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

Which hourly urine output is usually taken as the minimum acceptable for an adult?

1. AAbout 0.5 mL/kg per hour
2. BAbout 5 mL/kg per hour
3. CAbout 10 mL/kg per hour
4. DAbout 0.05 mL/kg per hour

Which type of diabetes is most often associated with diabetic ketoacidosis (DKA)?

1. AType 2 diabetes treated with diet only
2. BPrediabetes
3. CType 1 diabetes
4. DDiabetes insipidus

Which statement about metformin is correct?

1. AUsed on its own, it rarely causes hypoglycaemia
2. BIt is given by injection into the abdomen once a week
3. CIt works by making the pancreas release a lot more insulin
4. DIt is the usual first treatment for type 1 diabetes in adults

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. ACarbimazole has a higher risk of birth defects early on
2. BPropylthiouracil has no side effects at all
3. CPropylthiouracil works faster than any other drug
4. DCarbimazole cannot cross into the mother's blood

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

1. ACranial diabetes insipidus
2. BPrimary hypothyroidism
3. CPrimary adrenal insufficiency (Addison's)
4. DPrimary hyperaldosteronism (Conn's)

A patient has Cushing's syndrome. Which nursing assessment is especially important?

1. AWatching for weight loss
2. BChecking for low blood pressure
3. CMonitoring for a high potassium
4. DRegular blood glucose checks

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

1. AGiving the drug orally with meals to reduce nausea
2. BClose monitoring of urine output, sodium and osmolality
3. CStopping the fluid balance chart during treatment
4. DClamping the catheter to keep fluid in the body

A nurse teaches a patient about peritoneal dialysis. Which statement shows a need for further teaching?

1. A"If the fluid is cloudy, I'll see if it clears next time."
2. B"I will weigh myself daily and record my fluid balance."
3. C"I will wash my hands carefully before each exchange."
4. D"I will check my exit site every day."