min/1.73 m²
  3. CBelow 90 mL/min/1.73 m²
  4. DBelow 120 mL/min/1.73 m²
3.Easy

Which spinal cord injury level is most likely to stop the diaphragm from working?

  1. AA complete injury at C3 or above
  2. BA complete injury at L3 or below
  3. CA complete injury at T10 or below
  4. DA complete injury at S2 or below
4.Medium

A man starts finasteride for an enlarged prostate. Which statement is correct?

  1. AIt works within hours by relaxing the bladder muscle
  2. BIt lowers the blood pressure, so dizziness is very common
  3. CIt takes months to work; pregnant women must not handle broken tablets
  4. DIt is used only for a few days at a time
5.Medium

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

  1. AGood hydration around the scan, often with IV fluids
  2. BRestricting all fluids for 24 hours before the scan
  3. CDoubling the dose of contrast for a clearer image
  4. DGiving a dose of ibuprofen before the scan
6.Medium

Before a haemodialysis catheter is used, why is the lock solution withdrawn from each lumen?

  1. AIt contains the patient's urine
  2. BIt contains air that keeps the line open
  3. CIt contains concentrated anticoagulant
  4. DIt contains a strong antibiotic that must be kept
7.Hard

A patient with a known ureteric stone develops a fever of 39 °C (102.2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?

  1. AStrong pain relief alone, then discharge
  2. BA fluid restriction to reduce the swelling
  3. COral antibiotics and waiting for the stone to pass
  4. DUrgent drainage of the kidney plus IV antibiotics
8.Hard

A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?

  1. AHaloperidol
  2. BParacetamol (acetaminophen)
  3. CMelatonin
  4. DLactulose

Answer key

  1. 1. A · To exclude bleeding, which thrombolysis would worsen
  2. 2. A · Below 15 mL/min/1.73 m²
  3. 3. A · A complete injury at C3 or above
  4. 4. C · It takes months to work; pregnant women must not handle broken tablets
  5. 5. A · Good hydration around the scan, often with IV fluids
  6. 6. C · It contains concentrated anticoagulant
  7. 7. D · Urgent drainage of the kidney plus IV antibiotics
  8. 8. A · Haloperidol

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