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

Which head position is generally used for a patient with raised intracranial pressure?

  1. AHead lower than the body (Trendelenburg)
  2. BSitting upright, with the neck bent forward
  3. CLying flat, with the head turned well to one side
  4. DHead raised to about 30°, with the neck straight
2.Easy

Which fasting plasma glucose level is used to diagnose diabetes?

  1. A5.5 mmol/L (99 mg/dL) or higher
  2. B4.0 mmol/L (72 mg/dL) or higher
  3. C7.0 mmol/L (126 mg/dL) or higher
  4. D15.0 mmol/L (270 mg/dL) or higher
3.Easy

Tapping the cheek in front of the ear makes the facial muscles twitch. What is this sign called?

  1. ATrousseau's sign
  2. BKernig's sign
  3. CChvostek's sign
  4. DBattle's sign
4.Medium

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

  1. ALimit close contact with children and pregnant women for a time
  2. BThere are no precautions, because the dose is tiny
  3. CStay in strict isolation in hospital for several months
  4. DStart breastfeeding again the next day
5.Medium

A patient on peritoneal dialysis has gained weight and has higher glucose levels. Which part of the treatment is the likely cause?

  1. ASodium lost into the dialysis fluid
  2. BProtein lost into the dialysis fluid
  3. CGlucose absorbed from the dialysis fluid
  4. DAir entering the abdomen during exchanges
6.Medium

A patient's potassium stays low despite replacement. Which other level should be checked?

  1. AFerritin
  2. BMagnesium
  3. CAmylase
  4. DBilirubin
7.Hard

A patient taking lithium has polyuria and thirst, and the urine does not concentrate after desmopressin. What is the most likely cause?

  1. ANewly developed type 1 diabetes
  2. BSIADH caused by lithium
  3. CNephrogenic DI caused by lithium
  4. DCranial DI after a head injury
8.Hard

A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?

  1. A"I will use a salt substitute instead of ordinary salt."
  2. B"I will boil my potatoes and throw away the water."
  3. C"I will keep bananas and dried fruit to a minimum."
  4. D"I will check food labels for added salt when I go shopping."

Answer key

  1. 1. D · Head raised to about 30°, with the neck straight
  2. 2. C · 7.0 mmol/L (126 mg/dL) or higher
  3. 3. C · Chvostek's sign
  4. 4. A · Limit close contact with children and pregnant women for a time
  5. 5. C · Glucose absorbed from the dialysis fluid
  6. 6. B · Magnesium
  7. 7. C · Nephrogenic DI caused by lithium
  8. 8. A · "I will use a salt substitute instead of ordinary salt."

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