Med-surg: neuro, endocrine & renal worksheet with answers

Which electrolyte disturbance is a dangerous complication of kidney failure?

1. AHypernatraemia
2. BHypokalaemia
3. CHyperkalaemia
4. DHypercalcaemia

Which three responses make up the Glasgow Coma Scale?

1. AReflexes, muscle tone and sensation
2. BEye opening, verbal response and motor response
3. CPupil size, pulse and blood pressure
4. DOrientation to time, place and person, plus memory

Post-streptococcal glomerulonephritis typically follows which event?

1. AA kidney stone passed the week before
2. BA throat or skin infection a few weeks earlier
3. CA long course of antibiotics for pneumonia
4. DAn episode of bloody diarrhoea from food poisoning

A patient taking sodium valproate becomes tired and is vomiting, and the nurse notices yellowing of the eyes. What is the main concern?

1. ADehydration from drinking too little
2. BLiver toxicity from valproate
3. CA sign that the dose is too low
4. DA normal adjustment reaction to the drug

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

1. AOnly live vaccines are effective after a transplant
2. BAll vaccines are completely safe after a transplant
3. CLive vaccines are usually avoided
4. DVaccines will cause the kidney to be rejected

Which Glasgow Coma Scale score usually suggests that a patient may not be able to protect their own airway?

1. A15
2. B8 or below
3. C11 or above
4. D13 or below

Which nursing care is important for a patient receiving mannitol for raised intracranial pressure?

1. AClose monitoring of urine output, sodium and osmolality
2. BGiving the drug orally with meals to reduce nausea
3. CClamping the catheter to keep fluid in the body
4. DStopping the fluid balance chart during treatment

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