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 equipment should be ready at the bedside of a patient on seizure precautions?

  1. AWorking suction and oxygen
  2. BWrist restraints to stop the limbs jerking
  3. CA urinary catheter in case of incontinence
  4. DA tongue depressor to place between the teeth
2.Easy

Why is it important to record when a stroke patient was last known to be well?

  1. AThe time is needed to calculate the patient's GCS score
  2. BTreatments such as thrombolysis depend on the time since onset
  3. CThe time decides which side of the brain is affected
  4. DPatients seen after one hour cannot be admitted to a stroke unit
3.Easy

Why is dexamethasone often given to patients with a brain tumour?

  1. ATo prevent infection after a biopsy
  2. BTo kill the tumour cells directly
  3. CTo reduce swelling around the tumour
  4. DTo raise the blood pressure
4.Medium

Why may a person with long-standing diabetes have a heart attack without typical chest pain?

  1. AInsulin acts as a strong painkiller
  2. BNerve damage can blunt the pain signals
  3. CPeople with diabetes do not have heart attacks
  4. DHigh glucose protects the heart from pain
5.Medium

A patient with a suspected basal skull fracture needs a gastric tube. Which route is preferred?

  1. AThrough the nose with a guidewire
  2. BThrough a fine-bore nasal tube
  3. CThrough the mouth (orogastric)
  4. DThrough the nose (nasogastric)
6.Medium

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

  1. AAs a single large weekly injection
  2. BAt a full dose from the first day
  3. COnly after the angina has been cured
  4. DAt a low dose, increased slowly
7.Hard

An older patient with a UTI is now confused, with a respiratory rate of 24/min, BP 88/50 mmHg and a pulse of 120/min. What should happen?

  1. AEncourage oral fluids and wait for the urine culture
  2. BGive oral antibiotics and recheck in four hours
  3. CTreat the confusion with a sedative
  4. DStart sepsis care at once, with IV antibiotics and fluids
8.Hard

Which patient on a stroke unit is most at risk of falling?

  1. AA patient with a right-hemisphere stroke who is impulsive and denies having weakness
  2. BA patient with mild dysarthria who walks steadily with a frame
  3. CA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
  4. DA patient with a TIA whose symptoms resolved completely yesterday

Answer key

  1. 1. A · Working suction and oxygen
  2. 2. B · Treatments such as thrombolysis depend on the time since onset
  3. 3. C · To reduce swelling around the tumour
  4. 4. B · Nerve damage can blunt the pain signals
  5. 5. C · Through the mouth (orogastric)
  6. 6. D · At a low dose, increased slowly
  7. 7. D · Start sepsis care at once, with IV antibiotics and fluids
  8. 8. A · A patient with a right-hemisphere stroke who is impulsive and denies having weakness

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