NURS 6531 FINAL EXAM
WALDEN UNIVERSITY 2026 NURS 6531 FINAL
EXAM 1 LATEST SPRING SUMMER ACTUAL
EXAM SOLVED Test Bank with 200+ Practice
Questions and Correct Verified Answers
A patient presents with fever, nausea, vomiting, anorexia, and right upper
quadrant abdominal pain. An ultrasound is negative for gallstones. Which action
is necessary to treat this patient's
symptoms?
a. Empirical treatment with antibiotics
b. Hospitalization for emergent treatment
A+ TEST BANK 1
, NURS 6531 FINAL EXAM
c. Prescribing ursodeoxycholic acid
d. Supportive care with close follow-up –
Correct Answer :ANS: B
This patient has symptoms of acute acalculous cholecystitis and is critically ill.
Hospitalization is required. Empirical treatment with antibiotics and supportive
care with follow-up do not address critical care needs. Ursodeoxycholic acid is a
medication that helps with gallstone dissolution; this patient does not have
gallstones.
Which diagnostic test will the provider safely order for a 30-year-old woman
reporting right upper quadrant abdominal pain, nausea, and vomiting?
a. Abdominal computed tomography (CT) with contrast
b. Abdominal ultrasound
c. Magnetic resonance imaging (MRI) of the abdomen
d. Plain abdominal radiographs –
Correct Answer :ANS: B
Women of childbearing age may safely have ultrasound. Until pregnancy is ruled
out, the other studies may be harmful to a developing fetus and should be
avoided.
A patient with a previous history of liver disease is diagnosed with a bile duct
obstruction. Which procedure will be prescribed for this patient?
a. Chemical dissolution of the gallstone
b. Lithotripsy
A+ TEST BANK 2
, NURS 6531 FINAL EXAM
c. Open cholecystectomy
d. Laparoscopic cholecystectomy –
Correct Answer :ANS: C
Patients with possible liver disease should have open cholecystectomy. The
other procedures are contraindicated. Chemical dissolution is not reliable and
may take some time.
A patient is diagnosed with fibrotic liver disease; a liver biopsy shows
micronodular cirrhosis. What is the most common cause of this form of cirrhosis?
a. Alcoholism
b. Hepatitis C
c. Hepatocellular carcinoma
d. Right-sided heart failure –
Correct Answer :ANS: A
Micronodular cirrhosis is often associated with alcoholic liver disease. Viral
causes and carcinoma usually cause macronodular cirrhosis. Right-sided heart
failure occurs with many other causes as part of the disease development.
A patient with a history of chronic alcoholism reports weight loss, pruritis, and
fatigue. The patient's urine and stools appear normal. What do these findings
indicate?
a. Early liver cirrhosis
b. Late liver cirrhosis
A+ TEST BANK 3
, NURS 6531 FINAL EXAM
c. Liver failure and ascites
d. Probably viral hepatitis –
Correct Answer :ANS: A
Early symptoms of cirrhosis are characterized by this patient's symptoms. As the
condition worsens, stools and urine change color and the patient develops
anorexia, nausea, and vomiting. Liver failure and ascites are late and will include
abdominal pain. Viral hepatitis is a less likely diagnosis in the patient with a
history of alcoholism.
A patient diagnosed with cirrhosis develops ascites. Which medication will be
ordered initially to improve symptoms?
a. Cephalosporin
b. Furosemide
c. Lactulose
d. Spironolactone –
Correct Answer :ANS: D
Spironolactone is the initial diuretic used to improve fluid diuresis in patients
with ascites. Furosemide may be used as adjunctive therapy. Cephalosporin is
used when infections occur. Lactulose is used to increase stools and reduce
encephalopathy.
A patient diagnosed with chronic constipation uses polyethylene glycol and
reports increased abdominal discomfort with nausea and vomiting. What is the
initial action by the provider?
A+ TEST BANK 4
WALDEN UNIVERSITY 2026 NURS 6531 FINAL
EXAM 1 LATEST SPRING SUMMER ACTUAL
EXAM SOLVED Test Bank with 200+ Practice
Questions and Correct Verified Answers
A patient presents with fever, nausea, vomiting, anorexia, and right upper
quadrant abdominal pain. An ultrasound is negative for gallstones. Which action
is necessary to treat this patient's
symptoms?
a. Empirical treatment with antibiotics
b. Hospitalization for emergent treatment
A+ TEST BANK 1
, NURS 6531 FINAL EXAM
c. Prescribing ursodeoxycholic acid
d. Supportive care with close follow-up –
Correct Answer :ANS: B
This patient has symptoms of acute acalculous cholecystitis and is critically ill.
Hospitalization is required. Empirical treatment with antibiotics and supportive
care with follow-up do not address critical care needs. Ursodeoxycholic acid is a
medication that helps with gallstone dissolution; this patient does not have
gallstones.
Which diagnostic test will the provider safely order for a 30-year-old woman
reporting right upper quadrant abdominal pain, nausea, and vomiting?
a. Abdominal computed tomography (CT) with contrast
b. Abdominal ultrasound
c. Magnetic resonance imaging (MRI) of the abdomen
d. Plain abdominal radiographs –
Correct Answer :ANS: B
Women of childbearing age may safely have ultrasound. Until pregnancy is ruled
out, the other studies may be harmful to a developing fetus and should be
avoided.
A patient with a previous history of liver disease is diagnosed with a bile duct
obstruction. Which procedure will be prescribed for this patient?
a. Chemical dissolution of the gallstone
b. Lithotripsy
A+ TEST BANK 2
, NURS 6531 FINAL EXAM
c. Open cholecystectomy
d. Laparoscopic cholecystectomy –
Correct Answer :ANS: C
Patients with possible liver disease should have open cholecystectomy. The
other procedures are contraindicated. Chemical dissolution is not reliable and
may take some time.
A patient is diagnosed with fibrotic liver disease; a liver biopsy shows
micronodular cirrhosis. What is the most common cause of this form of cirrhosis?
a. Alcoholism
b. Hepatitis C
c. Hepatocellular carcinoma
d. Right-sided heart failure –
Correct Answer :ANS: A
Micronodular cirrhosis is often associated with alcoholic liver disease. Viral
causes and carcinoma usually cause macronodular cirrhosis. Right-sided heart
failure occurs with many other causes as part of the disease development.
A patient with a history of chronic alcoholism reports weight loss, pruritis, and
fatigue. The patient's urine and stools appear normal. What do these findings
indicate?
a. Early liver cirrhosis
b. Late liver cirrhosis
A+ TEST BANK 3
, NURS 6531 FINAL EXAM
c. Liver failure and ascites
d. Probably viral hepatitis –
Correct Answer :ANS: A
Early symptoms of cirrhosis are characterized by this patient's symptoms. As the
condition worsens, stools and urine change color and the patient develops
anorexia, nausea, and vomiting. Liver failure and ascites are late and will include
abdominal pain. Viral hepatitis is a less likely diagnosis in the patient with a
history of alcoholism.
A patient diagnosed with cirrhosis develops ascites. Which medication will be
ordered initially to improve symptoms?
a. Cephalosporin
b. Furosemide
c. Lactulose
d. Spironolactone –
Correct Answer :ANS: D
Spironolactone is the initial diuretic used to improve fluid diuresis in patients
with ascites. Furosemide may be used as adjunctive therapy. Cephalosporin is
used when infections occur. Lactulose is used to increase stools and reduce
encephalopathy.
A patient diagnosed with chronic constipation uses polyethylene glycol and
reports increased abdominal discomfort with nausea and vomiting. What is the
initial action by the provider?
A+ TEST BANK 4
