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

What is the purpose of a steroid emergency card or medical alert ID?

1. ATo warn staff that extra steroid is needed in illness or injury
2. BTo let the patient buy steroids without a prescription
3. CTo record the patient's blood glucose results
4. DTo show that the patient is allergic to all types of steroid medicine

Which mineral is needed to make thyroid hormones?

1. ACalcium
2. BIodine
3. CZinc
4. DIron

Why should people with diabetic neuropathy avoid walking barefoot?

1. AThey may not feel an injury, so it can go unnoticed
2. BInsulin is absorbed less well from the feet and the legs
3. CWalking barefoot raises the blood glucose
4. DBare feet lose too much heat through the skin

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with a history of angina
2. BA patient who also has asthma
3. CA patient with well-controlled hypothyroidism
4. DA patient with an allergy to penicillin

Which nursing action helps most to prevent and manage delirium in an older inpatient?

1. AUse glasses and hearing aids and reorient the patient often
2. BMove the patient to a different room each day for variety
3. CKeep the lights on all night so the patient can see clearly
4. DRestrain the patient so that they do not wander off the ward

Why is all urine strained in a patient with suspected kidney stones?

1. ATo stop the stone from blocking the toilet
2. BTo measure the urine volume more accurately
3. CTo catch the stone so it can be analysed
4. DTo remove blood clots before testing

A prescription reads "Insulin 10U". Why is this a safety problem?

1. AInsulin doses must always be written in millilitres
2. B"U" means the insulin must be given intravenously
3. CThere is no problem as long as the nurse can read it
4. D"U" can be misread as a zero, giving a tenfold dose

The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?

1. AA migraine triggered by stress
2. BPost-dural puncture headache
3. CBacterial meningitis from the procedure
4. DA subarachnoid haemorrhage