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

Which is a common effect of long-term corticosteroid treatment?

  1. AWeight loss and a slim face
  2. BThinning of the bones
  3. CLow blood glucose
  4. DA lower risk of infections
2.Easy

What is the main cause of the movement problems in Parkinson's disease?

  1. ALoss of dopamine-producing cells in the substantia nigra
  2. BAntibodies that attack acetylcholine receptors in muscle
  3. CToo much dopamine released in the basal ganglia
  4. DLoss of the myelin sheath around nerves in the brain and spinal cord
3.Easy

What is the normal range for serum potassium in an adult?

  1. AAbout 135–145 mmol/L
  2. BAbout 6.0–7.5 mmol/L
  3. CAbout 3.5–5.0 mmol/L
  4. DAbout 1.5–2.5 mmol/L
4.Medium

The day after a thyroidectomy, a patient reports tingling around the mouth and in the fingers. Why might this happen?

  1. AThe anaesthetic has caused an allergic reaction
  2. BThe parathyroid glands may have been damaged, lowering calcium
  3. CThe patient is breathing too slowly after the operation
  4. DThe thyroid hormone level has risen too high after surgery
5.Medium

A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?

  1. ACheck the weight once a week
  2. BGive large amounts of IV fluid
  3. CMonitor BP, fluid balance and daily weight
  4. DEncourage a high-salt diet to balance the fluids
6.Medium

Which finding most suggests fluid overload in a patient with chronic kidney disease?

  1. ADark yellow urine and thirst
  2. BA weight loss of 1 kg (2.2 lb) after a hot day
  3. CA weight gain of 2 kg (4.4 lb) in two days with ankle swelling
  4. DA dry mouth and a low blood pressure when standing
7.Hard

Which patient with a spinal cord injury is at risk of autonomic dysreflexia?

  1. AA patient with an injury at T4
  2. BA patient with an injury at L5
  3. CA patient with an injury at S2
  4. DA patient with an injury at L3
8.Hard

A patient with lung cancer and SIADH has a sodium of 112 mmol/L and is having seizures. What is the most appropriate treatment?

  1. ARapid correction to 140 mmol/L within the first six hours
  2. BIV 5% glucose at a high rate until the seizures stop
  3. CLarge volumes of oral water to help dilute the urine
  4. DHypertonic saline, monitored, with a limited rate of rise

Answer key

  1. 1. B · Thinning of the bones
  2. 2. A · Loss of dopamine-producing cells in the substantia nigra
  3. 3. C · About 3.5–5.0 mmol/L
  4. 4. B · The parathyroid glands may have been damaged, lowering calcium
  5. 5. C · Monitor BP, fluid balance and daily weight
  6. 6. C · A weight gain of 2 kg (4.4 lb) in two days with ankle swelling
  7. 7. A · A patient with an injury at T4
  8. 8. D · Hypertonic saline, monitored, with a limited rate of rise

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