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 a suprapubic catheter?

  1. AA small catheter used only once and then removed
  2. BA catheter passed into the bladder through the urethra
  3. CA catheter put into the bladder through the abdomen
  4. DA tube placed into the kidney through the back
2.Easy

What is a common complication after a lumbar puncture?

  1. AA headache that is worse when sitting or standing
  2. BPermanent paralysis of both legs from nerve damage
  3. CLoss of hearing in one ear
  4. DA rapid rise in blood glucose
3.Easy

What is the most important risk factor for bladder cancer?

  1. AA diet high in fruit
  2. BSmoking
  3. CFrequent urinary infections in childhood
  4. DDrinking a lot of water
4.Medium

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

  1. ADrink it daily to protect the kidney
  2. BIt has no effect on these drugs
  3. CDrink it with each dose to improve the absorption
  4. DAvoid it, because it can raise the drug levels
5.Medium

Which finding most suggests fluid overload in a patient with chronic kidney disease?

  1. ADark yellow urine and thirst
  2. BA dry mouth and a low blood pressure when standing
  3. CA weight gain of 2 kg (4.4 lb) in two days with ankle swelling
  4. DA weight loss of 1 kg (2.2 lb) after a hot day
6.Medium

A patient with primary adrenal insufficiency has a fever. What is the usual sick-day advice for steroid replacement?

  1. AStop the steroid until the fever has settled
  2. BIncrease the glucocorticoid dose, often doubling it
  3. CKeep the usual dose and avoid drinking extra fluids for now
  4. DHalve the dose to reduce the side effects
7.Hard

The nurse has four urology patients. Which one needs to be seen first?

  1. AA patient with stress incontinence asking about pelvic floor exercises
  2. BA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
  3. CA patient after TURP with light pink drainage and mild discomfort
  4. DA patient with a suprapubic catheter due for a routine change
8.Hard

A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?

  1. AHyperthyroidism from Graves' disease
  2. BSecondary hypothyroidism
  3. CPrimary hypothyroidism from thyroid failure
  4. DOver-replacement with levothyroxine

Answer key

  1. 1. C · A catheter put into the bladder through the abdomen
  2. 2. A · A headache that is worse when sitting or standing
  3. 3. B · Smoking
  4. 4. D · Avoid it, because it can raise the drug levels
  5. 5. C · A weight gain of 2 kg (4.4 lb) in two days with ankle swelling
  6. 6. B · Increase the glucocorticoid dose, often doubling it
  7. 7. B · A patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
  8. 8. B · Secondary hypothyroidism

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