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

How does haemodialysis remove waste from the blood?

  1. AWaste diffuses across a membrane into a cleaning fluid
  2. BThe blood is spun so that waste sinks to the bottom
  3. CA filter in the stomach absorbs waste from food
  4. DThe waste is removed through a tube in the bladder
2.Easy

Which mineral is needed to make thyroid hormones?

  1. AIodine
  2. BZinc
  3. CIron
  4. DCalcium
3.Easy

Why is dexamethasone often given to patients with a brain tumour?

  1. ATo kill the tumour cells directly
  2. BTo raise the blood pressure
  3. CTo prevent infection after a biopsy
  4. DTo reduce swelling around the tumour
4.Medium

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

  1. ANausea, diarrhoea and a slow heart rate
  2. BDry mouth, constipation and a fast heart rate
  3. CA persistent dry cough and a raised potassium
  4. DWeight gain, high glucose and swollen ankles
5.Medium

Which urine finding best distinguishes diabetes insipidus from SIADH?

  1. ADI gives dilute urine; SIADH gives concentrated urine
  2. BDI gives concentrated urine; SIADH gives dilute urine
  3. CBoth conditions give very concentrated urine
  4. DDI gives glucose in the urine; SIADH gives protein
6.Medium

A patient has hypertension that is hard to control and a persistently low potassium, without taking diuretics. Which condition should be considered?

  1. APrimary adrenal insufficiency (Addison's)
  2. BPrimary hypothyroidism
  3. CPrimary hyperaldosteronism (Conn's)
  4. DCranial diabetes insipidus
7.Hard

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

  1. AA newly diagnosed patient asking about which foods to eat
  2. BA patient with a glucose of 2.8 mmol/L (50 mg/dL) who is sweaty and confused
  3. CA patient waiting for a routine HbA1c test
  4. DA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
8.Hard

A patient with long-standing diabetes suddenly has many new floaters and painless loss of vision in one eye. What is most likely, and what is needed?

  1. ADry eyes, needing lubricating drops
  2. BA bleed into the eye from retinopathy, needing urgent review
  3. CNormal ageing of the lens, needing new glasses
  4. DA migraine aura, needing pain relief

Answer key

  1. 1. A · Waste diffuses across a membrane into a cleaning fluid
  2. 2. A · Iodine
  3. 3. D · To reduce swelling around the tumour
  4. 4. A · Nausea, diarrhoea and a slow heart rate
  5. 5. A · DI gives dilute urine; SIADH gives concentrated urine
  6. 6. C · Primary hyperaldosteronism (Conn's)
  7. 7. B · A patient with a glucose of 2.8 mmol/L (50 mg/dL) who is sweaty and confused
  8. 8. B · A bleed into the eye from retinopathy, needing urgent review

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