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 head position is generally used for a patient with raised intracranial pressure?

  1. ALying flat, with the head turned well to one side
  2. BHead raised to about 30°, with the neck straight
  3. CSitting upright, with the neck bent forward
  4. DHead lower than the body (Trendelenburg)
2.Easy

How is the pain of renal colic typically described?

  1. AA dull ache in the lower back after lifting
  2. BBurning pain in the chest after meals
  3. CPain in the right lower abdomen that started near the navel
  4. DSevere pain that comes in waves from the loin to the groin
3.Easy

Which daily foot-care advice is correct for a person with diabetes?

  1. ARemove corns at home with a razor blade
  2. BCheck the feet daily and never walk barefoot
  3. CCheck the feet once a year at the clinic
  4. DSoak the feet in hot water for an hour daily
4.Medium

Which CSF result is most typical of bacterial meningitis?

  1. AClear fluid, many lymphocytes, normal glucose and slightly raised protein
  2. BCloudy fluid, many neutrophils, low glucose and high protein
  3. CClear fluid with normal cells, glucose and protein
  4. DBlood-stained fluid that clears in later tubes
5.Medium

How does the nurse test the facial nerve (VII)?

  1. AShine a light in each eye and check the pupil response
  2. BAsk the patient to stick out the tongue and move it from side to side
  3. CTouch the forehead, cheek and chin with cotton wool
  4. DAsk them to raise the eyebrows, shut the eyes tightly and smile
6.Medium

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

  1. ACalcium
  2. BGlucose
  3. CPotassium
  4. DAmylase
7.Hard

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

  1. AHaloperidol
  2. BLactulose
  3. CParacetamol (acetaminophen)
  4. DMelatonin
8.Hard

A patient with multiple sclerosis has had worse leg weakness for one day, together with a fever and burning on passing urine. What is the most likely explanation?

  1. AA side effect of physiotherapy
  2. BA pseudo-relapse caused by infection
  3. CA true relapse that needs high-dose steroids
  4. DA change to progressive MS

Answer key

  1. 1. B · Head raised to about 30°, with the neck straight
  2. 2. D · Severe pain that comes in waves from the loin to the groin
  3. 3. B · Check the feet daily and never walk barefoot
  4. 4. B · Cloudy fluid, many neutrophils, low glucose and high protein
  5. 5. D · Ask them to raise the eyebrows, shut the eyes tightly and smile
  6. 6. C · Potassium
  7. 7. A · Haloperidol
  8. 8. B · A pseudo-relapse caused by infection

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