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

What is the most common cause of Cushing's syndrome?

  1. AA lack of ACTH from the pituitary gland
  2. BA tumour of the adrenal medulla
  3. CLong-term use of glucocorticoid medicines
  4. DAn autoimmune attack on the adrenal glands
2.Easy

What does the urine specific gravity tell the nurse?

  1. AHow much glucose is in the blood
  2. BHow concentrated the urine is
  3. CHow much protein the urine contains
  4. DWhether the urine contains bacteria
3.Easy

Which heart rhythm greatly increases the risk of an embolic stroke?

  1. AFirst-degree heart block
  2. BSinus arrhythmia
  3. CAtrial fibrillation
  4. DSinus bradycardia
4.Medium

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

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

Which signs suggest rejection of a kidney transplant?

  1. AA cough, wheeze and a runny nose with sneezing
  2. BLess urine, a rising creatinine and a tender graft
  3. CA rash on the face after sun exposure
  4. DMore urine, a falling creatinine and weight loss
6.Medium

A stroke patient understands what is said but struggles to find words and speaks in short, effortful phrases. What type of aphasia is this?

  1. AReceptive (Wernicke's) aphasia
  2. BDysarthria from weak facial muscles
  3. CGlobal aphasia with no understanding
  4. DExpressive (Broca's) aphasia
7.Hard

A patient with a known ureteric stone develops a fever of 39 °C (102.2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?

  1. AOral antibiotics and waiting for the stone to pass
  2. BA fluid restriction to reduce the swelling
  3. CUrgent drainage of the kidney plus IV antibiotics
  4. DStrong pain relief alone, then discharge
8.Hard

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3.1 mmol/L. What is the priority?

  1. AIncrease the pump rate and recheck the ketones in 12 hours
  2. BSuspect failed insulin delivery and give insulin by another route
  3. CGive an antiemetic only, because nausea is causing the high glucose
  4. DDisconnect the pump and give no insulin until the ketones clear

Answer key

  1. 1. C · Long-term use of glucocorticoid medicines
  2. 2. B · How concentrated the urine is
  3. 3. C · Atrial fibrillation
  4. 4. A · Paralysed leg muscles no longer pump blood back to the heart
  5. 5. B · Less urine, a rising creatinine and a tender graft
  6. 6. D · Expressive (Broca's) aphasia
  7. 7. C · Urgent drainage of the kidney plus IV antibiotics
  8. 8. B · Suspect failed insulin delivery and give insulin by another route

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