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 hourly urine output is usually taken as the minimum acceptable for an adult?

  1. AAbout 10 mL/kg per hour
  2. BAbout 0.5 mL/kg per hour
  3. CAbout 5 mL/kg per hour
  4. DAbout 0.05 mL/kg per hour
2.Easy

What is a goitre?

  1. AA tumour of the adrenal gland
  2. BAn overactive parathyroid gland
  3. CAn enlarged thyroid gland
  4. DA swollen lymph node in the armpit
3.Easy

Which symptoms are classic for high blood glucose?

  1. AWeight gain, feeling cold all the time and dry skin
  2. BJoint pain, morning stiffness and fever
  3. CPassing a lot of urine, thirst and weight loss
  4. DShaking, sweating and a racing heart
4.Medium

A patient has a homonymous hemianopia after a stroke. How should the nurse help at first?

  1. AKeep the room dark to reduce visual stimulation
  2. BCover the eye on the affected side with a patch
  3. CApproach from the seeing side and teach head-turning to scan
  4. DPut the call bell and drinks on the side without vision, to train it
5.Medium

Why is once-daily prednisolone usually taken in the morning with food?

  1. ABecause food doubles the strength of the dose
  2. BBecause it causes drowsiness and is safer to take during the day
  3. CBecause it cannot be absorbed at night
  4. DTo match the natural cortisol rhythm and protect the stomach
6.Medium

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

  1. AA sign that the dose is too low
  2. BA normal adjustment reaction to the drug
  3. CLiver toxicity from valproate
  4. DDehydration from drinking too little
7.Hard

During haemodialysis, a patient's BP falls to 80/50 mmHg and they feel dizzy and sick. What is the most appropriate first nursing action?

  1. ASit the patient upright and encourage a short walk
  2. BGive the patient's usual antihypertensive dose straight away
  3. CIncrease the fluid removal rate so the session ends sooner
  4. DLie the patient flat, reduce fluid removal and get help
8.Hard

A patient with hypothyroidism who has missed medication for weeks is admitted hypothermic and drowsy, with a pulse of 46/min, low sodium and a raised PaCO₂. Which condition is most likely?

  1. AAdrenal crisis
  2. BMyxoedema coma
  3. CHeat stroke
  4. DThyroid storm

Answer key

  1. 1. B · About 0.5 mL/kg per hour
  2. 2. C · An enlarged thyroid gland
  3. 3. C · Passing a lot of urine, thirst and weight loss
  4. 4. C · Approach from the seeing side and teach head-turning to scan
  5. 5. D · To match the natural cortisol rhythm and protect the stomach
  6. 6. C · Liver toxicity from valproate
  7. 7. D · Lie the patient flat, reduce fluid removal and get help
  8. 8. B · Myxoedema coma

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