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.

New worksheetPractise online with hints

For teachers: free to print, copy and use in class. Every new worksheet has new values and its own answer key. A link to ExamProblems on your course page is appreciated.

Name: ____________________   Date: ____________

1.Easy

What does a complete spinal cord injury mean?

  1. ANo movement or feeling below the injury, even in the sacral area
  2. BThe spinal cord has been cut into two separate pieces
  3. CThe patient can move but cannot feel below the injury
  4. DAll vertebrae in the neck are broken
2.Easy

What is urge incontinence?

  1. ALeaking because the toilet is too far away
  2. BDribbling because the bladder never empties
  3. CLeaking only when laughing, coughing or lifting heavy objects
  4. DA sudden, strong need to pass urine, followed by leaking
3.Easy

In primary hypothyroidism, what is the usual TSH result?

  1. AUndetectable
  2. BLow
  3. CNormal
  4. DHigh
4.Medium

A patient has a homonymous hemianopia after a stroke. How should the nurse help at first?

  1. AKeep the room dark to reduce visual stimulation
  2. BApproach from the seeing side and teach head-turning to scan
  3. CCover the eye on the affected side with a patch
  4. DPut the call bell and drinks on the side without vision, to train it
5.Medium

A patient has a nephrostomy tube. Which finding needs urgent action?

  1. AA dry, intact dressing at the site
  2. BLight pink urine on the first day after insertion
  3. CSteady urine drainage into the bag
  4. DDrainage that stops suddenly with new loin pain
6.Medium

Which statement about storing insulin is correct?

  1. AUnopened insulin goes in the fridge and must never be frozen
  2. BInsulin that has been frozen can be used once it has thawed
  3. CAll insulin must be stored in the freezer to keep it stable
  4. DInsulin should be kept on a sunny windowsill to stay warm
7.Hard

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

  1. AIV insulin
  2. BIV aciclovir
  3. COral amoxicillin
  4. DOral prednisolone
8.Hard

A patient with an acute stroke has a glucose of 15 mmol/L (270 mg/dL). They do not have known diabetes. What is appropriate?

  1. AGive glucose gel to stabilise the level
  2. BReport it and monitor glucose, as it can worsen outcome
  3. CIgnore it, because stress always raises glucose
  4. DStop all IV fluids to lower the glucose

Answer key

  1. 1. A · No movement or feeling below the injury, even in the sacral area
  2. 2. D · A sudden, strong need to pass urine, followed by leaking
  3. 3. D · High
  4. 4. B · Approach from the seeing side and teach head-turning to scan
  5. 5. D · Drainage that stops suddenly with new loin pain
  6. 6. A · Unopened insulin goes in the fridge and must never be frozen
  7. 7. B · IV aciclovir
  8. 8. B · Report it and monitor glucose, as it can worsen outcome

Full step-by-step solutions: practise this topic on examproblems.com.