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

Why do patients with chronic kidney disease often develop bone disease?

  1. APatients usually drink too much milk
  2. BThe kidneys cannot activate vitamin D or clear phosphate
  3. CThe bones are attacked by antibodies made in the kidneys
  4. DThe kidneys release too much calcium into the bones
2.Easy

What is the most common type of kidney stone?

  1. ACalcium oxalate
  2. BUric acid
  3. CStruvite
  4. DCystine
3.Easy

Why do women get urinary tract infections more often than men?

  1. AWomen drink more fluids than men do each day
  2. BWomen have more bacteria in their blood
  3. CThe urethra is shorter and closer to the anus
  4. DWomen's kidneys are smaller than men's
4.Medium

A patient with AKI has a urinary catheter that drains nothing. Which quick bedside check helps rule out a post-renal cause?

  1. ASend a urine sample for culture and wait for the laboratory result
  2. BCheck the catheter for kinks or blockage and do a bladder scan
  3. CGive a large bolus of IV fluid straight away
  4. DEncourage the patient to drink two litres of water
5.Medium

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

  1. ANausea, diarrhoea and a slow heart rate
  2. BDry mouth, constipation and a fast heart rate
  3. CWeight gain, high glucose and swollen ankles
  4. DA persistent dry cough and a raised potassium
6.Medium

Why are insulin and glucose given together to treat hyperkalaemia?

  1. AInsulin makes the kidneys pass more potassium in the urine
  2. BGlucose binds the potassium in the blood and removes it
  3. CInsulin protects the heart muscle cells from the potassium
  4. DInsulin moves potassium into cells; glucose prevents a hypo
7.Hard

A 66-year-old smoker has had two episodes of painless red urine. Urine cultures are negative. Which plan is most appropriate?

  1. AReassure him, because the blood has stopped
  2. BAdvise more fluids and review in a year
  3. CUrgent referral for cystoscopy and imaging
  4. DAnother course of antibiotics for a UTI
8.Hard

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

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

Answer key

  1. 1. B · The kidneys cannot activate vitamin D or clear phosphate
  2. 2. A · Calcium oxalate
  3. 3. C · The urethra is shorter and closer to the anus
  4. 4. B · Check the catheter for kinks or blockage and do a bladder scan
  5. 5. A · Nausea, diarrhoea and a slow heart rate
  6. 6. D · Insulin moves potassium into cells; glucose prevents a hypo
  7. 7. C · Urgent referral for cystoscopy and imaging
  8. 8. C · A patient after a craniotomy whose right pupil is newly dilated and slow to react

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