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 symptoms are classic for high blood glucose?

  1. AJoint pain, morning stiffness and fever
  2. BShaking, sweating and a racing heart
  3. CPassing a lot of urine, thirst and weight loss
  4. DWeight gain, feeling cold all the time and dry skin
2.Easy

How should levothyroxine usually be taken?

  1. AAt bedtime, together with a calcium or iron tablet
  2. BOn an empty stomach, 30–60 minutes before breakfast
  3. CWith a large breakfast that includes milk and coffee
  4. DOnly on the days when the patient feels tired
3.Easy

Which description best fits type 2 diabetes?

  1. AInsulin resistance with a relative lack of insulin
  2. BToo much insulin released after meals
  3. CAutoimmune destruction of all beta cells in childhood
  4. DA total lack of insulin from birth
4.Medium

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

  1. AGiving a dose of ibuprofen before the scan
  2. BDoubling the dose of contrast for a clearer image
  3. CRestricting all fluids for 24 hours before the scan
  4. DGood hydration around the scan, often with IV fluids
5.Medium

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

  1. ADry mouth, constipation and a fast heart rate
  2. BA persistent dry cough and a raised potassium
  3. CNausea, diarrhoea and a slow heart rate
  4. DWeight gain, high glucose and swollen ankles
6.Medium

A patient with SIADH has a sodium of 126 mmol/L and mild symptoms. Which treatment is usually first-line?

  1. ADesmopressin
  2. BExtra oral water
  3. CIV 5% glucose infusion
  4. DFluid restriction
7.Hard

Which nursing care is important for a patient receiving mannitol for raised intracranial pressure?

  1. AGiving the drug orally with meals to reduce nausea
  2. BClamping the catheter to keep fluid in the body
  3. CStopping the fluid balance chart during treatment
  4. DClose monitoring of urine output, sodium and osmolality
8.Hard

Which medication timing issue is important for patients on haemodialysis?

  1. ANo medicines can be taken on dialysis days
  2. BDialysable drugs may need to be given after the session
  3. CAll medicines must be given just before the session
  4. DDialysis does not remove any medicines

Answer key

  1. 1. C · Passing a lot of urine, thirst and weight loss
  2. 2. B · On an empty stomach, 30–60 minutes before breakfast
  3. 3. A · Insulin resistance with a relative lack of insulin
  4. 4. D · Good hydration around the scan, often with IV fluids
  5. 5. C · Nausea, diarrhoea and a slow heart rate
  6. 6. D · Fluid restriction
  7. 7. D · Close monitoring of urine output, sodium and osmolality
  8. 8. B · Dialysable drugs may need to be given after the session

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