GNRS 558 ACTUAL EXAM 3 | COMPLETE AND GRADED QUESTIONS
AND ANSWERS 2026 LATEST UPDATED | 100% GRADED CORRECT |
100% GUARANTEED TO PASS | GET A+
A young adult contracts hepatitis from contaminated food. Which result would the nurse expect
serologic testing to reveal during the acute (icteric) phase of the patient's illness?
a. Antibody to hepatitis D (anti-HDV)
b. Hepatitis B surface antigen (HBsAg)
c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)
d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - (answer)ANS: D Hepatitis A is
transmitted through the oral-fecal route, and antibody to HAV IgM appears during the acute
phase of hepatitis A. The patient would not have antigen for hepatitis B or antibody for hepatitis
D. Anti-HAV IgG would indicate past infection and lifelong immunity
The nurse evaluates that administration of hepatitis B vaccine to a healthy patient was effective
when the patient's later blood specimen reveals the presence of
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
,d. anti-HBc IgM. - (answer)ANS: B The presence of surface antibody to hepatitis B (anti-HBs) is
a marker of a positive response to the vaccine or previous illness with hepatitis B. The other
laboratory values indicate current infection with hepatitis B.
A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV) infection. Which
action would the nurse take?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
c. Teach the patient about direct-acting antiviral treatment.
d. Explain that the infection will resolve over a few months. - (answer)ANS: A Genotyping of
HCV has an important role in managing treatment and is done before drug therapy is initiated.
Because most patients with acute HCV infection convert to the chronic state, the nurse should
not teach the patient that the HCV will resolve in a few months. Immune globulin or vaccine is
not available for HCV. Direct-acting antiviral drugs are used for chronic HCV infection.
Which topic would the nurse plan to teach the patient diagnosed with acute hepatitis B?
a. Administering a-interferon
b. Measures for improving appetite
c. Side effects of nucleotide analogs
,d. Ways to increase activity and exercise - (answer)ANS: B Maintaining adequate nutritional
intake is important for regeneration of hepatocytes. Interferon and antivirals may be used for
chronic hepatitis B, but they are not prescribed for acute hepatitis B infection. Rest is
recommended
Which information from a 70-yr-old patient during a health history indicates to the nurse that the
patient should be screened for hepatitis C? a. The patient had a blood transfusion in 2005.
b. The patient used IV drugs about 30 years ago.
c. The patient frequently eats in fast-food restaurants.
d. The patient traveled to a country with poor sanitation. - (answer)ANS: B Any patient with a
history of IV drug use should be tested for hepatitis C. Blood transfusions given after 1992
(when an antibody test for hepatitis C became available) do not pose a risk for hepatitis C.
Hepatitis C is not spread by the oral-fecal route and therefore is not caused by contaminated food
or by traveling in underdeveloped countries.
A patient admitted with an abrupt onset of jaundice and nausea has abnormal liver function
studies, but serologic testing is negative for viral causes of hepatitis. Which question would the
nurse ask?
a. ―Have you taken corticosteroids?‖
b. ―Do you have a history of IV drug use?‖
c. ―Do you use any over-the-counter drugs?‖
, d. ―Have you recently traveled to another country?‖ - (answer)ANS: C The patient's symptoms,
lack of antibodies for hepatitis, and the abrupt onset of symptoms suggest toxic hepatitis, which
can be caused by commonly used over-the-counter drugs such as acetaminophen (Tylenol).
Travel to a foreign country and a history of IV drug use are risk factors for viral hepatitis.
Corticosteroid use does not cause acute liver dysfunction.
A patient has cirrhosis and 4+ pitting edema. Which focused data would the nurse assess?
a. Hemoglobin
b. Temperature
c. Activity level
d. Albumin level - (answer)ANS: D The low oncotic pressure caused by hypoalbuminemia is a
major pathophysiologic factor in the development of edema. The other parameters are not
directly associated with the patient's edema.
