Question 1

Jean has had her annual physical.Her doctor discovers that she has asymptomatic gallstones.The doctor recommends:

Accepted Answer

A) no treatment. 
B) cholecystectomy. 
C) ursodiol treatment. 
D) shock-wave lithotropsy. 
A) no treatment. 
B) cholecystectomy. 
C) ursodiol treatment. 
D) shock-wave lithotropsy. A

Question 2

Case Studies
Karen Bauman is a 27 year old employed in the cosmetic and fashion industry.Lately, she has reported feeling fatigued.But, she feels her long hours and hectic schedule are the main contributors.Her past medical history includes type 1 diabetes.She returns to her doctor due to abnormal lab results from her last physical.
-Which of the following statements is true?

Accepted Answer

A) Rapid weight loss is encouraged as a treatment for fatty liver disease. 
B) Elevated liver enzymes are a good indicator for liver disease. 
C) Metabolic syndrome is not a risk factor for liver disease. 
D) Hepatomegaly includes liver inflammation. 
A) Rapid weight loss is encouraged as a treatment for fatty liver disease. 
B) Elevated liver enzymes are a good indicator for liver disease. 
C) Metabolic syndrome is not a risk factor for liver disease. 
D) Hepatomegaly includes liver inflammation. B

Question 3

Elizabeth had a liver transplant two weeks ago.She is on immunosuppressive therapy.What side effect of these medications might interfere with her nutrition status?

Accepted Answer

A) Steatorrhea 
B) Hypoglycemia 
C) Gastroesophageal reflux 
D) Abdominal pain 
E) All of the above 
A) Steatorrhea 
B) Hypoglycemia 
C) Gastroesophageal reflux 
D) Abdominal pain 
E) All of the above D

Question 4

Which of the following conditions is associated with pigment stone formation?

Accepted Answer

A) Biliary tract infections 
B) Peritonitis 
C) Long-term parenteral nutrition 
D) All of the above 
A) Biliary tract infections 
B) Peritonitis 
C) Long-term parenteral nutrition 
D) All of the above

Question 5

Which of the following does not cause cirrhosis?

Accepted Answer

A) cystic fibrosis 
B) galactosemia 
C) alcohol abuse 
D) hepatitis A infection 
A) cystic fibrosis 
B) galactosemia 
C) alcohol abuse 
D) hepatitis A infection

Question 6

The combination of low serum iron, low total iron binding capacity, and normal or elevated serum ferritin levels suggests which of the following anemias?

Accepted Answer

A) Aplastic anemia 
B) Macrocytic anemia 
C) Anemia of chronic disease 
D) Iron-deficiency anemia 
A) Aplastic anemia 
B) Macrocytic anemia 
C) Anemia of chronic disease 
D) Iron-deficiency anemia

Question 7

As liver disease develops, albumin levels _____ and ammonia levels _____.

Accepted Answer

A) increase, increase 
B) increase, decrease 
C) decrease, decrease 
D) decrease, increase 
A) increase, increase 
B) increase, decrease 
C) decrease, decrease 
D) decrease, increase

Question 8

A client with hepatitis who has persistent vomiting should be started on

Accepted Answer

A) a bland diet. 
B) enteral nutrition. 
C) IV fluids. 
D) a low-protein diet. 
A) a bland diet. 
B) enteral nutrition. 
C) IV fluids. 
D) a low-protein diet.

Question 9

Vitamin _____ status may be affected by steatorrhea related to liver damage.

Accepted Answer

A) C 
B) A 
C) B12 
D) B6 
E) all of the above 
A) C 
B) A 
C) B12 
D) B6 
E) all of the above

Question 10

Where is iron primarily absorbed?

Accepted Answer

A) Duodenum 
B) Upper jejunum 
C) Upper ileum 
D) a and b 
E) a and c 
A) Duodenum 
B) Upper jejunum 
C) Upper ileum 
D) a and b 
E) a and c

Question 11

A physical sign of altered liver function is

Accepted Answer

A) ascites. 
B) hair loss. 
C) jaundice. 
D) a and c 
E) b and c 
A) ascites. 
B) hair loss. 
C) jaundice. 
D) a and c 
E) b and c

Question 12

What circumstance results in fat accumulation in the liver?

