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 features suggest pyelonephritis rather than simple cystitis?

  1. AFever, rigors and pain in the loin
  2. BUrine that smells slightly stronger
  3. CMild burning on passing urine only
  4. DPassing urine more often at night only
2.Easy

What is the postictal phase?

  1. AThe period of drowsiness and confusion after a seizure
  2. BA seizure that lasts more than five minutes
  3. CThe warning sensation just before a seizure starts
  4. DThe stiffening phase at the start of a tonic-clonic seizure
3.Easy

A patient with Bell's palsy cannot close one eye fully. Which advice is most important?

  1. AUse lubricating eye drops and protect or tape the eye at night
  2. BWear contact lenses to keep the eye moist
  3. CLeave the eye uncovered so air can dry it out
  4. DMassage the closed eyeball firmly several times every day
4.Medium

Why is a patient weighed before and after each haemodialysis session?

  1. ATo check for weight loss caused by malnutrition
  2. BTo see how much fluid was removed and guide the dry weight
  3. CBecause the machine cannot start without a weight
  4. DTo calculate the dose of every medicine for the coming week
5.Medium

A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?

  1. AInsulin resistance
  2. BHypoglycaemia unawareness
  3. CThe dawn phenomenon
  4. DDiabetic ketoacidosis
6.Medium

A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?

  1. AGive large amounts of IV fluid
  2. BCheck the weight once a week
  3. CEncourage a high-salt diet to balance the fluids
  4. DMonitor BP, fluid balance and daily weight
7.Hard

A haemodialysis patient with a tunnelled central venous catheter develops fever and rigors soon after dialysis starts. What should the nurse suspect and do?

  1. ACatheter-related bloodstream infection; stop, take cultures and escalate
  2. BDialysis disequilibrium; speed up dialysis to finish sooner
  3. CNormal reaction to dialysis; continue and give paracetamol only
  4. DAir embolism; tilt the patient head-up and continue
8.Hard

A patient's corrected calcium is 1.7 mmol/L (about 6.8 mg/dL). Which ECG change is most typical?

  1. AST elevation in all leads
  2. BA shortened QT interval
  3. CA prolonged QT interval
  4. DTall, peaked T waves

Answer key

  1. 1. A · Fever, rigors and pain in the loin
  2. 2. A · The period of drowsiness and confusion after a seizure
  3. 3. A · Use lubricating eye drops and protect or tape the eye at night
  4. 4. B · To see how much fluid was removed and guide the dry weight
  5. 5. B · Hypoglycaemia unawareness
  6. 6. D · Monitor BP, fluid balance and daily weight
  7. 7. A · Catheter-related bloodstream infection; stop, take cultures and escalate
  8. 8. C · A prolonged QT interval

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