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 features defines nephrotic syndrome?

  1. APainful urination, fever and frequency
  2. BBlood in the urine, high BP and low urine output
  3. CSevere loin pain that spreads to the groin
  4. DHeavy proteinuria, low albumin and oedema
2.Easy

Which gland produces cortisol?

  1. AThe adrenal cortex
  2. BThe adrenal medulla
  3. CThe posterior pituitary
  4. DThe thyroid gland
3.Easy

What is a positive Kernig's sign?

  1. ATwitching of the facial muscles when the cheek is tapped in front of the ear
  2. BBending of the hips and knees when the neck is flexed
  3. CBruising behind the ear after a head injury
  4. DPain and resistance when the knee is straightened with the hip flexed
4.Medium

Which action is part of an effective bowel programme after a spinal cord injury?

  1. AA routine at the same time each day, often after a meal
  2. BUsing strong laxatives only when the bowel has not opened for a week
  3. CAvoiding fibre to prevent bloating
  4. DRestricting fluids to reduce the volume of stool
5.Medium

A patient takes levodopa for Parkinson's disease. Which teaching point is correct?

  1. AThe tablets work best taken with a large steak dinner
  2. BStop the drug for a day each week to avoid tolerance
  3. CThe drug cures the disease if taken for a full year
  4. DLarge high-protein meals can reduce how well the drug works
6.Medium

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

  1. AMonitor BP, fluid balance and daily weight
  2. BGive large amounts of IV fluid
  3. CCheck the weight once a week
  4. DEncourage a high-salt diet to balance the fluids
7.Hard

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

  1. AA 30-year-old who bumped their head on a cupboard door
  2. BA 25-year-old with a small scalp graze after a fall
  3. CA 78-year-old who takes warfarin for atrial fibrillation
  4. DA 40-year-old with a mild headache that is improving
8.Hard

Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?

  1. AThe patient actually has type 2 diabetes
  2. BThe insulin has gone off and should be replaced
  3. CA honeymoon phase, but insulin is still needed
  4. DThe diabetes has been cured, so insulin can stop

Answer key

  1. 1. D · Heavy proteinuria, low albumin and oedema
  2. 2. A · The adrenal cortex
  3. 3. D · Pain and resistance when the knee is straightened with the hip flexed
  4. 4. A · A routine at the same time each day, often after a meal
  5. 5. D · Large high-protein meals can reduce how well the drug works
  6. 6. A · Monitor BP, fluid balance and daily weight
  7. 7. C · A 78-year-old who takes warfarin for atrial fibrillation
  8. 8. C · A honeymoon phase, but insulin is still needed

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