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 the HbA1c test show?

  1. AThe glucose level over the last 24 hours only
  2. BThe average blood glucose over about two to three months
  3. CThe blood glucose at the exact moment that the sample is taken
  4. DThe amount of insulin the pancreas is making
2.Easy

Which symptoms are typical early warning signs of hypoglycaemia?

  1. ASlow pulse, constipation and feeling cold
  2. BShaking, sweating, hunger and a fast heartbeat
  3. CThirst, dry skin and passing a lot of urine
  4. DDeep, rapid breathing with a fruity breath smell
3.Easy

Why are patients with a spinal cord injury at very high risk of pressure injuries?

  1. AThey cannot feel or move the body below the injury
  2. BThey usually have a high fever for many weeks
  3. CTheir blood sugar is always very high, which damages the skin
  4. DTheir skin is thinner than other people's skin
4.Medium

Which set of results best supports DKA rather than HHS?

  1. ANormal ketones and a normal bicarbonate
  2. BVery high osmolality with only trace ketones in the blood
  3. CHigh ketones, pH below 7.3 and low bicarbonate
  4. DGlucose above 30 mmol/L with a normal pH
5.Medium

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

  1. A4, withdraws from pain
  2. B3, abnormal flexion
  3. C5, localises to pain
  4. D6, obeys commands
6.Medium

A patient's fistula starts to bleed at home after the needles were removed. What should they do first?

  1. ARaise the arm and let it bleed freely
  2. BPress firmly on the site with clean gauze
  3. CApply a tight tourniquet above the fistula
  4. DWait for the next dialysis session
7.Hard

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

  1. AA stable angina attack, which needs only a nitrate spray and rest
  2. BA rib fracture from coughing
  3. CIndigestion from phosphate binders
  4. DUraemic pericarditis, which usually needs urgent dialysis
8.Hard

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

  1. A8.4% sodium bicarbonate
  2. B20% human albumin
  3. C5% glucose (dextrose, D5W)
  4. D3% saline

Answer key

  1. 1. B · The average blood glucose over about two to three months
  2. 2. B · Shaking, sweating, hunger and a fast heartbeat
  3. 3. A · They cannot feel or move the body below the injury
  4. 4. C · High ketones, pH below 7.3 and low bicarbonate
  5. 5. C · 5, localises to pain
  6. 6. B · Press firmly on the site with clean gauze
  7. 7. D · Uraemic pericarditis, which usually needs urgent dialysis
  8. 8. C · 5% glucose (dextrose, D5W)

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