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 is the most common cause of intrinsic (renal) acute kidney injury in hospital?

  1. AAn enlarged prostate
  2. BPolycystic kidney disease
  3. CAcute tubular necrosis
  4. DKidney stones
2.Easy

Which classic triad is described in renal cell carcinoma, although few patients have all three?

  1. APolyuria, thirst and weight loss with tiredness
  2. BHaematuria, flank pain and a palpable mass
  3. CFever, headache and a stiff neck
  4. DDysuria, frequency and urgency
3.Easy

Which cranial nerves are mainly involved in the gag reflex?

  1. AOlfactory (I) and optic (II)
  2. BOculomotor (III) and abducens (VI)
  3. CTrigeminal (V) and facial (VII)
  4. DGlossopharyngeal (IX) and vagus (X)
4.Medium

Why is IV calcium gluconate given in severe hyperkalaemia?

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

Which criterion for acute kidney injury (KDIGO) relates to urine output?

  1. ABelow 1 L in 24 hours whatever the intake
  2. BBelow 2 mL/kg/h for 1 hour
  3. CAny change in the colour of the urine
  4. DBelow 0.5 mL/kg/h for 6 hours or more
6.Medium

Why is an ACE inhibitor often given to a patient with diabetes and albumin in the urine?

  1. AIt protects the kidneys and reduces albumin loss
  2. BIt stops the kidneys from passing so much urine at night
  3. CIt lowers the blood glucose to normal
  4. DIt raises potassium to protect the heart
7.Hard

A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?

  1. ARapid correction can cause brain swelling
  2. BRapid correction causes kidney stones
  3. CRapid correction raises the blood glucose
  4. DThe sodium will rise again if corrected quickly
8.Hard

Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38.2 °C (100.8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?

  1. AGive paracetamol (acetaminophen) and continue the modified diet as before
  2. BEncourage more fluids by mouth to treat the fever
  3. CSuspect aspiration pneumonia, stop oral intake and escalate for review
  4. DRecord the findings and recheck them at the next routine observation

Answer key

  1. 1. C · Acute tubular necrosis
  2. 2. B · Haematuria, flank pain and a palpable mass
  3. 3. D · Glossopharyngeal (IX) and vagus (X)
  4. 4. B · It protects the heart from arrhythmias
  5. 5. D · Below 0.5 mL/kg/h for 6 hours or more
  6. 6. A · It protects the kidneys and reduces albumin loss
  7. 7. A · Rapid correction can cause brain swelling
  8. 8. C · Suspect aspiration pneumonia, stop oral intake and escalate for review

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