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 heart rhythm greatly increases the risk of an embolic stroke?

  1. ASinus bradycardia
  2. BAtrial fibrillation
  3. CFirst-degree heart block
  4. DSinus arrhythmia
2.Easy

Post-streptococcal glomerulonephritis typically follows which event?

  1. AA throat or skin infection a few weeks earlier
  2. BA kidney stone passed the week before
  3. CA long course of antibiotics for pneumonia
  4. DAn episode of bloody diarrhoea from food poisoning
3.Easy

Which description fits a cluster headache?

  1. AA mild band-like ache across both sides of the head
  2. BA throbbing headache on both sides after drinking coffee
  3. CSevere one-sided pain around the eye with a watery eye
  4. DA slowly worsening headache over months with vomiting in the morning
4.Medium

Which statement about hyperosmolar hyperglycaemic state (HHS) is correct?

  1. AIt always causes high blood ketones and a severe metabolic acidosis
  2. BIt mainly affects older people with type 2 diabetes, over days
  3. CIt is seen mainly in young children with type 1 diabetes
  4. DIt develops within minutes and is less dangerous than DKA
5.Medium

Why is propranolol given to a patient with hyperthyroidism?

  1. ATo ease tremor and palpitations while other treatment starts
  2. BTo replace the hormone lost from the thyroid gland
  3. CTo stop the thyroid gland from making any more hormones
  4. DTo destroy overactive thyroid tissue over a few weeks
6.Medium

A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?

  1. AAllopurinol and making the urine less acidic
  2. BCalcium tablets and a low-fluid diet
  3. CRestricting fluids in the evening only
  4. DVitamin C supplements and a high-meat diet
7.Hard

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

  1. AGive another insulin dose because the meal was lost
  2. BIgnore it, because vomiting raises blood glucose
  3. CMonitor glucose closely and tell the prescriber about the hypo risk
  4. DGive the evening long-acting insulin early to balance it
8.Hard

A patient on a variable rate IV insulin infusion is nil by mouth. Why is a glucose-containing IV fluid usually given alongside it?

  1. ATo prevent hypoglycaemia while insulin is running
  2. BTo replace the potassium lost from the cells
  3. CTo stop the insulin sticking to the IV tubing
  4. DTo speed up the action of the insulin in the muscles

Answer key

  1. 1. B · Atrial fibrillation
  2. 2. A · A throat or skin infection a few weeks earlier
  3. 3. C · Severe one-sided pain around the eye with a watery eye
  4. 4. B · It mainly affects older people with type 2 diabetes, over days
  5. 5. A · To ease tremor and palpitations while other treatment starts
  6. 6. A · Allopurinol and making the urine less acidic
  7. 7. C · Monitor glucose closely and tell the prescriber about the hypo risk
  8. 8. A · To prevent hypoglycaemia while insulin is running

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