Question 1

What precaution should a nurse initiate when caring for a patient with hepatitis B?

Accepted Answer

A)  Reverse isolation 
B)  Standard Precautions 
C)  Respiratory precautions 
D)  Enteric precautions 
A)  Reverse isolation 
B)  Standard Precautions 
C)  Respiratory precautions 
D)  Enteric precautions B

Question 2

A goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage.A major approach is to promote rest.What rationale supports this approach?

Accepted Answer

A)  Allows time for a transplant 
B)  Allows the liver to regenerate 
C)  Prevents red cell destruction 
D)  Decreases the risk of trauma 
A)  Allows time for a transplant 
B)  Allows the liver to regenerate 
C)  Prevents red cell destruction 
D)  Decreases the risk of trauma B

Question 3

For which complication should a nurse be careful to monitor a patient after a liver biopsy?

Accepted Answer

A)  Headache 
B)  Muscle cramps 
C)  Bleeding 
D)  Respiratory distress 
A)  Headache 
B)  Muscle cramps 
C)  Bleeding 
D)  Respiratory distress C

Question 4

What is the highest nursing priority outcome when planning the care for the patient with pancreatitis?

Accepted Answer

A)  Patient claims satisfaction with pain control. 
B)  Patient states an understanding of medications needed on discharge. 
C)  Patient's activity level tolerance shows an increase. 
D)  Patient can maintain a normal bowel pattern. 
A)  Patient claims satisfaction with pain control. 
B)  Patient states an understanding of medications needed on discharge. 
C)  Patient's activity level tolerance shows an increase. 
D)  Patient can maintain a normal bowel pattern.

Question 5

A patient with ascites is scheduled for a LeVeen peritoneal-venous shunt.The patient asks why this needs to be done instead of a paracentesis.What is the best response by the nurse?

Accepted Answer

A)  "It helps the kidneys retain needed sodium." 
B)  "It will decrease the need for analgesics." 
C)  "This procedure will prevent the loss of protein." 
D)  "The risk of infection is lessened with this procedure." 
A)  "It helps the kidneys retain needed sodium." 
B)  "It will decrease the need for analgesics." 
C)  "This procedure will prevent the loss of protein." 
D)  "The risk of infection is lessened with this procedure."

Question 6

Which risk is significantly increased in patients diagnosed with liver disease?

Accepted Answer

A)  Urinary infections 
B)  Systemic infection 
C)  Drug toxicity 
D)  Drug allergy 
A)  Urinary infections 
B)  Systemic infection 
C)  Drug toxicity 
D)  Drug allergy

Question 7

A patient in acute pain is admitted with pancreatitis.A nurse reviews a laboratory report showing an elevation that is diagnostic for acute pancreatitis.Which laboratory report did the nurse most likely review?

Accepted Answer

A)  Serum bilirubin 
B)  Serum calcium 
C)  Serum lipids 
D)  Serum amylase 
A)  Serum bilirubin 
B)  Serum calcium 
C)  Serum lipids 
D)  Serum amylase

Question 8

A young woman with severe jaundice has an altered body image.The patient says, "Will I always be this horrible color?" What is the best response by the nurse?

Accepted Answer

A)  "Yes, but your sclera will return to their previous white color." 
B)  "No.The color will fade gradually as liver inflammation decreases." 
C)  "Yes, but cosmetics can disguise the color." 
D)  "No.The color will change to freckles." 
A)  "Yes, but your sclera will return to their previous white color." 
B)  "No.The color will fade gradually as liver inflammation decreases." 
C)  "Yes, but cosmetics can disguise the color." 
D)  "No.The color will change to freckles."

Question 9

A patient was positive for hepatitis B virus, although she had the disease 4 years ago and now is symptom free.What is the nurse aware is true regarding this patient?

Accepted Answer

A)  Is likely to have hepatitis B again 
B)  Now has noninfectious hepatitis 
C)  Is an infectious carrier and always will be 
D)  Is at risk for hepatitis E 
A)  Is likely to have hepatitis B again 
B)  Now has noninfectious hepatitis 
C)  Is an infectious carrier and always will be 
D)  Is at risk for hepatitis E

Question 10

A high ammonia level contributes to hepatic encephalopathy.Which nursing implementation needs to be added to the nursing care plan as this level continues to increase?

Accepted Answer

A)  Mouth care 
B)  Increased frequency of neurologic checks 
C)  Oxygen saturation monitoring 
D)  Intake and output 
A)  Mouth care 
B)  Increased frequency of neurologic checks 
C)  Oxygen saturation monitoring 
D)  Intake and output

Question 11

Which nursing measure takes priority in relation to the care of a patient with a gastroesophageal balloon tube?

Accepted Answer

A)  Deflate the balloon periodically. 
B)  Advance the tube as instructed. 
C)  Monitor respiratory status. 
D)  Withhold medications that could decrease restlessness. 
A)  Deflate the balloon periodically. 
B)  Advance the tube as instructed. 
C)  Monitor respiratory status. 
D)  Withhold medications that could decrease restlessness.

Question 12

What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

Accepted Answer

A)  Raise the knee gatch to prevent the patient from sliding down in bed. 
B)  Provide undisturbed periods of 6 hours to encourage rest. 
C)  Restrict fluids. 
D)  Encourage turning, coughing, and deep breathing every 2 hours. 
A)  Raise the knee gatch to prevent the patient from sliding down in bed. 
B)  Provide undisturbed periods of 6 hours to encourage rest. 
C)  Restrict fluids. 
D)  Encourage turning, coughing, and deep breathing every 2 hours.

