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

A patient with advanced CKD has a high potassium. Which foods are often limited?

  1. AEgg whites, chicken and fish
  2. BApples, berries and cabbage
  3. CBananas, potatoes and oranges
  4. DWhite rice, pasta and bread
2.Easy

A patient with an AV fistula says it no longer "buzzes". What should the nurse do?

  1. AApply a tight bandage to restart the flow
  2. BReassure them that this is normal at night
  3. CReport it urgently: the fistula may have clotted
  4. DMeasure the blood pressure on that arm to check the flow
3.Easy

Which classic triad is described in renal cell carcinoma, although few patients have all three?

  1. AFever, headache and a stiff neck
  2. BPolyuria, thirst and weight loss with tiredness
  3. CDysuria, frequency and urgency
  4. DHaematuria, flank pain and a palpable mass
4.Medium

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

  1. AAmylase
  2. BCalcium
  3. CPotassium
  4. DGlucose
5.Medium

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

  1. ABeta-blockers block the effect of all diabetes medicines
  2. BBeta-blockers make the patient sleep through every hypo
  3. CBeta-blockers can mask the tremor and racing heart of a hypo
  4. DBeta-blockers raise blood glucose, so hypos cannot happen
6.Medium

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

  1. AUse lubricating drops and sleep with the head raised
  2. BStay in bright sunlight to dry the eyes
  3. CRub the eyes firmly each morning to reduce the swelling
  4. DSmoking more will not affect the eyes
7.Hard

A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?

  1. ALactulose
  2. BHaloperidol
  3. CParacetamol (acetaminophen)
  4. DMelatonin
8.Hard

A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?

  1. AThe potassium, because it may rise
  2. BThe INR, because it may rise
  3. CThe urine output, because it may stop
  4. DThe blood glucose, because it may fall

Answer key

  1. 1. C · Bananas, potatoes and oranges
  2. 2. C · Report it urgently: the fistula may have clotted
  3. 3. D · Haematuria, flank pain and a palpable mass
  4. 4. C · Potassium
  5. 5. C · Beta-blockers can mask the tremor and racing heart of a hypo
  6. 6. A · Use lubricating drops and sleep with the head raised
  7. 7. B · Haloperidol
  8. 8. B · The INR, because it may rise

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