Final Exam: NR 325/ NR325 (NEW 2026/ 2027 Update) Adult Health II Guide| Questions & Answers | Grade A| 100% Correct (Verified Solutions) -Chamberlain

Finall Exam:l NRl 325/l NR325l (NEWl
2026/l 2027l Update)l Adultl Healthl IIl
Guide|l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-
Chamberlain

QUESTION
Acutel pancreatitis

Answer:
Etiologicl factors:l alcoholisml
Assessment:l LUQ,l n/v,l fever,l hypotension,l tachycardia,l jaundice,l diminishedl BS,l skinl
discoloration
Complications:l chronicl pancreatitis,l pseudocystl abscess,l shock,l ARDSl cardiacl probs,l
compartmentl syndrome,l death
Labl test:l increasel inl seruml amylasel andl lipase,l increasel inl urinaryl amylasel andl bloodl
glucose
-decreasel inl seruml calcium
-increasel inl seruml triglycerides



QUESTION
Labl testl normall rangesl forl thel pancreas

Answer:
Amylase:l (pancreas)l 30-122l U/Ll
Lipase:l (pancreas)l 31-186l U/L



QUESTION
Whenl isl cholesteroll decreased?

,Answer:
Cirrhosisl andl malnutrition



QUESTION
Labl testl normall rangesl forl thel liver

Answer:
AST:l 10-30l U/L
ALT:l 10-40l U/L
Cholesterol:l <200l mg/dL
Ammonial levels:l 15-45l mcgl N/dL
Totall Bilirubin:l 0.2-1.2l mg/dL



QUESTION
Labl testl normall ranges
l PT,l PTT

Answer:
PT:l 11-16l sec
PTT:l 17-23l sec



QUESTION
Initiall andl collaborativel carel forl acutel pancreatitisl includingl dietl therapy

Answer:
Diet:l NPOl statusl initially
-enterall feedingsl vsl nasojejunall tubel mayl bel initiated
-moderate-severel ptsl mayl requirel enterall feedingsl vial jejunall feedingl tube
-Whenl foodsl allowed,l small,l frequentl mealsl highl inl carbs
-Supplementall fat-solublel vitaminsl mayl bel given



QUESTION
Initiall andl collaborativel carel forl acutel pancreatitisl includingl Drugl therapy

,Answer:
Acutel pancreatitis:l Morphine
Antispasmodics
Carbonicl anhydrasel inhibitor
Antacids
Protonl pumpl inhibitors
Chronicl pancreatitis:
Pancreaticl enzymes
Insulin



QUESTION
Al nursingl studentl isl askingl herl teacherl whatl signsl mayl bel presentl whenl anl acutel
pancreatitisl clientl hasl anl intolerancel tol orall foodsl (SATA)
A.l painl
B.l increasedl abdominall girth
C.l clientl refusingl tol eat
D.headache
E.l elevationsl inl seruml amylasel andl lipasel levels

Answer:
A.l painl
B.l increasedl abdominall girth
E.l elevationsl inl seruml amylasel andl lipasel levels



QUESTION
Greyl Turner'sl spotsl andl Cullen'sl sign

Answer:
Resultsl froml seepagel ofl bloodstainsl exudatel froml thel pancreasl andl mayl occurl inl stages
Greyl Turner'sl spots
-ecchymosesl onl thel flanks,l al bluishl flankl discolorationl
Cullen'sl sign
-ecchymosesl onl thel periumbilicall area,l bluishl periumbilicall discolorations



QUESTION

, Managementl forl pancreatitis

Answer:
VS,l NPO,l IVF,l NGl tube
Analgesics,l antispasmodics,l calciuml gluconate,l protonl pumpl inhibitor,l antibiotics,l O2
Glucosel andl electrolytel monitoring
Respiratoryl andl bowell assessment,l surgery
Longl terml followl upl condition
Oftenl putl onl TPN



QUESTION
Pancreaticl cancer

Answer:
Assessment:l pain,l weightl loss,l jaundice
S/S:l painl especiallyl withl eating
Tests:l ultrasound,l EUS,l CT,l ERCP,l MRI,l MRCP,l PET,l tumorl markers
Management:l surgeryl (whipplel procedure),l pancreatectomy,l chemo,l radiation



QUESTION
Whatl isl donel duringl al whipple

Answer:
Removel partl ofl badl pancreasl andl usel goodl pancreasl andl attachl tol digestivel tract



QUESTION
Cholelithiasis

Answer:
Creationl ofl gallstonesl (collectionsl ofl bilel salts,l cholesteroll andl calcium)
-severel symptomsl orl none
-RUGl pain,l spasms,l tachycardia,l diaphoresis,l painl afterl highl fatl meal
-Deferredl painl betweenl shoulders
Tests:l US,l ERCP,l percutaneousl transhepaticl cholangiography