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 febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

  1. AAn allergic reaction to soap
  2. BMeningococcal septicaemia
  3. CHeat rash from a high temperature
  4. DA simple viral skin rash
2.Easy

Which side effect of metformin is most common?

  1. AA dry cough at night
  2. BNausea and diarrhoea
  3. CGum overgrowth and a rash
  4. DWeight gain and oedema
3.Easy

In dialysis care, what does "dry weight" mean?

  1. AThe weight after the patient has drunk nothing for a day
  2. BThe weight measured with an empty bladder
  3. CThe weight without excess fluid in the body
  4. DThe weight of the patient's clothes
4.Medium

Why must potassium be monitored closely when IV insulin is given for DKA?

  1. AInsulin breaks down potassium in the bloodstream
  2. BInsulin makes the kidneys retain potassium, so the level will rise
  3. CInsulin has no effect on potassium in DKA
  4. DInsulin moves potassium into cells, so the level can fall quickly
5.Medium

A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?

  1. ATake extra vitamin C supplements
  2. BDrink only a little to avoid diluting the urine
  3. CDrink plenty of fluid so the urine stays pale
  4. DCut all calcium out of the diet
6.Medium

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

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

The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?

  1. AA migraine triggered by stress
  2. BA subarachnoid haemorrhage
  3. CBacterial meningitis from the procedure
  4. DPost-dural puncture headache
8.Hard

A student has fever, a severe headache, a spreading non-blanching rash and a BP of 85/50 mmHg. A lumbar puncture is planned. What is the priority?

  1. AGive IV antibiotics at once and start sepsis treatment
  2. BWait until after the lumbar puncture before giving antibiotics
  3. CArrange a CT scan of the head before any treatment
  4. DGive paracetamol (acetaminophen) and recheck observations in an hour

Answer key

  1. 1. B · Meningococcal septicaemia
  2. 2. B · Nausea and diarrhoea
  3. 3. C · The weight without excess fluid in the body
  4. 4. D · Insulin moves potassium into cells, so the level can fall quickly
  5. 5. C · Drink plenty of fluid so the urine stays pale
  6. 6. C · They increase, because dialysis removes amino acids
  7. 7. D · Post-dural puncture headache
  8. 8. A · Give IV antibiotics at once and start sepsis treatment

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