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. AItching, nausea, tiredness and poor appetite
  2. BHeat intolerance, tremor and weight loss
  3. CSevere flank pain with visible blood in the urine
  4. DExcess thirst with a very high glucose
2.Easy

How is the headache of a subarachnoid haemorrhage typically described?

  1. ASudden and severe, reaching its peak within about a minute
  2. BSlowly worsening over several weeks, worst in the morning
  3. COne-sided and throbbing, with an aura beforehand
  4. DA tight band around the head that comes and goes
3.Easy

What is the earliest and most sensitive sign of raised intracranial pressure?

  1. AIrregular breathing with long pauses
  2. BBradycardia with high blood pressure
  3. CA change in level of consciousness
  4. DFixed, dilated pupils on both sides
4.Medium

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

  1. AThey usually take oestrogen as part of their treatment
  2. BSpinal injuries always damage the large veins of the legs
  3. CThe injury makes the blood too thin to clot properly in the veins
  4. DParalysed leg muscles no longer pump blood back to the heart
5.Medium

A patient's fistula starts to bleed at home after the needles were removed. What should they do first?

  1. AApply a tight tourniquet above the fistula
  2. BRaise the arm and let it bleed freely
  3. CPress firmly on the site with clean gauze
  4. DWait for the next dialysis session
6.Medium

Which signs suggest rejection of a kidney transplant?

  1. AA rash on the face after sun exposure
  2. BA cough, wheeze and a runny nose with sneezing
  3. CMore urine, a falling creatinine and weight loss
  4. DLess urine, a rising creatinine and a tender graft
7.Hard

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

  1. AA 30-year-old who bumped their head on a cupboard door
  2. BA 25-year-old with a small scalp graze after a fall
  3. CA 40-year-old with a mild headache that is improving
  4. DA 78-year-old who takes warfarin for atrial fibrillation
8.Hard

A nurse is caring for four patients. Which patient needs to be seen first?

  1. AA patient on peritoneal dialysis with clear effluent
  2. BA patient after a craniotomy whose right pupil is newly dilated and slow to react
  3. CA patient with stable hypothyroidism due for levothyroxine
  4. DA patient with CKD asking about their phosphate binder

Answer key

  1. 1. A · Itching, nausea, tiredness and poor appetite
  2. 2. A · Sudden and severe, reaching its peak within about a minute
  3. 3. C · A change in level of consciousness
  4. 4. D · Paralysed leg muscles no longer pump blood back to the heart
  5. 5. C · Press firmly on the site with clean gauze
  6. 6. D · Less urine, a rising creatinine and a tender graft
  7. 7. D · A 78-year-old who takes warfarin for atrial fibrillation
  8. 8. B · A patient after a craniotomy whose right pupil is newly dilated and slow to react

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