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

Which ECG change is typical of hyperkalaemia?

1. ATall, peaked T waves
2. BA shortened PR interval
3. CFlattened T waves
4. DProminent U waves

During a seizure, what is the most useful thing to record?

1. AThe patient's temperature at the end only
2. BWhen the patient last had something to eat
3. CThe patient's blood pressure every minute throughout
4. DWhen it started and stopped, and how it looked

Why is it important to record when a stroke patient was last known to be well?

1. APatients seen after one hour cannot be admitted to a stroke unit
2. BThe time is needed to calculate the patient's GCS score
3. CTreatments such as thrombolysis depend on the time since onset
4. DThe time decides which side of the brain is affected

Which statement about long-acting basal insulin such as glargine is correct?

1. AIt is given only after large meals to cover the carbohydrate
2. BIn type 1 diabetes it is continued even when the patient is not eating
3. CIt is mixed with rapid-acting insulin in the same syringe
4. DIt has a sharp peak in action about 30 minutes after injection

An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?

1. ANo antibiotics, as long as there are no symptoms
2. BRemove the catheter permanently at once
3. CAntibiotics for life to keep the urine sterile
4. DA full course of antibiotics straight away

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

1. A6, obeys commands
2. B3, abnormal flexion
3. C4, withdraws from pain
4. D5, localises to pain

Which medication timing issue is important for patients on haemodialysis?

1. AAll medicines must be given just before the session
2. BNo medicines can be taken on dialysis days
3. CDialysis does not remove any medicines
4. DDialysable drugs may need to be given after the session

A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?

1. AThe ICP cannot affect brain perfusion if the blood pressure is normal
2. BThe cerebral perfusion pressure is 105 mmHg, which is too high
3. CThe cerebral perfusion pressure is 80 mmHg, which is normal
4. DThe cerebral perfusion pressure is 55 mmHg, below the usual target