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

A patient with advanced CKD has a high potassium. Which foods are often limited?

  1. AApples, berries and cabbage
  2. BWhite rice, pasta and bread
  3. CEgg whites, chicken and fish
  4. DBananas, potatoes and oranges
2.Easy

What is a positive Kernig's sign?

  1. APain and resistance when the knee is straightened with the hip flexed
  2. BTwitching of the facial muscles when the cheek is tapped in front of the ear
  3. CBruising behind the ear after a head injury
  4. DBending of the hips and knees when the neck is flexed
3.Easy

What is a goitre?

  1. AA tumour of the adrenal gland
  2. BAn enlarged thyroid gland
  3. CA swollen lymph node in the armpit
  4. DAn overactive parathyroid gland
4.Medium

A patient with a new ileal conduit has threads of mucus in their urine. What should the nurse explain?

  1. AThe kidneys have stopped working properly after surgery
  2. BThis proves a serious kidney infection
  3. CThis is normal, because the conduit is made from bowel
  4. DThis is a sign that the stoma is dying
5.Medium

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

  1. ASmoking more will not affect the eyes
  2. BStay in bright sunlight to dry the eyes
  3. CUse lubricating drops and sleep with the head raised
  4. DRub the eyes firmly each morning to reduce the swelling
6.Medium

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

  1. ABacterial peritonitis
  2. BVenous air embolism through the lines
  3. CDialysis disequilibrium syndrome
  4. DDialysate hypoglycaemia
7.Hard

An 89-year-old with stage 5 CKD and severe heart failure, who has capacity, decides not to start dialysis. What is the nurse's best response?

  1. AStop all care, because nothing more can be done
  2. BTell the patient they must start dialysis by law
  3. CRespect the decision and support symptom-focused care
  4. DAsk the family to change the patient's mind
8.Hard

A patient on continuous overnight enteral feeding receives insulin timed to the feed. At 02:00 the tube blocks and the feed stops. What is the main risk, and what should the nurse do?

  1. AHyperglycaemia; give an extra dose of insulin straight away
  2. BHypoglycaemia; check glucose often and follow the plan for glucose cover
  3. CKetoacidosis; stop all insulin until the morning
  4. DNo risk; the insulin will simply be stored until feeding restarts

Answer key

  1. 1. D · Bananas, potatoes and oranges
  2. 2. A · Pain and resistance when the knee is straightened with the hip flexed
  3. 3. B · An enlarged thyroid gland
  4. 4. C · This is normal, because the conduit is made from bowel
  5. 5. C · Use lubricating drops and sleep with the head raised
  6. 6. C · Dialysis disequilibrium syndrome
  7. 7. C · Respect the decision and support symptom-focused care
  8. 8. B · Hypoglycaemia; check glucose often and follow the plan for glucose cover

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