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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Name: ____________________   Date: ____________

1.Easy

In peritoneal dialysis, what acts as the dialysis membrane?

  1. AThe lining of the stomach
  2. BA filter in a machine outside the body
  3. CThe lining of the abdominal cavity
  4. DThe wall of the bladder
2.Easy

Which simple test should be done early in every patient with suspected stroke, because an abnormal result can mimic a stroke?

  1. ACapillary blood glucose
  2. BVisual acuity chart
  3. CPeak expiratory flow rate
  4. DUrine dipstick
3.Easy

Which blood test is most commonly used to estimate kidney function?

  1. AHbA1c (glycated haemoglobin)
  2. BSerum creatinine (eGFR)
  3. CSerum albumin level
  4. DSerum amylase level
4.Medium

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

  1. ASkip a dose on days without any warning signs
  2. BKeep regular sleep and take every dose on time
  3. CDrink coffee in the evening to stay alert
  4. DAvoid all physical exercise and stay indoors
5.Medium

Which criterion for acute kidney injury (KDIGO) relates to urine output?

  1. ABelow 2 mL/kg/h for 1 hour
  2. BAny change in the colour of the urine
  3. CBelow 1 L in 24 hours whatever the intake
  4. DBelow 0.5 mL/kg/h for 6 hours or more
6.Medium

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

  1. AGive the insulin now and the meal when it comes
  2. BOmit the dose entirely for the rest of the day
  3. CGive the insulin with a glass of water instead
  4. DWait to give the insulin until the meal arrives
7.Hard

A patient who had pituitary surgery has fatigue and feels cold. TSH is low, and free T4 is low. What is the most likely cause?

  1. AHyperthyroidism from Graves' disease
  2. BOver-replacement with levothyroxine
  3. CPrimary hypothyroidism from thyroid failure
  4. DSecondary hypothyroidism
8.Hard

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

  1. AThe kidney will start to produce far too much urine
  2. BVomiting proves that rejection has already happened
  3. CThe patient may not be absorbing their immunosuppressants
  4. DThe tablets will make the vomiting stop

Answer key

  1. 1. C · The lining of the abdominal cavity
  2. 2. A · Capillary blood glucose
  3. 3. B · Serum creatinine (eGFR)
  4. 4. B · Keep regular sleep and take every dose on time
  5. 5. D · Below 0.5 mL/kg/h for 6 hours or more
  6. 6. D · Wait to give the insulin until the meal arrives
  7. 7. D · Secondary hypothyroidism
  8. 8. C · The patient may not be absorbing their immunosuppressants

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