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

Which hormones does the adrenal medulla release?

  1. AThyroxine and calcitonin
  2. BAdrenaline and noradrenaline
  3. CInsulin and glucagon
  4. DCortisol and aldosterone
2.Easy

Which simple test is used to screen the feet of people with diabetes for loss of protective sensation?

  1. AChecking the capillary refill of the fingers
  2. BMeasuring the circumference of the calf
  3. CTouching the sole with a 10 g monofilament
  4. DMeasuring the capillary blood glucose on a toe
3.Easy

What does dysarthria mean?

  1. AUnclear speech caused by weak or poorly coordinated speech muscles
  2. BLoss of the ability to understand spoken or written language
  3. CInability to read or write after a brain injury
  4. DDifficulty swallowing food and drink safely
4.Medium

After IV thrombolysis for stroke, which observations are most important in the first 24 hours?

  1. ABowel sounds and abdominal girth hourly
  2. BHourly peak flow and oxygen saturation
  3. CFrequent neurological checks and BP
  4. DDaily weight and the fluid balance only
5.Medium

Why is propranolol given to a patient with hyperthyroidism?

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

Which blood gas pattern is typical of acute kidney injury?

  1. AHigh pH and low carbon dioxide
  2. BLow pH and low bicarbonate
  3. CHigh pH and high bicarbonate
  4. DLow pH and high carbon dioxide only
7.Hard

Six hours after a catheter is removed, a patient has not passed urine and feels uncomfortable. What should the nurse do?

  1. ATell the patient to drink two litres of water quickly
  2. BPut the catheter back without assessing
  3. CWait until the next morning before checking
  4. DDo a bladder scan to check for retention
8.Hard

After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?

  1. ASuspect a clot in the catheter and follow the protocol
  2. BEncourage the patient to strain to pass the clots
  3. CGive an antispasmodic and recheck in four hours
  4. DTurn off the irrigation and leave the catheter alone

Answer key

  1. 1. B · Adrenaline and noradrenaline
  2. 2. C · Touching the sole with a 10 g monofilament
  3. 3. A · Unclear speech caused by weak or poorly coordinated speech muscles
  4. 4. C · Frequent neurological checks and BP
  5. 5. A · To ease tremor and palpitations while other treatment starts
  6. 6. B · Low pH and low bicarbonate
  7. 7. D · Do a bladder scan to check for retention
  8. 8. A · Suspect a clot in the catheter and follow the protocol

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