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 symptoms are typical of uraemia in advanced kidney disease?

  1. AHeat intolerance, tremor and weight loss
  2. BItching, nausea, tiredness and poor appetite
  3. CExcess thirst with a very high glucose
  4. DSevere flank pain with visible blood in the urine
2.Easy

Which simple test should be done early in every patient with suspected stroke, because an abnormal result can mimic a stroke?

  1. AVisual acuity chart
  2. BUrine dipstick
  3. CCapillary blood glucose
  4. DPeak expiratory flow rate
3.Easy

What is exophthalmos?

  1. ADrooping of one eyelid
  2. BBulging of the eyes
  3. CYellowing of the eyes
  4. DLoss of the outer eyebrows
4.Medium

Which urine finding best distinguishes diabetes insipidus from SIADH?

  1. ABoth conditions give very concentrated urine
  2. BDI gives glucose in the urine; SIADH gives protein
  3. CDI gives dilute urine; SIADH gives concentrated urine
  4. DDI gives concentrated urine; SIADH gives dilute urine
5.Medium

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

  1. AThe right hypoglossal nerve (XII)
  2. BThe left trigeminal nerve (V)
  3. CThe right facial nerve (VII)
  4. DThe left hypoglossal nerve (XII)
6.Medium

Which complication is a particular risk in nephrotic syndrome?

  1. AHypoglycaemia
  2. BVenous thrombosis
  3. CLow cholesterol
  4. DBleeding from low platelets
7.Hard

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

  1. AEncourage the patient to walk more to improve their balance
  2. BGive the next phenytoin dose early to prevent a seizure
  3. CSuspect a new stroke and give aspirin straight away before any scan
  4. DSuspect phenytoin toxicity, hold the next dose and ask for a drug level
8.Hard

A haemodialysis patient asks why fluid between sessions must be limited. Which explanation is correct?

  1. AFluid restriction is mainly to shorten the time spent on the machine
  2. BExtra fluid weakens the fistula wall and makes it more likely to burst
  3. CDrinking water makes the dialysis remove too much potassium from the blood
  4. DExcess fluid builds up, raising BP and causing breathlessness and cramps on dialysis

Answer key

  1. 1. B · Itching, nausea, tiredness and poor appetite
  2. 2. C · Capillary blood glucose
  3. 3. B · Bulging of the eyes
  4. 4. C · DI gives dilute urine; SIADH gives concentrated urine
  5. 5. A · The right hypoglossal nerve (XII)
  6. 6. B · Venous thrombosis
  7. 7. D · Suspect phenytoin toxicity, hold the next dose and ask for a drug level
  8. 8. D · Excess fluid builds up, raising BP and causing breathlessness and cramps on dialysis

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