HARAMBEE UNIVERSITY
FITCHE SELALE CAMPUS
DEPARTMENT OF NURSING
Worksheet on medical surgical nursing for level-IV Clinical nursing
Part-I-T/F
1. In dietary management of stomatitis, Hot and spicy foods should be restricted
2. Laxatives and enemas are avoided in acute appendicitis
3. All veins return deoxygenated blood to the heart from the capillary beds except pulmonary veins
4. Anemia is not a specific disease state but a sign of an underlying disorder.
5. Hgb or Hematocrit could be falsely elevated in case of hemodilution
6. Iron deficiency anemia is the commonest type of anemia globally.
7. Distributive shock occurs when blood volume is not lost from the body.
8. Appendectomy is the best option treatment for appendicitis
9. The major complication of appendicitis is perforation.
Part-II-choose the best answer from the given alteratives
1. collection of pus in the anal area is
A. anal abscess C. Anan fissure
B. hemorrhoids D. Anal fistula
2. which disease is considered as silent killer
A. Hypertension C. CHF
B. PUD D. Appendicitis
3. Which one is not modifiable risk factors for hypertension
A. Age B. Life style C. Sex D. Race
4. Iron absorption is facilitated by all except one
A. Stomach acidity C. Ascorbic acid
B. Tannates (tea) D. citrates
5. The most common type of circulatory shock is
A. Septic shock C. Hypovolemic shock
B. Neurogenic shock D. Anaphylactic shock
6. Nurse Tigist is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors
for peptic ulcers, the nurse should mention:
A. A sedentary lifestyle and smoking B. A history of hemorrhoids and smoking
C. Alcohol abuse and a history of acute renal failure D. Alcohol abuse and smoking
7. An absent or ineffective peristalsis of the distal esophagus, accompanied by failure of the esophageal
sphincter to relax in response to swallowing is
A. Esophageal hernia B. Achalasia C. Diverticulum D. Polyps
8. An abnormal protrusion of an organ or tissue through the structure (membrane) usually containing it
A. Achalasia B. Diverticulum C. Hernia D. Appendicitis
9. A backward flow of stomach acid up into the esophagus is so called
A. Achalasia B. Hernia C. GERD D. PUD
10. Break in the continuity of the mucosal layers of the stomach & the intestine
A. GERD B. PUD C. Gastritis D. Appendicitis
11. 80% of peptic ulcers are
A. Duodenal ulcer B. Gastric ulcer C. Jejunal ulcer D. B&C
12. Which one is not the cause for constipation?
A. Ignoring the urge to defecate B. Intestinal obstruction
C. Lack of regular exercise D. Endocrine disorders E. High fiber diet
13. All are mechanical obstruction, except one
A. intussusceptions B. adhesion C. strictures D. Paralytic
14. The most common cause of small bowel obstruction
A. Intussusception B. Stricture C. Adhesion D. Paralytic
15. The most common cause of abdominal emergency surgery
A. Peritonitis B. Appendicitis C. Small bowel obstruction D. Cholecytitis
16. An acute inflammation of the peritoneum
A. Peritonitis B. Appendicitis C. Small bowel obstruction D. Cholecytitis
17. A linear ulceration or cracks in the lining of anal canal is
A. Anal fissure B. Anal abscess C. Anal fistula D. Hemorrhoids
18. All are considered as risk factors for hemorrhoids except one
A. Chronic Constipation B. Intestinal disorders
C. Prolonged sitting on hot objects D. High fiber diet
19. 29. A 47 year old man comes to the hospital complaining of epigastric pain that is exacerbated by
eating. A test for helicopacter pylori turned positive and endoscopy confirmed a duodenal ulcer.
Which one is the most appropriate therapy?
A. amoxicillin, clarithromycin and omeprazole B. metronidazole and anti-acids
C. omeprazole and antacids D. ranitidine, amoxicillin and metronidazole
20. What instruction should the client be given before undergoing a paracentesis?
A. NPO 12 hours before procedure C. Strict bed rest following procedure
B. Empty bladder before procedure D. Empty bowel before procedure
21. Inflammation and infection of the oral cavity is
A. Stomatitis B. Parotitis C. Gingivitis D. Cystitis
22. A nurse caring for a client with small bowel obstruction would plan to implement which nursing
intervention first?
A. Administering pain medication C. preparing to insert a nasogastric (NG) tube
B. Obtaining a blood sample for laboratory studies D. Administering I.V. fluids
23. To prevent gastroesophageal reflux in a male client with a hiatal hernia, the nurse should provide which
of the following discharge instructions?
A. Lie down after meals to promote digestion. B. Avoid coffee and alcoholic beverage
C. Take antacids with meals D. Limit fluid intake with meals
24. A male client who has just been diagnosed with hepatitis A asks, what is the nurse`s best response?
A. You may have eaten contaminated restaurant food
B. You could have gotten it by using I.V. drugs.
C. You must have received an infected blood transfusion.
D. You probably got it by engaging in unprotected sex
25. Which diagnostic test would be first to evaluate a client with upper GI bleeding
A. Endoscopy C. Hemoglobin levels and hematocrit
B. Upper GI series D. Arteriography
26. Which one of the following is false about appendicitis
A. Commonly occurs 10-30 years of age
B. most common cause of abdominal emergency surgery
C. Abdominal pain initially at RLQ but latter on localized to periumblical area
D. Patient may have diarrhea or constipation
Part-II-short answer
1. Discuss about hemorrhoids deeply
2. Briefly discuss about appendicitis
3. Discuss about heart failure
4. Discuss about hypertension