Med-surg: neuro, endocrine & renal worksheet with answers

A febrile patient has a rash that does not fade when a glass is pressed against it. What should the nurse suspect?

1. AHeat rash from a high temperature
2. BA simple viral skin rash
3. CAn allergic reaction to soap
4. DMeningococcal septicaemia

In countries with enough iodine in the diet, what is the most common cause of hypothyroidism?

1. AAutoimmune thyroiditis (Hashimoto's)
2. BA pituitary tumour pressing on the gland
3. CToo much iodine in salt
4. DThyroid cancer

Why are patients with a spinal cord injury at very high risk of pressure injuries?

1. ATheir skin is thinner than other people's skin
2. BTheir blood sugar is always very high, which damages the skin
3. CThey usually have a high fever for many weeks
4. DThey cannot feel or move the body below the injury

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AStay in bed for two weeks until the pain is gone
2. BStay as active as possible and use simple pain relief
3. CAvoid all movement until an MRI scan has been done
4. DWear a rigid back brace all day and night for at least three months

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AExpect the drug to shrink the prostate within a day
2. BStop it if the urine stream improves
3. CStand up slowly, because it can make you dizzy
4. DTake it with grapefruit juice to make it work better

A patient has taken metformin for many years and now has tingling feet and a low haemoglobin. Which blood test is most relevant?

1. AVitamin B12 level
2. BSerum amylase
3. CThyroid antibodies
4. DBlood alcohol level

A patient with known back pain says they now cannot feel the skin between their legs and have not passed urine for 12 hours. What should happen?

1. AAdvice to rest at home and take stronger painkillers
2. BA routine physiotherapy appointment next week
3. CUrgent MRI and referral to the spinal surgeons
4. DA laxative and review in the clinic in a month

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

1. A"I will count all drinks, including soup, in my daily total."
2. B"I will report any headaches or confusion."
3. C"If I feel thirsty, I can drink as much water as I like."
4. D"I will weigh myself every morning."