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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1.Easy

Which classic triad is described in renal cell carcinoma, although few patients have all three?

  1. AHaematuria, flank pain and a palpable mass
  2. BDysuria, frequency and urgency
  3. CFever, headache and a stiff neck
  4. DPolyuria, thirst and weight loss with tiredness
2.Easy

Which hormones are released from the posterior pituitary gland?

  1. AInsulin and cortisol
  2. BTSH and ACTH
  3. CGrowth hormone and prolactin
  4. DADH (vasopressin) and oxytocin
3.Easy

Why can a new arteriovenous fistula not be used straight away?

  1. AThe stitches must be removed first
  2. BThe vein needs weeks to enlarge and thicken
  3. CThe artery must first grow back to its full size
  4. DThe arm must be in plaster for a month
4.Medium

Which nursing action helps prevent a rise in intracranial pressure?

  1. AEncouraging hard coughing every hour
  2. BLying the patient flat with the hips bent sharply
  3. CDoing all care and suctioning in one long session
  4. DPreventing constipation and spacing out care
5.Medium

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

  1. AA persistent dry cough at night
  2. BOrange discoloration of the urine
  3. CChanges in mood, such as irritability, low mood or anger
  4. DSwelling and overgrowth of the gums around the teeth
6.Medium

A patient is starting lamotrigine. Which teaching point is most important?

  1. ADouble the dose if a seizure happens
  2. BTake it with a glass of grapefruit juice to improve its absorption
  3. CReport any skin rash promptly, especially in the first weeks
  4. DExpect an orange tint to tears and urine
7.Hard

A patient with a T4 spinal cord injury has a pounding headache, BP 210/110 mmHg, flushed sweaty skin above the injury and a pulse of 50/min. After sitting the patient up, what is the next priority?

  1. AGive a rapid IV fluid bolus to support the circulation
  2. BGive a sedative and recheck the blood pressure in an hour
  3. CLie the patient flat again and raise the legs on pillows
  4. DFind and remove the trigger, starting with the bladder
8.Hard

A patient in a halo vest for a cervical spine fracture has a cardiac arrest. What must be immediately available?

  1. AThe tool to open the front of the vest for CPR
  2. BA pillow to raise the head and shoulders
  3. CScissors to cut through the skull pins
  4. DA hard board to slide under the vest

Answer key

  1. 1. A · Haematuria, flank pain and a palpable mass
  2. 2. D · ADH (vasopressin) and oxytocin
  3. 3. B · The vein needs weeks to enlarge and thicken
  4. 4. D · Preventing constipation and spacing out care
  5. 5. C · Changes in mood, such as irritability, low mood or anger
  6. 6. C · Report any skin rash promptly, especially in the first weeks
  7. 7. D · Find and remove the trigger, starting with the bladder
  8. 8. A · The tool to open the front of the vest for CPR

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