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 automated peritoneal dialysis?

  1. ADialysis that needs no fluid at all
  2. BDialysis in hospital through an arm fistula
  3. CExchanges done overnight by a machine
  4. DA single exchange done once a week
2.Easy

Which HbA1c result is commonly used as the threshold for diagnosing diabetes?

  1. A48 mmol/mol (6.5%) or higher
  2. B75 mmol/mol (9.0%) or higher
  3. C38 mmol/mol (5.6%) or higher
  4. D30 mmol/mol (4.9%) or higher
3.Easy

What is the normal range for total serum calcium in an adult?

  1. AAbout 1.0–1.5 mmol/L (4.0–6.0 mg/dL)
  2. BAbout 0.7–1.0 mmol/L (2.8–4.0 mg/dL)
  3. CAbout 2.2–2.6 mmol/L (8.5–10.5 mg/dL)
  4. DAbout 3.5–5.0 mmol/L (14–20 mg/dL)
4.Medium

A patient has acute glomerulonephritis with oedema and high blood pressure. Which nursing care is most appropriate?

  1. ACheck the weight once a week
  2. BMonitor BP, fluid balance and daily weight
  3. CGive large amounts of IV fluid
  4. DEncourage a high-salt diet to balance the fluids
5.Medium

How should peritoneal dialysis fluid be warmed before use?

  1. AIt should be used cold from the fridge
  2. BIn a dedicated dry-heat warmer
  3. CIn a bowl of hot tap water
  4. DIn a microwave oven
6.Medium

A patient with SIADH has a sodium of 126 mmol/L and mild symptoms. Which treatment is usually first-line?

  1. AIV 5% glucose infusion
  2. BFluid restriction
  3. CExtra oral water
  4. DDesmopressin
7.Hard

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

  1. AAsk for a strong sedative so that the patient can sleep
  2. BLook for causes such as low oxygen, pain, retention or infection
  3. CTell the family that this is the start of dementia
  4. DApply wrist restraints to protect the IV line
8.Hard

Two days after a C5 spinal cord injury, a patient is anxious, with a respiratory rate of 30/min and a falling vital capacity. What should the nurse do?

  1. AGive a sedative to slow the breathing and ease the anxiety
  2. BLie the patient flat with the head tilted back to open the airway
  3. CEscalate urgently: cord oedema may cause respiratory failure
  4. DRecheck the vital capacity again in about 12 hours

Answer key

  1. 1. C · Exchanges done overnight by a machine
  2. 2. A · 48 mmol/mol (6.5%) or higher
  3. 3. C · About 2.2–2.6 mmol/L (8.5–10.5 mg/dL)
  4. 4. B · Monitor BP, fluid balance and daily weight
  5. 5. B · In a dedicated dry-heat warmer
  6. 6. B · Fluid restriction
  7. 7. B · Look for causes such as low oxygen, pain, retention or infection
  8. 8. C · Escalate urgently: cord oedema may cause respiratory failure

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