NUR 265 EXAM 3
MEDICAL SURGICAL NURSING
GALEN COLLEGE OF NURSING TESTED Qs & WELL
VERIFIED ANSWERS WITH RATIONALES
THIS DOCUMENT CONTAINS:
➢ GUARANTEE PASSING SCORE
➢ QUESTIONS AND ANSWERS
➢ EXPERT VERIFIED EXPLANATIONS
➢ FORMAT SET OF MULTIPLE-CHOICE
, Question 1
A nurse is caring for a client with cirrhosis who develops hepatic encephalopathy.
Which assessment finding requires immediate intervention?
A. Asterixis
B. Fetor hepaticus
C. Difficulty arousing from sleep
D. Elevated serum ammonia level
Answer: C. Difficulty arousing from sleep
Rationale: Difficulty arousing from sleep indicates a decreasing level of
consciousness (LOC), which can progress to coma. While asterixis (A) and fetor
hepaticus (B) are signs of hepatic encephalopathy, a change in LOC is the most
critical finding requiring immediate intervention to prevent irreversible brain damage.
Elevated ammonia (D) is a lab finding that supports the diagnosis but is not an acute
change requiring immediate bedside intervention.
Question 2
A client with acute pancreatitis is NPO and has a nasogastric (NG) tube to low
intermittent suction. Which assessment finding indicates the current treatment is
effective?
A. Decreased serum lipase levels
B. Absence of bowel sounds
C. Report of pain as 2 on a 0–10 scale
D. NG output of 300 mL in 8 hours
Answer: A. Decreased serum lipase levels
Rationale: Lipase is specific to the pancreas; decreasing levels indicate reduced
pancreatic inflammation. NPO and NG suction decrease pancreatic stimulation. Pain
reduction (C) is also positive, but lab confirmation is more objective. Absent bowel
sounds (B) are expected in early pancreatitis. NG output (D) varies and does not
directly measure pancreatitis resolution.
Question 3
MEDICAL SURGICAL NURSING
GALEN COLLEGE OF NURSING TESTED Qs & WELL
VERIFIED ANSWERS WITH RATIONALES
THIS DOCUMENT CONTAINS:
➢ GUARANTEE PASSING SCORE
➢ QUESTIONS AND ANSWERS
➢ EXPERT VERIFIED EXPLANATIONS
➢ FORMAT SET OF MULTIPLE-CHOICE
, Question 1
A nurse is caring for a client with cirrhosis who develops hepatic encephalopathy.
Which assessment finding requires immediate intervention?
A. Asterixis
B. Fetor hepaticus
C. Difficulty arousing from sleep
D. Elevated serum ammonia level
Answer: C. Difficulty arousing from sleep
Rationale: Difficulty arousing from sleep indicates a decreasing level of
consciousness (LOC), which can progress to coma. While asterixis (A) and fetor
hepaticus (B) are signs of hepatic encephalopathy, a change in LOC is the most
critical finding requiring immediate intervention to prevent irreversible brain damage.
Elevated ammonia (D) is a lab finding that supports the diagnosis but is not an acute
change requiring immediate bedside intervention.
Question 2
A client with acute pancreatitis is NPO and has a nasogastric (NG) tube to low
intermittent suction. Which assessment finding indicates the current treatment is
effective?
A. Decreased serum lipase levels
B. Absence of bowel sounds
C. Report of pain as 2 on a 0–10 scale
D. NG output of 300 mL in 8 hours
Answer: A. Decreased serum lipase levels
Rationale: Lipase is specific to the pancreas; decreasing levels indicate reduced
pancreatic inflammation. NPO and NG suction decrease pancreatic stimulation. Pain
reduction (C) is also positive, but lab confirmation is more objective. Absent bowel
sounds (B) are expected in early pancreatitis. NG output (D) varies and does not
directly measure pancreatitis resolution.
Question 3
