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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1.Easy

A patient has a stroke affecting the left side of the brain. Where is weakness most likely to appear?

  1. AIn both legs but not the arms
  2. BOn the right side of the body
  3. CIn the left side of the face only
  4. DOn the left side of the body
2.Easy

Which symptoms are typical of uraemia in advanced kidney disease?

  1. ASevere flank pain with visible blood in the urine
  2. BHeat intolerance, tremor and weight loss
  3. CItching, nausea, tiredness and poor appetite
  4. DExcess thirst with a very high glucose
3.Easy

Which isolation precautions are used for a patient with suspected meningococcal meningitis?

  1. ADroplet precautions until about 24 hours of effective antibiotics
  2. BNo extra precautions, because it is not infectious
  3. CContact precautions only, with gloves for skin contact
  4. DAirborne precautions in a negative pressure room for 2 weeks
4.Medium

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

  1. AAvoid checking glucose until the ride is over
  2. BTake an extra dose of rapid-acting insulin before setting off
  3. CSkip breakfast so the exercise burns body fat
  4. DCheck glucose before and after, and carry fast-acting carbohydrate
5.Medium

Why is intermittent self-catheterisation often taught after a spinal cord injury?

  1. AThe bladder may not empty, and regular emptying protects the kidneys
  2. BIt trains the bladder to grow gradually larger over time
  3. CIt is mainly used to measure the urine output accurately
  4. DIt removes all risk of a urinary tract infection completely
6.Medium

A patient has just started haemodialysis. What usually happens to their protein needs?

  1. AThey fall to almost zero to rest the kidneys
  2. BThey increase, because dialysis removes amino acids
  3. CThey stay exactly the same as they were before dialysis
  4. DProtein must be replaced only by IV infusion
7.Hard

A patient on insulin has worsening chronic kidney disease and is having more hypos. What is the best explanation?

  1. AThe kidneys clear less insulin, so it lasts longer
  2. BKidney disease makes the meter read too low
  3. CKidney disease makes the body resistant to insulin
  4. DThe patient is eating far more carbohydrate than before
8.Hard

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

  1. AOmit the dose until the patient can swallow again
  2. BContact the prescriber or pharmacist about another route
  3. CGive double the dose once eating restarts
  4. DGive the tablets with a sip of water anyway

Answer key

  1. 1. B · On the right side of the body
  2. 2. C · Itching, nausea, tiredness and poor appetite
  3. 3. A · Droplet precautions until about 24 hours of effective antibiotics
  4. 4. D · Check glucose before and after, and carry fast-acting carbohydrate
  5. 5. A · The bladder may not empty, and regular emptying protects the kidneys
  6. 6. B · They increase, because dialysis removes amino acids
  7. 7. A · The kidneys clear less insulin, so it lasts longer
  8. 8. B · Contact the prescriber or pharmacist about another route

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