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 a goitre?

  1. AA swollen lymph node in the armpit
  2. BAn overactive parathyroid gland
  3. CAn enlarged thyroid gland
  4. DA tumour of the adrenal gland
2.Easy

Which features suggest pyelonephritis rather than simple cystitis?

  1. APassing urine more often at night only
  2. BUrine that smells slightly stronger
  3. CFever, rigors and pain in the loin
  4. DMild burning on passing urine only
3.Easy

Which is a common effect of long-term corticosteroid treatment?

  1. AThinning of the bones
  2. BA lower risk of infections
  3. CWeight loss and a slim face
  4. DLow blood glucose
4.Medium

A patient with AKI has a urinary catheter that drains nothing. Which quick bedside check helps rule out a post-renal cause?

  1. AEncourage the patient to drink two litres of water
  2. BSend a urine sample for culture and wait for the laboratory result
  3. CCheck the catheter for kinks or blockage and do a bladder scan
  4. DGive a large bolus of IV fluid straight away
5.Medium

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

  1. AStay in strict isolation in hospital for several months
  2. BStart breastfeeding again the next day
  3. CThere are no precautions, because the dose is tiny
  4. DLimit close contact with children and pregnant women for a time
6.Medium

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

  1. AParalysed leg muscles no longer pump blood back to the heart
  2. BSpinal injuries always damage the large veins of the legs
  3. CThey usually take oestrogen as part of their treatment
  4. DThe injury makes the blood too thin to clot properly in the veins
7.Hard

A patient with raised intracranial pressure needs endotracheal suctioning. Which approach is most appropriate?

  1. ASuction every 15 minutes as a routine, even without secretions
  2. BPre-oxygenate, keep each pass short and limit the number of passes
  3. CLie the patient flat with the head turned during suctioning
  4. DSuction for at least 30 seconds to clear all secretions at once
8.Hard

A patient who has taken prednisolone daily for years is vomiting and cannot keep tablets down. What should the nurse do?

  1. AGive the tablets again after every vomit
  2. BOmit the steroid until the vomiting stops
  3. CEscalate urgently for steroid by injection
  4. DGive the next dose with a glass of milk

Answer key

  1. 1. C · An enlarged thyroid gland
  2. 2. C · Fever, rigors and pain in the loin
  3. 3. A · Thinning of the bones
  4. 4. C · Check the catheter for kinks or blockage and do a bladder scan
  5. 5. D · Limit close contact with children and pregnant women for a time
  6. 6. A · Paralysed leg muscles no longer pump blood back to the heart
  7. 7. B · Pre-oxygenate, keep each pass short and limit the number of passes
  8. 8. C · Escalate urgently for steroid by injection

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