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

Where should a urinary catheter drainage bag be kept?

  1. AAbove the bladder so urine flows faster
  2. BBelow the level of the bladder and off the floor
  3. COn the floor under the bed, out of the way
  4. DOn the bed next to the patient's pillow
2.Easy

What is the usual first-line treatment for stress urinary incontinence in women?

  1. ARestricting fluids to half a litre a day
  2. BPelvic floor muscle training
  3. CA permanent urinary catheter
  4. DSurgery straight away
3.Easy

What does aldosterone do?

  1. AMakes the kidneys keep sodium and lose potassium
  2. BRaises the blood glucose between meals
  3. CLowers the blood calcium after meals
  4. DMakes the kidneys lose sodium and keep potassium
4.Medium

Which picture fits Brown-Séquard syndrome?

  1. AWeakness on the same side and loss of pain on the opposite side
  2. BLoss of all feeling but normal movement on both sides
  3. CParalysis of both legs, with normal sensation everywhere in the body
  4. DWeakness of both arms with normal strength in the legs
5.Medium

Why is a patient weighed before and after each haemodialysis session?

  1. ATo see how much fluid was removed and guide the dry weight
  2. BBecause the machine cannot start without a weight
  3. CTo check for weight loss caused by malnutrition
  4. DTo calculate the dose of every medicine for the coming week
6.Medium

Which statement about hyperosmolar hyperglycaemic state (HHS) is correct?

  1. AIt always causes high blood ketones and a severe metabolic acidosis
  2. BIt develops within minutes and is less dangerous than DKA
  3. CIt is seen mainly in young children with type 1 diabetes
  4. DIt mainly affects older people with type 2 diabetes, over days
7.Hard

A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?

  1. AThe blood glucose, because it may fall
  2. BThe INR, because it may rise
  3. CThe potassium, because it may rise
  4. DThe urine output, because it may stop
8.Hard

A patient taking digoxin has a potassium of 2.9 mmol/L. Why is this especially dangerous?

  1. ADigoxin raises the potassium to dangerous levels
  2. BLow potassium makes digoxin leave the body faster
  3. CLow potassium increases the risk of digoxin toxicity
  4. DDigoxin stops working when potassium is low

Answer key

  1. 1. B · Below the level of the bladder and off the floor
  2. 2. B · Pelvic floor muscle training
  3. 3. A · Makes the kidneys keep sodium and lose potassium
  4. 4. A · Weakness on the same side and loss of pain on the opposite side
  5. 5. A · To see how much fluid was removed and guide the dry weight
  6. 6. D · It mainly affects older people with type 2 diabetes, over days
  7. 7. B · The INR, because it may rise
  8. 8. C · Low potassium increases the risk of digoxin toxicity

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