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

How should a peritoneal dialysis catheter exit site be cared for?

  1. AKept clean and dry and checked daily for redness
  2. BSoaked in a hot bath every day
  3. CCleaned with a strong bleach solution
  4. DCovered with a tight bandage and not looked at for a week
2.Easy

What is the correct first aid during a generalised tonic-clonic seizure?

  1. ASit the person up and give sips of water to prevent choking
  2. BHold the arms and legs down firmly until the jerking stops
  3. CCushion the head, time the seizure and put nothing in the mouth
  4. DPut a spoon or plastic airway between the teeth as soon as possible
3.Easy

Where should a urinary catheter drainage bag be kept?

  1. AAbove the bladder so urine flows faster
  2. BOn the floor under the bed, out of the way
  3. CBelow the level of the bladder and off the floor
  4. DOn the bed next to the patient's pillow
4.Medium

A urine dipstick is positive for nitrites. What does this suggest?

  1. AThe patient is dehydrated and needs more fluid
  2. BThe kidneys are losing too much protein
  3. CBacteria that convert nitrate are present
  4. DThe urine has a lot of glucose in it
5.Medium

Why is nimodipine given to patients after a subarachnoid haemorrhage?

  1. ATo raise the blood pressure and improve perfusion
  2. BTo dissolve the blood clot around the aneurysm
  3. CTo stop seizures in the first few days
  4. DTo reduce brain injury from delayed vasospasm
6.Medium

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

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

A 66-year-old smoker has had two episodes of painless red urine. Urine cultures are negative. Which plan is most appropriate?

  1. AAnother course of antibiotics for a UTI
  2. BUrgent referral for cystoscopy and imaging
  3. CAdvise more fluids and review in a year
  4. DReassure him, because the blood has stopped
8.Hard

A nurse teaches a woman with recurrent UTIs. Which statement shows a need for further teaching?

  1. A"I will drink enough fluids during the day."
  2. B"I will wipe from front to back."
  3. C"I will hold my urine for as long as I can."
  4. D"I will pass urine soon after sex."

Answer key

  1. 1. A · Kept clean and dry and checked daily for redness
  2. 2. C · Cushion the head, time the seizure and put nothing in the mouth
  3. 3. C · Below the level of the bladder and off the floor
  4. 4. C · Bacteria that convert nitrate are present
  5. 5. D · To reduce brain injury from delayed vasospasm
  6. 6. A · Older adults often show infection as confusion
  7. 7. B · Urgent referral for cystoscopy and imaging
  8. 8. C · "I will hold my urine for as long as I can."

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