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

How do sulfonylureas such as gliclazide lower blood glucose?

  1. AThey slow down the absorption of food
  2. BThey replace insulin that the body lacks
  3. CThey make the kidneys pass more glucose
  4. DThey make the pancreas release more insulin
2.Easy

Why do patients with chronic kidney disease often develop bone disease?

  1. APatients usually drink too much milk
  2. BThe kidneys release too much calcium into the bones
  3. CThe bones are attacked by antibodies made in the kidneys
  4. DThe kidneys cannot activate vitamin D or clear phosphate
3.Easy

What is the main laboratory finding in SIADH (syndrome of inappropriate ADH secretion)?

  1. AHigh serum sodium from water loss
  2. BLow serum sodium from water retention
  3. CLow serum calcium from kidney losses
  4. DHigh blood glucose from insulin resistance
4.Medium

Why is all urine strained in a patient with suspected kidney stones?

  1. ATo stop the stone from blocking the toilet
  2. BTo measure the urine volume more accurately
  3. CTo catch the stone so it can be analysed
  4. DTo remove blood clots before testing
5.Medium

Which side effects are common with oxybutynin for an overactive bladder?

  1. AWeight loss and a fast tremor
  2. BDiarrhoea and heavy sweating
  3. CA cough and a raised potassium
  4. DDry mouth and constipation
6.Medium

What does a positive pronator drift test show?

  1. ASubtle weakness in one arm
  2. BLoss of hearing on one side
  3. CWeakness of the eye muscles
  4. DA normal response in older adults
7.Hard

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

  1. AThe patient may not be absorbing their immunosuppressants
  2. BVomiting proves that rejection has already happened
  3. CThe tablets will make the vomiting stop
  4. DThe kidney will start to produce far too much urine
8.Hard

A patient with diabetic neuropathy has a hot, red, swollen foot that is barely painful. The skin is intact, and there is no fever. What should the nurse suspect?

  1. AA sprained ankle that will settle with walking
  2. BNormal swelling from standing too long
  3. CAn acute Charcot foot, needing urgent offloading
  4. DGout, which only needs pain relief

Answer key

  1. 1. D · They make the pancreas release more insulin
  2. 2. D · The kidneys cannot activate vitamin D or clear phosphate
  3. 3. B · Low serum sodium from water retention
  4. 4. C · To catch the stone so it can be analysed
  5. 5. D · Dry mouth and constipation
  6. 6. A · Subtle weakness in one arm
  7. 7. A · The patient may not be absorbing their immunosuppressants
  8. 8. C · An acute Charcot foot, needing urgent offloading

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