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 patient with advanced CKD has a high potassium. Which foods are often limited?

  1. ABananas, potatoes and oranges
  2. BEgg whites, chicken and fish
  3. CApples, berries and cabbage
  4. DWhite rice, pasta and bread
2.Easy

Which finding is a common reason for urgent dialysis?

  1. AHyperkalaemia that does not respond to treatment
  2. BA mildly raised creatinine with no symptoms
  3. CA haemoglobin of 105 g/L (10.5 g/dL) with mild tiredness
  4. DA single episode of itching
3.Easy

Which hormones are released from the posterior pituitary gland?

  1. ATSH and ACTH
  2. BADH (vasopressin) and oxytocin
  3. CInsulin and cortisol
  4. DGrowth hormone and prolactin
4.Medium

A urine dipstick is positive for nitrites. What does this suggest?

  1. AThe patient is dehydrated and needs more fluid
  2. BThe kidneys are losing too much protein
  3. CThe urine has a lot of glucose in it
  4. DBacteria that convert nitrate are present
5.Medium

Which complication of haemodialysis causes headache, nausea, restlessness and sometimes seizures, especially in the first sessions?

  1. ADialysate hypoglycaemia
  2. BVenous air embolism through the lines
  3. CBacterial peritonitis
  4. DDialysis disequilibrium syndrome
6.Medium

A patient has a homonymous hemianopia after a stroke. How should the nurse help at first?

  1. APut the call bell and drinks on the side without vision, to train it
  2. BKeep the room dark to reduce visual stimulation
  3. CCover the eye on the affected side with a patch
  4. DApproach from the seeing side and teach head-turning to scan
7.Hard

A patient with CKD has a high phosphate, a low calcium and a high PTH. What does this show?

  1. APrimary hyperparathyroidism from a tumour
  2. BSecondary hyperparathyroidism from CKD
  3. CToo much vitamin D from supplements
  4. DHypoparathyroidism after neck surgery
8.Hard

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

  1. AThe dose is too low
  2. BThe thyroid has stopped working
  3. CA normal response to the drug
  4. DThe dose is too high

Answer key

  1. 1. A · Bananas, potatoes and oranges
  2. 2. A · Hyperkalaemia that does not respond to treatment
  3. 3. B · ADH (vasopressin) and oxytocin
  4. 4. D · Bacteria that convert nitrate are present
  5. 5. D · Dialysis disequilibrium syndrome
  6. 6. D · Approach from the seeing side and teach head-turning to scan
  7. 7. B · Secondary hyperparathyroidism from CKD
  8. 8. D · The dose is too high

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