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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1.Easy

What is an early sign of kidney damage from diabetes?

  1. ABlood in the urine that is visible
  2. BSmall amounts of albumin in the urine
  3. CPain felt in both kidneys at night
  4. DA very low blood urea level
2.Easy

What is the most common cause of intrinsic (renal) acute kidney injury in hospital?

  1. AAcute tubular necrosis
  2. BKidney stones
  3. CPolycystic kidney disease
  4. DAn enlarged prostate
3.Easy

What does the HbA1c test show?

  1. AThe blood glucose at the exact moment that the sample is taken
  2. BThe amount of insulin the pancreas is making
  3. CThe glucose level over the last 24 hours only
  4. DThe average blood glucose over about two to three months
4.Medium

A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?

  1. AThe kidneys are making too little urine
  2. BThe bladder is not emptying properly
  3. CThe patient is passing urine normally
  4. DThe patient has drunk too little fluid
5.Medium

A patient on insulin asks about drinking alcohol. Which advice is correct?

  1. AAlcohol has no effect on blood glucose in people with diabetes
  2. BAlcohol can cause hypos, even the next day, so eat carbs with it
  3. CAlcohol raises glucose, so extra insulin should be taken first
  4. DAlcohol should replace a meal on the days it is drunk
6.Medium

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

  1. AAvoid it, because it can raise the drug levels
  2. BDrink it with each dose to improve the absorption
  3. CDrink it daily to protect the kidney
  4. DIt has no effect on these drugs
7.Hard

A patient with diabetes insipidus after head trauma needs hourly urine output measurement. Which task can be delegated to a trained healthcare assistant (nursing assistant)?

  1. AAssessing the patient's level of consciousness
  2. BMeasuring hourly urine and reporting results above a set amount
  3. CDeciding whether to give the next desmopressin dose
  4. DInterpreting the serum sodium results
8.Hard

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

  1. AAdvise very hot drinks to relax the facial nerves
  2. BOffer soft, lukewarm food and advise chewing on the unaffected side
  3. CTell the patient to stop brushing their teeth completely
  4. DEncourage hard, crunchy foods to strengthen the jaw muscles

Answer key

  1. 1. B · Small amounts of albumin in the urine
  2. 2. A · Acute tubular necrosis
  3. 3. D · The average blood glucose over about two to three months
  4. 4. B · The bladder is not emptying properly
  5. 5. B · Alcohol can cause hypos, even the next day, so eat carbs with it
  6. 6. A · Avoid it, because it can raise the drug levels
  7. 7. B · Measuring hourly urine and reporting results above a set amount
  8. 8. B · Offer soft, lukewarm food and advise chewing on the unaffected side

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