NSG 3800 EXAM 4 REVIEW QUESTIONS AND
VERIFIED ANSWERS; 100% CORRECT; GRADE A
Q1: What is the primary transmission route of Hepatitis A? -
correct answer- Fecal-oral route (contaminated food or
water).
Q2: Which hepatitis types have vaccines available? - correct
answer- Hepatitis A and B.
Q3: What lab finding is associated with cirrhosis and ascites? -
correct answer- Low serum albumin due to decreased
protein synthesis.
Q4: Which electrolyte imbalance is common in Addison’s
disease? - correct answer- Hyponatremia and
hyperkalemia.
Q5: What hormone is deficient in hypothyroidism? - correct
answer- Thyroid hormones T3 and T4.
Q6: Which antibody is associated with lupus (SLE)? - correct
answer- Positive ANA (antinuclear antibody).
,Q7: What is the hallmark sign of Hodgkin lymphoma? -
correct answer- Presence of Reed-Sternberg cells.
Q8: Which protein is found in urine in multiple myeloma? -
correct answer- Bence-Jones protein.
Q9: What CD4 count defines progression from HIV to AIDS? -
correct answer- CD4 count <200 cells/μL.
Q10: Which dietary change is needed for hyperparathyroidism?
- correct answer- Avoid high-calcium foods; encourage
fluids and mobility.
Q11: A client with acute cholecystitis reports RUQ pain radiating
to the shoulder after eating. What is the likely cause? -
correct answer- Gallbladder inflammation triggered by
fatty food intake.
Q12: A nurse notes tremors, weight loss, and exophthalmos in a
patient. Which disorder is suspected? - correct answer-
Hyperthyroidism (Graves’ disease).
, Q13: A client with Addison’s disease is admitted with severe
hypotension. What is the priority action? - correct answer-
Administer IV corticosteroids and fluids to treat Addisonian
crisis.
Q14: A client develops tetany after thyroidectomy. What is the
cause? - correct answer- Hypocalcemia from possible
parathyroid removal.
Q15: A client with cirrhosis develops confusion and asterixis.
What lab finding explains this? - correct answer- Elevated
serum ammonia levels causing hepatic encephalopathy.
Q16: A client with SLE presents with pericarditis and proteinuria.
What does this indicate? - correct answer- Systemic
involvement of lupus affecting heart and kidneys.
Q17: A client receiving chemotherapy is neutropenic. Which
precaution is most important? - correct answer-
Protective isolation: no fresh fruit, flowers, or sick visitors.
Q18: A client with non-Hodgkin lymphoma is at risk for tumor
lysis syndrome. Which lab is expected? - correct answer-
Hyperkalemia, hyperphosphatemia, hyperuricemia.
VERIFIED ANSWERS; 100% CORRECT; GRADE A
Q1: What is the primary transmission route of Hepatitis A? -
correct answer- Fecal-oral route (contaminated food or
water).
Q2: Which hepatitis types have vaccines available? - correct
answer- Hepatitis A and B.
Q3: What lab finding is associated with cirrhosis and ascites? -
correct answer- Low serum albumin due to decreased
protein synthesis.
Q4: Which electrolyte imbalance is common in Addison’s
disease? - correct answer- Hyponatremia and
hyperkalemia.
Q5: What hormone is deficient in hypothyroidism? - correct
answer- Thyroid hormones T3 and T4.
Q6: Which antibody is associated with lupus (SLE)? - correct
answer- Positive ANA (antinuclear antibody).
,Q7: What is the hallmark sign of Hodgkin lymphoma? -
correct answer- Presence of Reed-Sternberg cells.
Q8: Which protein is found in urine in multiple myeloma? -
correct answer- Bence-Jones protein.
Q9: What CD4 count defines progression from HIV to AIDS? -
correct answer- CD4 count <200 cells/μL.
Q10: Which dietary change is needed for hyperparathyroidism?
- correct answer- Avoid high-calcium foods; encourage
fluids and mobility.
Q11: A client with acute cholecystitis reports RUQ pain radiating
to the shoulder after eating. What is the likely cause? -
correct answer- Gallbladder inflammation triggered by
fatty food intake.
Q12: A nurse notes tremors, weight loss, and exophthalmos in a
patient. Which disorder is suspected? - correct answer-
Hyperthyroidism (Graves’ disease).
, Q13: A client with Addison’s disease is admitted with severe
hypotension. What is the priority action? - correct answer-
Administer IV corticosteroids and fluids to treat Addisonian
crisis.
Q14: A client develops tetany after thyroidectomy. What is the
cause? - correct answer- Hypocalcemia from possible
parathyroid removal.
Q15: A client with cirrhosis develops confusion and asterixis.
What lab finding explains this? - correct answer- Elevated
serum ammonia levels causing hepatic encephalopathy.
Q16: A client with SLE presents with pericarditis and proteinuria.
What does this indicate? - correct answer- Systemic
involvement of lupus affecting heart and kidneys.
Q17: A client receiving chemotherapy is neutropenic. Which
precaution is most important? - correct answer-
Protective isolation: no fresh fruit, flowers, or sick visitors.
Q18: A client with non-Hodgkin lymphoma is at risk for tumor
lysis syndrome. Which lab is expected? - correct answer-
Hyperkalemia, hyperphosphatemia, hyperuricemia.
