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 mineral is needed to make thyroid hormones?

  1. AIron
  2. BIodine
  3. CZinc
  4. DCalcium
2.Easy

Which symptoms are typical of uraemia in advanced kidney disease?

  1. AHeat intolerance, tremor and weight loss
  2. BSevere flank pain with visible blood in the urine
  3. CItching, nausea, tiredness and poor appetite
  4. DExcess thirst with a very high glucose
3.Easy

What is the main effect of parathyroid hormone (PTH)?

  1. AIt raises blood sodium
  2. BIt lowers blood potassium
  3. CIt lowers blood glucose
  4. DIt raises blood calcium
4.Medium

Which action is part of an effective bowel programme after a spinal cord injury?

  1. AA routine at the same time each day, often after a meal
  2. BRestricting fluids to reduce the volume of stool
  3. CUsing strong laxatives only when the bowel has not opened for a week
  4. DAvoiding fibre to prevent bloating
5.Medium

A patient has hypertension that is hard to control and a persistently low potassium, without taking diuretics. Which condition should be considered?

  1. ACranial diabetes insipidus
  2. BPrimary adrenal insufficiency (Addison's)
  3. CPrimary hypothyroidism
  4. DPrimary hyperaldosteronism (Conn's)
6.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. ALiver toxicity from valproate
  2. BA normal adjustment reaction to the drug
  3. CDehydration from drinking too little
  4. DA sign that the dose is too low
7.Hard

A patient on long-term high-dose prednisolone is three days after bowel surgery. They report only mild abdominal pain, but the heart rate has risen to 115/min and the temperature is 37.4 °C. Why should the nurse be especially concerned?

  1. AThe mild pain shows that the bowel is healing as expected
  2. BSteroids can mask fever, pain and peritonism, hiding complications
  3. CSteroids protect against infection, so sepsis is very unlikely
  4. DSteroids cause tachycardia in all patients, so no action is needed
8.Hard

A patient received IV insulin and glucose for hyperkalaemia an hour ago. What must the nurse monitor over the next few hours?

  1. APupils, for raised intracranial pressure
  2. BUrine colour, for blood in the urine
  3. CSkin, for a drug rash
  4. DCapillary glucose, for hypoglycaemia

Answer key

  1. 1. B · Iodine
  2. 2. C · Itching, nausea, tiredness and poor appetite
  3. 3. D · It raises blood calcium
  4. 4. A · A routine at the same time each day, often after a meal
  5. 5. D · Primary hyperaldosteronism (Conn's)
  6. 6. A · Liver toxicity from valproate
  7. 7. B · Steroids can mask fever, pain and peritonism, hiding complications
  8. 8. D · Capillary glucose, for hypoglycaemia

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