Med-surg: neuro, endocrine & renal worksheet with answers

Which common painkiller can harm the kidneys, especially in dehydration?

1. ACodeine
2. BIbuprofen
3. CMorphine
4. DParacetamol (acetaminophen)

Which symptoms are typical early warning signs of hypoglycaemia?

1. ASlow pulse, constipation and feeling cold
2. BThirst, dry skin and passing a lot of urine
3. CShaking, sweating, hunger and a fast heartbeat
4. DDeep, rapid breathing with a fruity breath smell

Which features are typical of Cushing's syndrome?

1. ACold intolerance, a slow pulse, dry skin and diffuse hair loss
2. BLarge volumes of dilute urine with great thirst
3. CCentral weight gain, round face, thin skin, high glucose
4. DWeight loss, low blood pressure and darkened skin

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

1. ARub the eyes firmly each morning to reduce the swelling
2. BUse lubricating drops and sleep with the head raised
3. CSmoking more will not affect the eyes
4. DStay in bright sunlight to dry the eyes

A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?

1. AIt turns the tears and sweat bright orange
2. BIt may turn the urine dark yellow or brown
3. CIt must be taken only once a week
4. DIt should be taken on an empty stomach with milk

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. AWorse on waking and on coughing, with vomiting
2. BA tight band across the forehead that eases with rest
3. CBetter in the morning and worse with stress
4. DOnly present after reading for a long time

On the first day after a kidney transplant, urine output suddenly falls from 200 mL/h to 10 mL/h. What should the nurse check first?

1. AThe patient's blood glucose level
2. BThe patient's temperature and pulse
3. CWhether the patient has eaten
4. DThat the catheter is not blocked or kinked

A patient has episodes of severe headache, sweating, palpitations and very high blood pressure. Which condition should be considered?

1. ADiabetes insipidus
2. BPhaeochromocytoma
3. CHypothyroidism
4. DAddison's disease