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

Which is a common effect of long-term corticosteroid treatment?

  1. ALow blood glucose
  2. BThinning of the bones
  3. CWeight loss and a slim face
  4. DA lower risk of infections
2.Easy

What is acromegaly?

  1. AToo much growth hormone in an adult
  2. BToo little thyroid hormone in an adult
  3. CToo much cortisol from the adrenal glands
  4. DToo little growth hormone in a child
3.Easy

Which group of symptoms is classic for meningitis?

  1. AFlank pain, fever and painful urination
  2. BFever, headache and neck stiffness
  3. CJoint pain, rash on the cheeks and hair loss
  4. DChest pain, cough and wheeze
4.Medium

Which complication of haemodialysis causes headache, nausea, restlessness and sometimes seizures, especially in the first sessions?

  1. ADialysis disequilibrium syndrome
  2. BBacterial peritonitis
  3. CDialysate hypoglycaemia
  4. DVenous air embolism through the lines
5.Medium

After a lumbar discectomy, which finding should the nurse report promptly?

  1. AStiffness when getting out of bed
  2. BNew weakness or numbness in the legs
  3. CA dry, intact wound dressing
  4. DMild pain at the wound site
6.Medium

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

  1. AConfusion is the only symptom of a UTI at any age
  2. BOlder adults often show infection as confusion
  3. CA UTI cannot occur in people over 80
  4. DUrinary infections always cause a high fever in older adults
7.Hard

A patient with raised intracranial pressure needs endotracheal suctioning. Which approach is most appropriate?

  1. ASuction every 15 minutes as a routine, even without secretions
  2. BSuction for at least 30 seconds to clear all secretions at once
  3. CPre-oxygenate, keep each pass short and limit the number of passes
  4. DLie the patient flat with the head turned during suctioning
8.Hard

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

  1. AApply wrist restraints to protect the IV line
  2. BTell the family that this is the start of dementia
  3. CLook for causes such as low oxygen, pain, retention or infection
  4. DAsk for a strong sedative so that the patient can sleep

Answer key

  1. 1. B · Thinning of the bones
  2. 2. A · Too much growth hormone in an adult
  3. 3. B · Fever, headache and neck stiffness
  4. 4. A · Dialysis disequilibrium syndrome
  5. 5. B · New weakness or numbness in the legs
  6. 6. B · Older adults often show infection as confusion
  7. 7. C · Pre-oxygenate, keep each pass short and limit the number of passes
  8. 8. C · Look for causes such as low oxygen, pain, retention or infection

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