NURS 3700 Practice Questions With
Complete Solutions
During the treatment of the patient with bleeding varices, what is the most important
thing the nurse should do?
a. Prepare the patient for immediate portal shunting surgery
b. Perform guaiac testing on all stools to detect occult blood
c. Maintain the patient's airway and prevent aspiration of blood
d. Monitor for the cardiac effects of IV vasopressin and nitroglycerin - ANSWER c
In discussing long-term management with the newly diagnosed patient with alcoholic
cirrhosis, what should the nurse teach the patient?
a.A daily exercise regimen is important to increase the blood flow through the liver
b. Cirrhosis can be reversed if the patient follows a regimen of proper rest and nutrition.
c. Abstinence from alcohol is the most important factor in improvement of the patient's
condition.
d. The only over-the-counter analgesic that should be used for minor aches and pains is
acetaminophen. - ANSWER c
The patient with suspected gallbladder disease is scheduled for an ultrasound of the
gallbladder. What should the nurse teach the patient about this test?
a.It is noninvasive and is a very reliable method for detecting gallstones.
b.It is the only test to use when the patient is allergic to contrast medium
c.It will outline the gallbladder and the ductal system to enable visualization of the
stones
,d.It is an adjunct to liver function tests to determine whether the gallbladder is inflamed.
- ANSWER a
What treatment for acute cholecystitis will prevent further stimulation of the
gallbladder?
a.NPO with NG suction
b.Incisional cholecystectomy
c.Administration of antiemetics
d.Administration of anticholinergics - ANSWER a
What must a nurse do to care for a T-tube in a patient after a cholecystectomy?
a.Keep the tube supported and free of kinks
b.Attach the tube to low intermittent suction.
c.Clamp the tube when ambulating the patient
d.Irrigate the tube with 10mL sterile saline every 2-4hrs. - ANSWER a
A patient diagnosed with chronic hepatitis B asks about drug therapy to treat the
disease. What is the most appropriate response by the nurse?
a. Only chronic hepatitis C is treatable and primarily with antiviral agents and interferon
b. There are no specific drug therapies that are effective for treating acute viral
hepatitis
c. Lamivudine and interferon both decrease viral load and help prevent complications
d. No drugs are used for the treatment of viral hepatitis because of the risk of additional
liver damage - ANSWER
The nurse identifies a need for further teaching when the patient with acute hepatitis B
makes which statement?
a. I should avoid alcohol completely for at least a year
,b. I must avoid all physical contact with my family until the jaundice is gone
c. I should use a condom to prevent spread of the disease to my sexual partner
d. I will need to rest several times a day, gradually increasing my activity as I tolerate it. -
ANSWER c
Which complication of acute pancreatitis requires prompt surgical drainage to prevent
sepsis?
a.Tetany
b.Pseudocyst
c.Pleural effusion
d.Pancreatic abscess - ANSWER d
When assessing a patient with acute pancreatitis, the nurse would expect to find
a.Hyperactive bowel sounds
b.Hypertension and tachycardia
c.A temperature greater than 102 degress F
d.Severe left upper quadrant or midepigastric pain. - ANSWER d
What treatment measure is used in managing the patient with acute pancreatitis?
a.Surgery to remove the inflamed pancreas
b.Pancreatic enzyme supplements administered with meals
c.NG suction to prevent gastric contents from entering the duodenum
d.Endoscopic pancreatic sphincterotomy using endoscopic
retrogradecholangiopancreatography - ANSWER c
A client has been admitted to the hospital with a diagnosis of acute pancreatitis and the
nurse is assessing the client's pain. What type of pain is consistent with this diagnosis?
1. Burning and aching, located in the left lower quadrant and radiating to the hip
2. Severe and unrelenting, located in the epigastric area and radiating to the back
, 3. Burning and aching, located in the epigastric are and radiating to the umbilicus
4. Severe and unrelenting, located in the left lower quadrant and radiating to the groin -
ANSWER 2
Combined with clinical manifestations, what is the laboratory finding that is most
commonly used to diagnose acute pancreatitis?
a. Increased serum calcium
b. Increased serum amylase
c. Increased urinary amylase
d. Decreased serum glucose - ANSWER b
1.Which focused data should the nurse assess after identifying 4+ pitting edema on a
patient who has cirrhosis?
a.Hemoglobin
b.Temperature
c. Activity level
d. Albumin level - ANSWER d
2. The occurrence of acute liver failure is most common in what situation?
a.A person with hepatitis A
b.A person with hepatitis B
c.Antihypertensive medication use
d.Use of acetaminophen with alcohol use - ANSWER Answer: D
The most common cause of acute liver failure is drugs, usually acetaminophen in
combination with alcohol. HBV is the second most common cause. HAV is a less
common cause.
3. Which etiological manifestations occur in the patient with cirrhosis related to
esophageal varices?
