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

What does dysarthria mean?

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

Which finding is a common reason for urgent dialysis?

  1. AA mildly raised creatinine with no symptoms
  2. BA haemoglobin of 105 g/L (10.5 g/dL) with mild tiredness
  3. CA single episode of itching
  4. DHyperkalaemia that does not respond to treatment
3.Easy

Which electrolyte disturbance is a dangerous complication of kidney failure?

  1. AHypokalaemia
  2. BHyperkalaemia
  3. CHypernatraemia
  4. DHypercalcaemia
4.Medium

A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?

  1. AA strict low-protein diet
  2. BA low-calorie diet to protect the heart
  3. CA high-calorie diet with enough protein
  4. DA diet very high in caffeine for energy
5.Medium

Which approach helps most when talking to a patient with expressive aphasia?

  1. AAsk questions that can be answered with yes, no or a gesture
  2. BFinish their sentences quickly to save them effort
  3. CSpeak louder, because the patient cannot hear well
  4. DAvoid talking to them until their speech has recovered
6.Medium

After pituitary surgery, a patient passes 400 mL of urine per hour for three hours with a low specific gravity. What should the nurse suspect?

  1. ADiabetes insipidus
  2. BAcute kidney injury
  3. CSIADH
  4. DNormal diuresis
7.Hard

A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?

  1. A"I will weigh myself daily and record my fluid balance."
  2. B"I will check my exit site every day."
  3. C"I will wash my hands carefully before each exchange."
  4. D"If the fluid is cloudy, I'll see if it clears next time."
8.Hard

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

  1. AThe dose is too low
  2. BA normal response to the drug
  3. CThe thyroid has stopped working
  4. DThe dose is too high

Answer key

  1. 1. A · Unclear speech caused by weak or poorly coordinated speech muscles
  2. 2. D · Hyperkalaemia that does not respond to treatment
  3. 3. B · Hyperkalaemia
  4. 4. C · A high-calorie diet with enough protein
  5. 5. A · Ask questions that can be answered with yes, no or a gesture
  6. 6. A · Diabetes insipidus
  7. 7. D · "If the fluid is cloudy, I'll see if it clears next time."
  8. 8. D · The dose is too high

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