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 spinal cord injury level is most likely to stop the diaphragm from working?

  1. AA complete injury at L3 or below
  2. BA complete injury at S2 or below
  3. CA complete injury at C3 or above
  4. DA complete injury at T10 or below
3.Easy

How do sulfonylureas such as gliclazide lower blood glucose?

  1. AThey slow down the absorption of food
  2. BThey replace insulin that the body lacks
  3. CThey make the kidneys pass more glucose
  4. DThey make the pancreas release more insulin
4.Medium

Which symptoms are typical of hypokalaemia?

  1. AExcess thirst and very high glucose
  2. BMuscle weakness, cramps and palpitations
  3. CTingling lips and facial twitching
  4. DHeat intolerance and weight loss
5.Medium

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

  1. AA loop diuretic
  2. BA proton pump inhibitor
  3. CA beta-agonist inhaler
  4. DAn oral anticoagulant
6.Medium

Why must Parkinson's medicines be given on time in hospital?

  1. ALate doses can soon cause stiffness, falls and poor swallowing
  2. BGiving them on time prevents the disease from getting worse
  3. CLate doses cause the patient to develop high blood glucose
  4. DLate doses build up in the blood and cause an overdose
7.Hard

A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?

  1. AFood is absorbed slowly, so the insulin peaks before the glucose rises
  2. BThe insulin has gone off and needs replacing
  3. CThe patient is secretly eating sweets between meals
  4. DThe meter gives false results for several hours after every meal
8.Hard

During haemodialysis, a patient's BP falls to 80/50 mmHg and they feel dizzy and sick. What is the most appropriate first nursing action?

  1. AGive the patient's usual antihypertensive dose straight away
  2. BIncrease the fluid removal rate so the session ends sooner
  3. CSit the patient upright and encourage a short walk
  4. DLie the patient flat, reduce fluid removal and get help

Answer key

  1. 1. D · Heavy proteinuria, low albumin and oedema
  2. 2. C · A complete injury at C3 or above
  3. 3. D · They make the pancreas release more insulin
  4. 4. B · Muscle weakness, cramps and palpitations
  5. 5. D · An oral anticoagulant
  6. 6. A · Late doses can soon cause stiffness, falls and poor swallowing
  7. 7. A · Food is absorbed slowly, so the insulin peaks before the glucose rises
  8. 8. D · Lie the patient flat, reduce fluid removal and get help

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