Complete Solutions
During the treatment of the patient with bleeding varices, what is the most important
thing the nurse should do?
a. Prepare the patient for immediate portal shunting surgery
b. Perform guaiac testing on all stools to detect occult blood
c. Maintain the patient's airway and prevent aspiration of blood
d. Monitor for the cardiac effects of IV vasopressin and nitroglycerin - ANSWER c
In discussing long-term management with the newly diagnosed patient with alcoholic
cirrhosis, what should the nurse teach the patient?
a.A daily exercise regimen is important to increase the blood flow through the liver
b. Cirrhosis can be reversed if the patient follows a regimen of proper rest and nutrition.
c. Abstinence from alcohol is the most important factor in improvement of the patient's
condition.
d. The only over-the-counter analgesic that should be used for minor aches and pains is
acetaminophen. - ANSWER c
The patient with suspected gallbladder disease is scheduled for an ultrasound of the
gallbladder. What should the nurse teach the patient about this test?
a.It is noninvasive and is a very reliable method for detecting gallstones.
b.It is the only test to use when the patient is allergic to contrast medium
c.It will outline the gallbladder and the ductal system to enable visualization of the
stones
,d.It is an adjunct to liver function tests to determine whether the gallbladder is inflamed.
- ANSWER a
What treatment for acute cholecystitis will prevent further stimulation of the
gallbladder?
a.NPO with NG suction
b.Incisional cholecystectomy
c.Administration of antiemetics
d.Administration of anticholinergics - ANSWER a
What must a nurse do to care for a T-tube in a patient after a cholecystectomy?
a.Keep the tube supported and free of kinks
b.Attach the tube to low intermittent suction.
c.Clamp the tube when ambulating the patient
d.Irrigate the tube with 10mL sterile saline every 2-4hrs. - ANSWER a
A patient diagnosed with chronic hepatitis B asks about drug therapy to treat the
disease. What is the most appropriate response by the nurse?
a. Only chronic hepatitis C is treatable and primarily with antiviral agents and interferon
b. There are no specific drug therapies that are effective for treating acute viral
hepatitis
c. Lamivudine and interferon both decrease viral load and help prevent complications
d. No drugs are used for the treatment of viral hepatitis because of the risk of additional
liver damage - ANSWER
The nurse identifies a need for further teaching when the patient with acute hepatitis B
makes which statement?
a. I should avoid alcohol completely for at least a year
,b. I must avoid all physical contact with my family until the jaundice is gone
c. I should use a condom to prevent spread of the disease to my sexual partner
d. I will need to rest several times a day, gradually increasing my activity as I tolerate it. -
ANSWER c
Which complication of acute pancreatitis requires prompt surgical drainage to prevent
sepsis?
a.Tetany
b.Pseudocyst
c.Pleural effusion
d.Pancreatic abscess - ANSWER d
When assessing a patient with acute pancreatitis, the nurse would expect to find
a.Hyperactive bowel sounds
b.Hypertension and tachycardia
c.A temperature greater than 102 degress F
d.Severe left upper quadrant or midepigastric pain. - ANSWER d
What treatment measure is used in managing the patient with acute pancreatitis?
a.Surgery to remove the inflamed pancreas
b.Pancreatic enzyme supplements administered with meals
c.NG suction to prevent gastric contents from entering the duodenum
d.Endoscopic pancreatic sphincterotomy using endoscopic
retrogradecholangiopancreatography - ANSWER c
A client has been admitted to the hospital with a diagnosis of acute pancreatitis and the
nurse is assessing the client's pain. What type of pain is consistent with this diagnosis?
1. Burning and aching, located in the left lower quadrant and radiating to the hip
2. Severe and unrelenting, located in the epigastric area and radiating to the back
, 3. Burning and aching, located in the epigastric are and radiating to the umbilicus
4. Severe and unrelenting, located in the left lower quadrant and radiating to the groin -
ANSWER 2
Combined with clinical manifestations, what is the laboratory finding that is most
commonly used to diagnose acute pancreatitis?
a. Increased serum calcium
b. Increased serum amylase
c. Increased urinary amylase
d. Decreased serum glucose - ANSWER b
1.Which focused data should the nurse assess after identifying 4+ pitting edema on a
patient who has cirrhosis?
a.Hemoglobin
b.Temperature
c. Activity level
d. Albumin level - ANSWER d
2. The occurrence of acute liver failure is most common in what situation?
a.A person with hepatitis A
b.A person with hepatitis B
c.Antihypertensive medication use
d.Use of acetaminophen with alcohol use - ANSWER Answer: D
The most common cause of acute liver failure is drugs, usually acetaminophen in
combination with alcohol. HBV is the second most common cause. HAV is a less
common cause.
3. Which etiological manifestations occur in the patient with cirrhosis related to
esophageal varices?
