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 group of symptoms is classic for meningitis?

  1. AFever, headache and neck stiffness
  2. BFlank pain, fever and painful urination
  3. CChest pain, cough and wheeze
  4. DJoint pain, rash on the cheeks and hair loss
2.Easy

What is exophthalmos?

  1. ALoss of the outer eyebrows
  2. BDrooping of one eyelid
  3. CYellowing of the eyes
  4. DBulging of the eyes
3.Easy

What is the most common type of kidney stone?

  1. AUric acid
  2. BCalcium oxalate
  3. CStruvite
  4. DCystine
4.Medium

Why should antiepileptic drugs not be stopped suddenly?

  1. AStopping them suddenly causes permanent damage to the liver and kidneys
  2. BThe drugs build up in the body and become toxic after stopping
  3. CSudden withdrawal can trigger seizures, including status epilepticus
  4. DStopping them suddenly causes a dangerous rise in blood pressure
5.Medium

Which statement about long-acting basal insulin such as glargine is correct?

  1. AIt has a sharp peak in action about 30 minutes after injection
  2. BIt is given only after large meals to cover the carbohydrate
  3. CIt is mixed with rapid-acting insulin in the same syringe
  4. DIn type 1 diabetes it is continued even when the patient is not eating
6.Medium

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

  1. AThe left hypoglossal nerve (XII)
  2. BThe right hypoglossal nerve (XII)
  3. CThe left trigeminal nerve (V)
  4. DThe right facial nerve (VII)
7.Hard

A patient recovering from acute tubular necrosis enters the polyuric phase, passing over 4 L of urine a day. What is the main nursing concern?

  1. AFluid overload with high potassium levels
  2. BHypoglycaemia caused by excess insulin
  3. CRetention of urine in a distended bladder
  4. DDehydration with low potassium and sodium
8.Hard

A haemodialysis patient missed their last two sessions. They are breathless, with crackles, and the potassium is 6.9 mmol/L. What is the priority?

  1. ALarge IV fluid boluses to improve the circulation
  2. BA routine dialysis session at the next planned slot
  3. CUrgent dialysis, with cardiac monitoring meanwhile
  4. DOral potassium supplements and rest

Answer key

  1. 1. A · Fever, headache and neck stiffness
  2. 2. D · Bulging of the eyes
  3. 3. B · Calcium oxalate
  4. 4. C · Sudden withdrawal can trigger seizures, including status epilepticus
  5. 5. D · In type 1 diabetes it is continued even when the patient is not eating
  6. 6. B · The right hypoglossal nerve (XII)
  7. 7. D · Dehydration with low potassium and sodium
  8. 8. C · Urgent dialysis, with cardiac monitoring meanwhile

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