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

Why should people with diabetic neuropathy avoid walking barefoot?

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

Which blood glucose level is commonly used to define hypoglycaemia in a person with diabetes?

1. ABelow 10 mmol/L (about 180 mg/dL)
2. BBelow 1.0 mmol/L (about 18 mg/dL)
3. CBelow 7.0 mmol/L (about 126 mg/dL)
4. DBelow 4.0 mmol/L (about 70 mg/dL)

Tapping the cheek in front of the ear makes the facial muscles twitch. What is this sign called?

1. ATrousseau's sign
2. BChvostek's sign
3. CKernig's sign
4. DBattle's sign

After a head injury, a patient has clear fluid dripping from the nose. What is the main concern?

1. AA simple cold or a bout of hay fever
2. BNormal mucus produced after crying
3. CA CSF leak from a skull fracture
4. DAn allergic reaction to CT contrast

How does bladder training help urge incontinence?

1. AA catheter is used every night
2. BThe time between voids is slowly increased
3. CThe patient goes to the toilet every 15 minutes
4. DThe patient drinks as little as possible

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt lowers the blood pressure, so dizziness is very common
2. BIt is used only for a few days at a time
3. CIt takes months to work; pregnant women must not handle broken tablets
4. DIt works within hours by relaxing the bladder muscle

A patient with a stroke and right-sided weakness is ready to transfer from bed to chair. Which approach is safest?

1. APlace the chair on the right and lift by the weak arm
2. BAsk the patient to stand alone and walk to the chair
3. CPlace the chair on the left side and pivot towards it
4. DPull the patient up by the right shoulder and wrist

The nurse has four neurology patients. Which one needs to be seen first?

1. AA patient with multiple sclerosis who is tired after physiotherapy
2. BA patient with Parkinson's disease whose next dose is due in one hour
3. CA patient with Guillain–Barré syndrome whose vital capacity is falling
4. DA patient with a headache after a lumbar puncture this morning