Med-surg: neuro, endocrine & renal worksheet with answers

Which common painkiller can harm the kidneys, especially in dehydration?

1. ACodeine
2. BIbuprofen
3. CParacetamol (acetaminophen)
4. DMorphine

Which is a common effect of long-term corticosteroid treatment?

1. AWeight loss and a slim face
2. BLow blood glucose
3. CA lower risk of infections
4. DThinning of the bones

How should a peritoneal dialysis catheter exit site be cared for?

1. ACovered with a tight bandage and not looked at for a week
2. BKept clean and dry and checked daily for redness
3. CSoaked in a hot bath every day
4. DCleaned with a strong bleach solution

Why is all urine strained in a patient with suspected kidney stones?

1. ATo remove blood clots before testing
2. BTo stop the stone from blocking the toilet
3. CTo catch the stone so it can be analysed
4. DTo measure the urine volume more accurately

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

1. AWeight gain, high glucose and swollen ankles
2. BA persistent dry cough and a raised potassium
3. CDry mouth, constipation and a fast heart rate
4. DNausea, diarrhoea and a slow heart rate

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt removes potassium through the kidneys
2. BIt protects the heart from arrhythmias
3. CIt moves potassium into the cells
4. DIt binds potassium in the gut

A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1.8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?

1. AAcute pyelonephritis
2. BNephrotic syndrome
3. CNephritic syndrome
4. DA urethral stricture

A nurse is caring for four patients. Which patient needs to be seen first?

1. AA patient with CKD asking about their phosphate binder
2. BA patient on peritoneal dialysis with clear effluent
3. CA patient after a craniotomy whose right pupil is newly dilated and slow to react
4. DA patient with stable hypothyroidism due for levothyroxine