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 causes myasthenia gravis?

  1. ACompression of a nerve root in the lower back
  2. BAntibodies against acetylcholine receptors on muscle
  3. CDamage to myelin in the brain and spinal cord
  4. DLoss of dopamine-producing cells in the midbrain
2.Easy

After a head injury, a patient has bruising behind the ear over the mastoid bone. What does this suggest?

  1. AAn injury to the outer ear only
  2. BA simple scalp laceration
  3. CA fracture of the base of the skull
  4. DA fractured jaw
3.Easy

In peritoneal dialysis, what acts as the dialysis membrane?

  1. AThe lining of the stomach
  2. BA filter in a machine outside the body
  3. CThe wall of the bladder
  4. DThe lining of the abdominal cavity
4.Medium

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

  1. AChanges in mood, such as irritability, low mood or anger
  2. BA persistent dry cough at night
  3. COrange discoloration of the urine
  4. DSwelling and overgrowth of the gums around the teeth
5.Medium

A stroke patient speaks fluently, but the words make little sense, and they do not follow simple instructions. Which type of aphasia is this?

  1. AGlobal aphasia with no speech at all
  2. BDysarthria from facial weakness
  3. CReceptive (Wernicke's) aphasia
  4. DExpressive (Broca's) aphasia
6.Medium

A stroke patient with dysphagia has been started on a modified diet. Which action best reduces the risk of aspiration?

  1. ASit the patient fully upright for meals and for a while afterwards
  2. BFeed quickly so the patient does not tire during the meal
  3. CLay the patient flat straight after meals so they can rest and digest
  4. DGive fluids through a straw so they flow more slowly
7.Hard

A patient with a T4 spinal cord injury has a pounding headache, BP 210/110 mmHg, flushed sweaty skin above the injury and a pulse of 50/min. After sitting the patient up, what is the next priority?

  1. ALie the patient flat again and raise the legs on pillows
  2. BFind and remove the trigger, starting with the bladder
  3. CGive a rapid IV fluid bolus to support the circulation
  4. DGive a sedative and recheck the blood pressure in an hour
8.Hard

A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1.8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?

  1. AA urethral stricture
  2. BNephritic syndrome
  3. CAcute pyelonephritis
  4. DNephrotic syndrome

Answer key

  1. 1. B · Antibodies against acetylcholine receptors on muscle
  2. 2. C · A fracture of the base of the skull
  3. 3. D · The lining of the abdominal cavity
  4. 4. A · Changes in mood, such as irritability, low mood or anger
  5. 5. C · Receptive (Wernicke's) aphasia
  6. 6. A · Sit the patient fully upright for meals and for a while afterwards
  7. 7. B · Find and remove the trigger, starting with the bladder
  8. 8. D · Nephrotic syndrome

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