NR 325 Final Nursing Exam Review | NCLEX Prep | Pediatric & Adult
Nursing | Child Growth & Development, ADHD, Respiratory Distress,
Asthma, Cystic Fibrosis, Tonsillectomy Care, Otitis Media, Croup,
Epiglottitis, RSV, Pneumonia, Acute Cholecystitis, Pancreatitis, Liver
Cirrhosis, Ascites, Hepatic Encephalopathy, STIs (HPV, HSV, Chlamydia,
Syphilis, Trichomoniasis), Endometriosis, Chemotherapy, Radiation,
Mastectomy Care, Breast Cancer, Pap Smear, Hormonal Disorders,
TURP, BPH, Blood Disorders, Coagulation (PT/INR, Platelets, RBC, WBC,
Hemoglobin), Palliative & Hospice Care, Therapeutic Communication
Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
Client teaching for acute cholecystitis
Low-fat diet (decreases episodes of biliary colic)
Ambulate frequently
Manifestations of acute cholecystitis
Sharp pain in the RUQ
Evidence of Murphy's sign (pain with deep inspiration during right subcostal palpation)
What are patients with acute pancreatitis at risk for?
Hyperglycemia due to possible destruction of beta cells (Type 1 DM)
,Physical findings of acute pancreatitis
Grey Turner's sign (ecchymosis of the flanks)
Cullen's sign (bluish-gray periumbilical discoloration)
What are expected labs following acute pancreatitis?
Amylase rises within first 24 hours
Blood lipase increases slowly
("ases" are high)
What is a treatment to help with acute pancreatitis?
NPO until the pain is gone (allows the pancreas to rest and reduces secretion of pancreatic
enzymes)
When diet is resumed: bland, high-protein, low-fat diet with no stimulants; small frequent
meals
What medication can a patient with chronic pancreatitis take?
Pancrelipase (aids in the digestion of fats and proteins)
Take medication with meals (3x a day) followed by a full glass of water
What is ascites?
Bloating or swelling due to fluid buildup in abdomen or legs
, If a patient has ascites, what do you want to restrict?
Restrict sodium and fluids
What is a primary cause of liver cirrhosis?
Alcohol abuse
What could sodium do to a patient with liver cirrhosis?
Cause fluid retention
What is a physical finding of liver cirrhosis?
Petechiae
Nursing interventions for a patient with liver cirrhosis
Diuretics
Low-sodium diet
Measure abdominal girth daily
Daily weights
What is a paracentesis?
Procedure involving a large needle used to relieve ascites
Nursing | Child Growth & Development, ADHD, Respiratory Distress,
Asthma, Cystic Fibrosis, Tonsillectomy Care, Otitis Media, Croup,
Epiglottitis, RSV, Pneumonia, Acute Cholecystitis, Pancreatitis, Liver
Cirrhosis, Ascites, Hepatic Encephalopathy, STIs (HPV, HSV, Chlamydia,
Syphilis, Trichomoniasis), Endometriosis, Chemotherapy, Radiation,
Mastectomy Care, Breast Cancer, Pap Smear, Hormonal Disorders,
TURP, BPH, Blood Disorders, Coagulation (PT/INR, Platelets, RBC, WBC,
Hemoglobin), Palliative & Hospice Care, Therapeutic Communication
Exam Questions Verified and Provided with Complete A+ Graded
Rationales Latest Updated 2026
Client teaching for acute cholecystitis
Low-fat diet (decreases episodes of biliary colic)
Ambulate frequently
Manifestations of acute cholecystitis
Sharp pain in the RUQ
Evidence of Murphy's sign (pain with deep inspiration during right subcostal palpation)
What are patients with acute pancreatitis at risk for?
Hyperglycemia due to possible destruction of beta cells (Type 1 DM)
,Physical findings of acute pancreatitis
Grey Turner's sign (ecchymosis of the flanks)
Cullen's sign (bluish-gray periumbilical discoloration)
What are expected labs following acute pancreatitis?
Amylase rises within first 24 hours
Blood lipase increases slowly
("ases" are high)
What is a treatment to help with acute pancreatitis?
NPO until the pain is gone (allows the pancreas to rest and reduces secretion of pancreatic
enzymes)
When diet is resumed: bland, high-protein, low-fat diet with no stimulants; small frequent
meals
What medication can a patient with chronic pancreatitis take?
Pancrelipase (aids in the digestion of fats and proteins)
Take medication with meals (3x a day) followed by a full glass of water
What is ascites?
Bloating or swelling due to fluid buildup in abdomen or legs
, If a patient has ascites, what do you want to restrict?
Restrict sodium and fluids
What is a primary cause of liver cirrhosis?
Alcohol abuse
What could sodium do to a patient with liver cirrhosis?
Cause fluid retention
What is a physical finding of liver cirrhosis?
Petechiae
Nursing interventions for a patient with liver cirrhosis
Diuretics
Low-sodium diet
Measure abdominal girth daily
Daily weights
What is a paracentesis?
Procedure involving a large needle used to relieve ascites
