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 type of kidney stone?

  1. AStruvite
  2. BUric acid
  3. CCalcium oxalate
  4. DCystine
2.Easy

How should a patient collect a midstream urine sample?

  1. ACollect urine from the toilet bowl afterwards
  2. BLet the first part go in the toilet, then catch the middle
  3. CCollect the very first drops into the container
  4. DCollect urine over 24 hours into one bottle
3.Easy

What is diabetic gastroparesis?

  1. AA stomach ulcer caused by long-term metformin use
  2. BSlow emptying of the stomach due to nerve damage
  3. CInflammation of the pancreas from high glucose
  4. DA blockage of the small bowel by scar tissue
4.Medium

Which electrolyte pattern is typical of Addison's disease?

  1. ALow sodium and high potassium
  2. BHigh calcium and low phosphate
  3. CLow potassium and low glucose
  4. DHigh sodium and low potassium
5.Medium

After pressing the plunger of an insulin pen, what should the patient do?

  1. AInject a second dose straight away to be sure
  2. BPull the needle out at once and rub the site firmly
  3. CLeave the needle on the pen for the next injection
  4. DKeep the needle in the skin for about 10 seconds
6.Medium

How does bladder training help urge incontinence?

  1. AThe time between voids is slowly increased
  2. BThe patient drinks as little as possible
  3. CThe patient goes to the toilet every 15 minutes
  4. DA catheter is used every night
7.Hard

A patient with a T4 spinal cord injury has a pounding headache, BP 210/110 mmHg, flushed sweaty skin above the injury and a pulse of 50/min. After sitting the patient up, what is the next priority?

  1. AFind and remove the trigger, starting with the bladder
  2. BLie the patient flat again and raise the legs on pillows
  3. CGive a rapid IV fluid bolus to support the circulation
  4. DGive a sedative and recheck the blood pressure in an hour
8.Hard

A man with chronic urinary retention is catheterised. Over the next hours he passes very large volumes of urine. What is the main nursing concern?

  1. AFluid and electrolyte loss from post-obstructive diuresis
  2. BA urinary infection caused by the high flow of urine
  3. CA rise in blood glucose from the urine
  4. DRupture of the bladder from the catheter

Answer key

  1. 1. C · Calcium oxalate
  2. 2. B · Let the first part go in the toilet, then catch the middle
  3. 3. B · Slow emptying of the stomach due to nerve damage
  4. 4. A · Low sodium and high potassium
  5. 5. D · Keep the needle in the skin for about 10 seconds
  6. 6. A · The time between voids is slowly increased
  7. 7. A · Find and remove the trigger, starting with the bladder
  8. 8. A · Fluid and electrolyte loss from post-obstructive diuresis

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