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 nerve cells are damaged in amyotrophic lateral sclerosis (motor neurone disease)?

  1. AUpper and lower motor neurons
  2. BThe optic nerves and retina
  3. CSensory nerves in the skin only
  4. DThe nerves of the autonomic system only
2.Easy

Which hormone do the alpha cells of the pancreatic islets make?

  1. AAmylase
  2. BSomatostatin
  3. CGlucagon
  4. DInsulin
3.Easy

What does a complete spinal cord injury mean?

  1. ANo movement or feeling below the injury, even in the sacral area
  2. BThe patient can move but cannot feel below the injury
  3. CAll vertebrae in the neck are broken
  4. DThe spinal cord has been cut into two separate pieces
4.Medium

A patient with SIADH has a sodium of 126 mmol/L and mild symptoms. Which treatment is usually first-line?

  1. ADesmopressin
  2. BFluid restriction
  3. CIV 5% glucose infusion
  4. DExtra oral water
5.Medium

Why must potassium be monitored closely when IV insulin is given for DKA?

  1. AInsulin moves potassium into cells, so the level can fall quickly
  2. BInsulin has no effect on potassium in DKA
  3. CInsulin breaks down potassium in the bloodstream
  4. DInsulin makes the kidneys retain potassium, so the level will rise
6.Medium

Which nursing action helps prevent a rise in intracranial pressure?

  1. APreventing constipation and spacing out care
  2. BEncouraging hard coughing every hour
  3. CLying the patient flat with the hips bent sharply
  4. DDoing all care and suctioning in one long session
7.Hard

A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?

  1. APain spreading upwards from a kidney cyst
  2. BA subarachnoid haemorrhage from a brain aneurysm
  3. CA urinary infection that has spread
  4. DA migraine linked to high blood pressure
8.Hard

A patient with CKD has a haemoglobin of 92 g/L and starts an erythropoiesis-stimulating agent (ESA). What should the nurse monitor?

  1. ALiver enzymes, because ESAs are toxic to the liver
  2. BBlood glucose, because ESAs often cause hypoglycaemia
  3. CHearing, because ESAs can damage the inner ear
  4. DBlood pressure and haemoglobin, as overshoot raises clot risk

Answer key

  1. 1. A · Upper and lower motor neurons
  2. 2. C · Glucagon
  3. 3. A · No movement or feeling below the injury, even in the sacral area
  4. 4. B · Fluid restriction
  5. 5. A · Insulin moves potassium into cells, so the level can fall quickly
  6. 6. A · Preventing constipation and spacing out care
  7. 7. B · A subarachnoid haemorrhage from a brain aneurysm
  8. 8. D · Blood pressure and haemoglobin, as overshoot raises clot risk

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