Which topic is most important for the nurse to include in teaching for a 41-yr-old patient
diagnosed with early alcoholic cirrhosis?
a. Taking lactulose
b. Avoiding all alcohol use
c. Maintaining good nutrition
AND ANSWERS 2026 LATEST UPDATED | 100% GRADED CORRECT |
100% GUARANTEED TO PASS | GET A+
A young adult contracts hepatitis from contaminated food. Which result would the nurse expect
serologic testing to reveal during the acute (icteric) phase of the patient's illness?
a. Antibody to hepatitis D (anti-HDV)
b. Hepatitis B surface antigen (HBsAg)
c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)
d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - (answer)ANS: D Hepatitis A is
transmitted through the oral-fecal route, and antibody to HAV IgM appears during the acute
phase of hepatitis A. The patient would not have antigen for hepatitis B or antibody for hepatitis
D. Anti-HAV IgG would indicate past infection and lifelong immunity
The nurse evaluates that administration of hepatitis B vaccine to a healthy patient was effective
when the patient's later blood specimen reveals the presence of
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
,d. anti-HBc IgM. - (answer)ANS: B The presence of surface antibody to hepatitis B (anti-HBs) is
a marker of a positive response to the vaccine or previous illness with hepatitis B. The other
laboratory values indicate current infection with hepatitis B.
A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV) infection. Which
action would the nurse take?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
c. Teach the patient about direct-acting antiviral treatment.
d. Explain that the infection will resolve over a few months. - (answer)ANS: A Genotyping of
HCV has an important role in managing treatment and is done before drug therapy is initiated.
Because most patients with acute HCV infection convert to the chronic state, the nurse should
not teach the patient that the HCV will resolve in a few months. Immune globulin or vaccine is
not available for HCV. Direct-acting antiviral drugs are used for chronic HCV infection.
Which topic would the nurse plan to teach the patient diagnosed with acute hepatitis B?
a. Administering a-interferon
b. Measures for improving appetite
c. Side effects of nucleotide analogs
,d. Ways to increase activity and exercise - (answer)ANS: B Maintaining adequate nutritional
intake is important for regeneration of hepatocytes. Interferon and antivirals may be used for
chronic hepatitis B, but they are not prescribed for acute hepatitis B infection. Rest is
recommended
Which information from a 70-yr-old patient during a health history indicates to the nurse that the
patient should be screened for hepatitis C? a. The patient had a blood transfusion in 2005.
b. The patient used IV drugs about 30 years ago.
c. The patient frequently eats in fast-food restaurants.
d. The patient traveled to a country with poor sanitation. - (answer)ANS: B Any patient with a
history of IV drug use should be tested for hepatitis C. Blood transfusions given after 1992
(when an antibody test for hepatitis C became available) do not pose a risk for hepatitis C.
Hepatitis C is not spread by the oral-fecal route and therefore is not caused by contaminated food
or by traveling in underdeveloped countries.
A patient admitted with an abrupt onset of jaundice and nausea has abnormal liver function
studies, but serologic testing is negative for viral causes of hepatitis. Which question would the
nurse ask?
a. ―Have you taken corticosteroids?‖
b. ―Do you have a history of IV drug use?‖
c. ―Do you use any over-the-counter drugs?‖
, d. ―Have you recently traveled to another country?‖ - (answer)ANS: C The patient's symptoms,
lack of antibodies for hepatitis, and the abrupt onset of symptoms suggest toxic hepatitis, which
can be caused by commonly used over-the-counter drugs such as acetaminophen (Tylenol).
Travel to a foreign country and a history of IV drug use are risk factors for viral hepatitis.
Corticosteroid use does not cause acute liver dysfunction.
A patient has cirrhosis and 4+ pitting edema. Which focused data would the nurse assess?
a. Hemoglobin
b. Temperature
c. Activity level
d. Albumin level - (answer)ANS: D The low oncotic pressure caused by hypoalbuminemia is a
major pathophysiologic factor in the development of edema. The other parameters are not
directly associated with the patient's edema.
Which topic is most important for the nurse to include in teaching for a 41-yr-old patient
diagnosed with early alcoholic cirrhosis?
a. Taking lactulose
b. Avoiding all alcohol use
c. Maintaining good nutrition