Accepted Answer

A) Exportation of VLDL is balanced with collection of lipids from the blood 
B) Exportation of VLDL exceeds collection of lipids from the blood 
C) Fat synthesis is balanced with exportation of VLDL 
D) Fat synthesis exceeds exportation of VLDL 
A) Exportation of VLDL is balanced with collection of lipids from the blood 
B) Exportation of VLDL exceeds collection of lipids from the blood 
C) Fat synthesis is balanced with exportation of VLDL 
D) Fat synthesis exceeds exportation of VLDL

Question 13

Which of the following is responsible for returning blood to the heart from the liver?

Accepted Answer

A) Hepatic artery 
B) Hepatic vein 
C) GI tract vein 
D) Portal vein 
A) Hepatic artery 
B) Hepatic vein 
C) GI tract vein 
D) Portal vein

Question 14

Veronica Riley-O’Brien is a 30-year-old mother of two young boys (Tyler, 4 years old, and Ethan, 6 weeks old). Veronica is 5 feet, 4 inches tall and weighs 186 pounds. She is having difficulty sleeping due to pain in her abdomen and back. She calls her doctor this morning as the pain has intensified.
-_____ is a complication of gallstones that can lead to infection.

Accepted Answer

A) Cirrhosis 
B) Ascites 
C) Edema 
D) Cholecystitis 
A) Cirrhosis 
B) Ascites 
C) Edema 
D) Cholecystitis

Question 15

Causes of fatty liver include which of the following?

Accepted Answer

A) Obesity 
B) Exposure to drugs and toxic metals 
C) Kwashiorkor or marasmus 
D) a and b 
E) a, b, and c 
A) Obesity 
B) Exposure to drugs and toxic metals 
C) Kwashiorkor or marasmus 
D) a and b 
E) a, b, and c

Question 16

For a client with ascites, the nurse should expect a reduction of dietary

Accepted Answer

A) sodium. 
B) potassium. 
C) calcium. 
D) magnesium. 
A) sodium. 
B) potassium. 
C) calcium. 
D) magnesium.

Question 17

Treatment of fatty liver includes

Accepted Answer

A) eliminating the cause. 
B) a liver transplant. 
C) weight loss if overweight. 
D) a and c 
E) a, b, and c 
A) eliminating the cause. 
B) a liver transplant. 
C) weight loss if overweight. 
D) a and c 
E) a, b, and c

Question 18

The dietitian evaluates a patient whose status is post liver transplant.Her education plan should include:

Accepted Answer

A) food safety. 
B) alcohol abstinence. 
C) portion control. 
D) hepatitis information. 
A) food safety. 
B) alcohol abstinence. 
C) portion control. 
D) hepatitis information.

Question 19

Normal blood ammonia levels are

Accepted Answer

A) less than 45 μg N/dL. 
B) greater than 45 μg N/dL. 
C) less than 60 μg N/dL. 
D) greater than 60 μg N/dL. 
A) less than 45 μg N/dL. 
B) greater than 45 μg N/dL. 
C) less than 60 μg N/dL. 
D) greater than 60 μg N/dL.

Question 20

The complications that can develop due to gallstones do not include

Accepted Answer

A) bacterial cholangitis. 
B) cholecystitis. 
C) pancreatitis. 
D) renal colic. 
A) bacterial cholangitis. 
B) cholecystitis. 
C) pancreatitis. 
D) renal colic.

Exam 25: Liver Disease and Gallstones

Jean has had her annual physical.Her doctor discovers that she has asymptomatic gallstones.The doctor recommends:

Elizabeth had a liver transplant two weeks ago.She is on immunosuppressive therapy.What side effect of these medications might interfere with her nutrition status?

Which of the following conditions is associated with pigment stone formation?

Which of the following does not cause cirrhosis?

The combination of low serum iron, low total iron binding capacity, and normal or elevated serum ferritin levels suggests which of the following anemias?

As liver disease develops, albumin levels _____ and ammonia levels _____.

A client with hepatitis who has persistent vomiting should be started on

Vitamin _____ status may be affected by steatorrhea related to liver damage.

Where is iron primarily absorbed?

A physical sign of altered liver function is

What circumstance results in fat accumulation in the liver?

Which of the following is responsible for returning blood to the heart from the liver?

Causes of fatty liver include which of the following?

For a client with ascites, the nurse should expect a reduction of dietary

Treatment of fatty liver includes

The dietitian evaluates a patient whose status is post liver transplant.Her education plan should include:

Normal blood ammonia levels are

The complications that can develop due to gallstones do not include

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

Filters

As liver disease develops, albumin levels _ and ammonia levels _.