Question 13

What should a nurse often find in the medical history of a patient diagnosed with pancreatic disease?

Accepted Answer

A)  Liver disorders 
B)  Drug abuse 
C)  Alcohol abuse 
D)  Excessive sugar intake 
A)  Liver disorders 
B)  Drug abuse 
C)  Alcohol abuse 
D)  Excessive sugar intake

Question 14

Which vaccination does the Occupational Health and Safety Administration (OSHA)require all health care providers to receive?

Accepted Answer

A)  Hepatitis A 
B)  Hepatitis B 
C)  Hepatitis C 
D)  All strains of hepatitis 
A)  Hepatitis A 
B)  Hepatitis B 
C)  Hepatitis C 
D)  All strains of hepatitis

Question 15

Which chronic condition is related to the presence of chronic pancreatitis?

Accepted Answer

A)  Chronic obstructive pulmonary disease (COP
D)  
B)  Urinary tract infection (UTI) 
C)  Diabetes mellitus (DM) 
D)  Arteriosclerotic heart disease (AS
D)  
A)  Chronic obstructive pulmonary disease (COP
D)  
B)  Urinary tract infection (UTI) 
C)  Diabetes mellitus (DM) 
D)  Arteriosclerotic heart disease (AS
D)

Question 16

Which observation by a nurse would indicate blocked flow of bile from the liver to the intestine?

Accepted Answer

A)  Clay-colored stools 
B)  Jaundice 
C)  High blood pressure 
D)  Tachycardia 
A)  Clay-colored stools 
B)  Jaundice 
C)  High blood pressure 
D)  Tachycardia

Question 17

What is the meaning of a dropping bilirubin level in a patient diagnosed with hepatitis?

Accepted Answer

A)  Red blood cell destruction is decreasing. 
B)  Liver function is improving. 
C)  Kidneys are compensating for liver dysfunction. 
D)  Kupffer cell damage is continuing. 
A)  Red blood cell destruction is decreasing. 
B)  Liver function is improving. 
C)  Kidneys are compensating for liver dysfunction. 
D)  Kupffer cell damage is continuing.

Question 18

What is pruritus related to in the patient diagnosed with hepatitis?

Accepted Answer

A)  Decreased fat intake 
B)  Poor appetite and therefore poor protein intake 
C)  Accumulation of bile salts under the skin 
D)  Altered urinary output of bile 
A)  Decreased fat intake 
B)  Poor appetite and therefore poor protein intake 
C)  Accumulation of bile salts under the skin 
D)  Altered urinary output of bile

Question 19

What actions should a nurse implement to correctly assess the progress of ascites on a daily basis?

Accepted Answer

A)  Daily weights and abdominal girth measurements 
B)  Intake-output and electrolyte levels 
C)  Blood pressure and pulse 
D)  Daily temperatures and oxygen levels 
A)  Daily weights and abdominal girth measurements 
B)  Intake-output and electrolyte levels 
C)  Blood pressure and pulse 
D)  Daily temperatures and oxygen levels

Question 20

Which dietary selection should lead the nurse to conclude that the dietary teaching is successful for a patient on a low-sodium diet?

Accepted Answer

A)  Bologna sandwich with tomato juice 
B)  Hotdog on a bun with pickle relish and skim milk 
C)  Baked chicken, white rice, and apple juice 
D)  Peanut butter and jelly sandwich with tomato soup 
A)  Bologna sandwich with tomato juice 
B)  Hotdog on a bun with pickle relish and skim milk 
C)  Baked chicken, white rice, and apple juice 
D)  Peanut butter and jelly sandwich with tomato soup

Exam 40: Liver, Gallbladder, and Pancreatic Disorders

What precaution should a nurse initiate when caring for a patient with hepatitis B?

A goal of medical treatment for patients with cirrhosis is to prevent complications and limit cell damage.A major approach is to promote rest.What rationale supports this approach?

For which complication should a nurse be careful to monitor a patient after a liver biopsy?

What is the highest nursing priority outcome when planning the care for the patient with pancreatitis?

A patient with ascites is scheduled for a LeVeen peritoneal-venous shunt.The patient asks why this needs to be done instead of a paracentesis.What is the best response by the nurse?

Which risk is significantly increased in patients diagnosed with liver disease?

A patient in acute pain is admitted with pancreatitis.A nurse reviews a laboratory report showing an elevation that is diagnostic for acute pancreatitis.Which laboratory report did the nurse most likely review?

A young woman with severe jaundice has an altered body image.The patient says, "Will I always be this horrible color?" What is the best response by the nurse?

A patient was positive for hepatitis B virus, although she had the disease 4 years ago and now is symptom free.What is the nurse aware is true regarding this patient?

A high ammonia level contributes to hepatic encephalopathy.Which nursing implementation needs to be added to the nursing care plan as this level continues to increase?

Which nursing measure takes priority in relation to the care of a patient with a gastroesophageal balloon tube?

What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?

What should a nurse often find in the medical history of a patient diagnosed with pancreatic disease?

Which vaccination does the Occupational Health and Safety Administration (OSHA)require all health care providers to receive?

Which chronic condition is related to the presence of chronic pancreatitis?

Which observation by a nurse would indicate blocked flow of bile from the liver to the intestine?

What is the meaning of a dropping bilirubin level in a patient diagnosed with hepatitis?

What is pruritus related to in the patient diagnosed with hepatitis?

What actions should a nurse implement to correctly assess the progress of ascites on a daily basis?

Which dietary selection should lead the nurse to conclude that the dietary teaching is successful for a patient on a low-sodium diet?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders