1|Page
NUR 201 GI EXAM ACTUAL TEST|| ACCURATE
AND FREQUENTLY TESTED QUESTIONS AND
100% CORRECT ANSWERS WITH RATIONALES||
LATEST AND COMPLETE UPDATE WITH
EXPERT VERIFIED SOLUTIONS|| SURE PASS!!
What is the pathway of bile from its originating organ to the exiting point? -
ANSWER: ✔✔liver --> L& R hepatic ducts --> common hepatic duct --> cystic
duct from gallbladder --> common bile duct --> pancreatic duct --> duodenum
(if sphincter to common bile duct is closed, it goes to gallbladder for *storage*)
Which labs are *elevated* with hepatitis? - ANSWER: ✔✔ALT, AST, CEA
Which labs are *elevated* with cirrhosis? Which labs are *decreased*? -
ANSWER: ✔✔*elevated* = ALT, AST, alkaline phosphatase, CEA, ammonia
*serum albumin is decreased* but there is an increase in albumin in the abdominal
cavity due to *ascites* (liver dysfunction = fluid shifts to abdominal cavity)
Which labs are *elevated* with acute pancreatitis? Which labs are *decreased*? -
ANSWER: ✔✔*elevated* = serum amylase, serum lipase, carbohydrate antigen
*decreased* = calcium
What are the 3 functions of the liver? - ANSWER: ✔✔1. metabolism
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2. storage
3. drug detoxification
True or False:
15,000 mL/min of blood flows through the liver - ANSWER: ✔✔true (liver is
vascular AF so needs to be protected from trauma --> aka ribs)
If you have bleeding into the abdominal cavity, what signs might you expect to
find? - ANSWER: gray turner's sign
-cullen's sign
-firm/distended abdomen
-pale skin color (or gray if dark toned)
What is the by-product of protein metabolism? - ANSWER: ✔✔ammonia (so
serum ammonia is elevated - toxicity - when liver or pancreas is impaired)
What happens to the INR & prothrombin time if a patient has *liver* dysfunction?
- ANSWER: ✔✔PT & INR increase (takes longer to clot due to impaired
synthesis of clotting proteins)
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What are the labs associated with CRC? - ANSWER: Hgb & Hct are *decreased*
due to intermittent bleeding associated with the tumor (may be the *first indication
of a tumor* in some patients)
-if spread to liver, *liver enzymes are elevated*
-FOBT (if positive = GI bleeding)
-*CEA* elevated in CRC (tumor marker - may be elevated in other benign or
malignant diseases & in smokers as well, so is *not a diagnosis*) (normal value =
*<5 ng/mL*)
---> CEA often used to evaluate treatment effectiveness & to identify recurrence
(repeat every year)
How should albumin 20% be administered? - ANSWER: ✔✔for hypovolemic
shock --> 1 mL/min
for normal blood volume --> 2-3 mL/min
*comes in grams, and is administered by gravity (drops/min)
True or False:
As ascites increases, pts complain of SOB - ANSWER: ✔✔true
True or False:
Esophageal varices are a life-threatening medical emergency; severe blood loss
may occur and result in shock from hypovolemia - ANSWER: ✔✔true (anything
that increases IAP or irritates the lining can increase risk for bleeding)
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all patients with cirrhosis should be screened for then by *endoscopy* to detect
them *before* they bleed
*propanolol to prevent bleeding*
What is often the first clinical sign that a patient has liver dysfunction? -
ANSWER: ✔✔thrombcytopenia
Hepatic cell damage may lead to what common complications? - ANSWER:
portal hypertension
---> *ascites* & esophageal varices
--coagulation defects
-jaundice
-portal-systemic encephalopathy w/ hepatic coma
-hepatorenal syndrome
-spontaneous bacterial peritonitis
A patient can be prescribed Ketoralac for a maximum of days for relief of
pain associated with cholecystitis - ANSWER: ✔✔10 days
How does the aging process affect the expected findings with the *liver*? -
ANSWER: liver cells *decrease in number & size* which results in a *smaller*
liver
NUR 201 GI EXAM ACTUAL TEST|| ACCURATE
AND FREQUENTLY TESTED QUESTIONS AND
100% CORRECT ANSWERS WITH RATIONALES||
LATEST AND COMPLETE UPDATE WITH
EXPERT VERIFIED SOLUTIONS|| SURE PASS!!
What is the pathway of bile from its originating organ to the exiting point? -
ANSWER: ✔✔liver --> L& R hepatic ducts --> common hepatic duct --> cystic
duct from gallbladder --> common bile duct --> pancreatic duct --> duodenum
(if sphincter to common bile duct is closed, it goes to gallbladder for *storage*)
Which labs are *elevated* with hepatitis? - ANSWER: ✔✔ALT, AST, CEA
Which labs are *elevated* with cirrhosis? Which labs are *decreased*? -
ANSWER: ✔✔*elevated* = ALT, AST, alkaline phosphatase, CEA, ammonia
*serum albumin is decreased* but there is an increase in albumin in the abdominal
cavity due to *ascites* (liver dysfunction = fluid shifts to abdominal cavity)
Which labs are *elevated* with acute pancreatitis? Which labs are *decreased*? -
ANSWER: ✔✔*elevated* = serum amylase, serum lipase, carbohydrate antigen
*decreased* = calcium
What are the 3 functions of the liver? - ANSWER: ✔✔1. metabolism
,2|Page
2. storage
3. drug detoxification
True or False:
15,000 mL/min of blood flows through the liver - ANSWER: ✔✔true (liver is
vascular AF so needs to be protected from trauma --> aka ribs)
If you have bleeding into the abdominal cavity, what signs might you expect to
find? - ANSWER: gray turner's sign
-cullen's sign
-firm/distended abdomen
-pale skin color (or gray if dark toned)
What is the by-product of protein metabolism? - ANSWER: ✔✔ammonia (so
serum ammonia is elevated - toxicity - when liver or pancreas is impaired)
What happens to the INR & prothrombin time if a patient has *liver* dysfunction?
- ANSWER: ✔✔PT & INR increase (takes longer to clot due to impaired
synthesis of clotting proteins)
,3|Page
What are the labs associated with CRC? - ANSWER: Hgb & Hct are *decreased*
due to intermittent bleeding associated with the tumor (may be the *first indication
of a tumor* in some patients)
-if spread to liver, *liver enzymes are elevated*
-FOBT (if positive = GI bleeding)
-*CEA* elevated in CRC (tumor marker - may be elevated in other benign or
malignant diseases & in smokers as well, so is *not a diagnosis*) (normal value =
*<5 ng/mL*)
---> CEA often used to evaluate treatment effectiveness & to identify recurrence
(repeat every year)
How should albumin 20% be administered? - ANSWER: ✔✔for hypovolemic
shock --> 1 mL/min
for normal blood volume --> 2-3 mL/min
*comes in grams, and is administered by gravity (drops/min)
True or False:
As ascites increases, pts complain of SOB - ANSWER: ✔✔true
True or False:
Esophageal varices are a life-threatening medical emergency; severe blood loss
may occur and result in shock from hypovolemia - ANSWER: ✔✔true (anything
that increases IAP or irritates the lining can increase risk for bleeding)
, 4|Page
all patients with cirrhosis should be screened for then by *endoscopy* to detect
them *before* they bleed
*propanolol to prevent bleeding*
What is often the first clinical sign that a patient has liver dysfunction? -
ANSWER: ✔✔thrombcytopenia
Hepatic cell damage may lead to what common complications? - ANSWER:
portal hypertension
---> *ascites* & esophageal varices
--coagulation defects
-jaundice
-portal-systemic encephalopathy w/ hepatic coma
-hepatorenal syndrome
-spontaneous bacterial peritonitis
A patient can be prescribed Ketoralac for a maximum of days for relief of
pain associated with cholecystitis - ANSWER: ✔✔10 days
How does the aging process affect the expected findings with the *liver*? -
ANSWER: liver cells *decrease in number & size* which results in a *smaller*
liver
