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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

Which eGFR defines stage 5 chronic kidney disease (kidney failure)?

  1. ABelow 90 mL/min/1.73 m²
  2. BBelow 120 mL/min/1.73 m²
  3. CBelow 15 mL/min/1.73 m²
  4. DBelow 60 mL/min/1.73 m²
2.Easy

Which group of symptoms is typical of hypothyroidism?

  1. AHeat intolerance, weight loss, a fine tremor and palpitations
  2. BCold intolerance, tiredness, weight gain and constipation
  3. CDiarrhoea, anxiety, sweating and bulging eyes
  4. DGreat thirst and passing large volumes of urine
3.Easy

Which head position is generally used for a patient with raised intracranial pressure?

  1. ASitting upright, with the neck bent forward
  2. BHead raised to about 30°, with the neck straight
  3. CLying flat, with the head turned well to one side
  4. DHead lower than the body (Trendelenburg)
4.Medium

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

  1. ADry mouth, constipation and a fast heart rate
  2. BA persistent dry cough and a raised potassium
  3. CNausea, diarrhoea and a slow heart rate
  4. DWeight gain, high glucose and swollen ankles
5.Medium

A week after thyroid surgery, a patient's voice is still hoarse and weak. Which complication is most likely?

  1. ALow calcium from parathyroid injury
  2. BA thyroid storm caused by surgery
  3. CDamage to a recurrent laryngeal nerve
  4. DAn allergic reaction to the adhesive dressing tape
6.Medium

A patient on long-term phenytoin should be taught about which side effect?

  1. AHair loss on the scalp in nearly every patient
  2. BGradual, permanent hearing loss
  3. CWeight loss and intolerance of heat
  4. DGum overgrowth, so good oral hygiene matters
7.Hard

A patient with AKI has a low urine sodium and concentrated urine. What does this suggest?

  1. AA pre-renal cause, with kidneys holding salt and water
  2. BAcute tubular necrosis, with damaged and leaking tubules
  3. CA post-renal blockage, with urine backed up
  4. DDiabetes insipidus, with too little ADH
8.Hard

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

  1. AAdvise very hot drinks to relax the facial nerves
  2. BTell the patient to stop brushing their teeth completely
  3. COffer soft, lukewarm food and advise chewing on the unaffected side
  4. DEncourage hard, crunchy foods to strengthen the jaw muscles

Answer key

  1. 1. C · Below 15 mL/min/1.73 m²
  2. 2. B · Cold intolerance, tiredness, weight gain and constipation
  3. 3. B · Head raised to about 30°, with the neck straight
  4. 4. C · Nausea, diarrhoea and a slow heart rate
  5. 5. C · Damage to a recurrent laryngeal nerve
  6. 6. D · Gum overgrowth, so good oral hygiene matters
  7. 7. A · A pre-renal cause, with kidneys holding salt and water
  8. 8. C · Offer soft, lukewarm food and advise chewing on the unaffected side

Full step-by-step solutions: practise this topic on examproblems.com.