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

  1. AKidney stones
  2. BAn enlarged prostate
  3. CPolycystic kidney disease
  4. DAcute tubular necrosis
2.Easy

What does dysarthria mean?

  1. ALoss of the ability to understand spoken or written language
  2. BInability to read or write after a brain injury
  3. CUnclear speech caused by weak or poorly coordinated speech muscles
  4. DDifficulty swallowing food and drink safely
3.Easy

What is the main laboratory finding in SIADH (syndrome of inappropriate ADH secretion)?

  1. AHigh serum sodium from water loss
  2. BHigh blood glucose from insulin resistance
  3. CLow serum calcium from kidney losses
  4. DLow serum sodium from water retention
4.Medium

After a kidney biopsy, which observation is most important?

  1. AThe patient's appetite at the next meal
  2. BThe temperature every four hours only
  3. CSigns of bleeding, such as haematuria and a rising pulse
  4. DThe colour of the patient's skin on the face
5.Medium

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

  1. ARub the eyes firmly each morning to reduce the swelling
  2. BUse lubricating drops and sleep with the head raised
  3. CSmoking more will not affect the eyes
  4. DStay in bright sunlight to dry the eyes
6.Medium

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

  1. ATo give the patient extra fluids
  2. BTo stop blood clots from blocking the catheter
  3. CTo measure the size of the bladder
  4. DTo treat a urinary infection after the operation
7.Hard

A patient with hypopituitarism needs both hydrocortisone and levothyroxine. Which is usually started first?

  1. ANeither, until symptoms appear
  2. BHydrocortisone
  3. CLevothyroxine
  4. DBoth on the same day, in any order
8.Hard

A nurse teaches a wheelchair user with a spinal cord injury about skin care. Which statement shows a need for further teaching?

  1. A"I only need to check my skin when something hurts."
  2. B"I will keep my skin clean and dry."
  3. C"I will shift my weight in the chair regularly."
  4. D"I will use a mirror to check my bottom and heels every day."

Answer key

  1. 1. D · Acute tubular necrosis
  2. 2. C · Unclear speech caused by weak or poorly coordinated speech muscles
  3. 3. D · Low serum sodium from water retention
  4. 4. C · Signs of bleeding, such as haematuria and a rising pulse
  5. 5. B · Use lubricating drops and sleep with the head raised
  6. 6. B · To stop blood clots from blocking the catheter
  7. 7. B · Hydrocortisone
  8. 8. A · "I only need to check my skin when something hurts."

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