NUR417 LATEST EXAM
NUR417 LATEST EXAM
2025- 2026 SOLVED Test
Bank with 200+ Practice Questions and
Correct Verified Answers
A serum potassium level of 3.2 mEq/L (3.2 mmol/L) is reported for a patient with
cirrhosis who has scheduled doses of spironolactone (Aldactone) and
furosemide (Lasix) due. Which action would the nurse take?
1. Withhold both drugs.
2. Administer both drugs.
3. Administer the furosemide.
4. Administer the spironolactone. –
Correct Answer :4. Administer the spironolactone.
A+ TEST BANK 1
, NUR417 LATEST EXAM
Spironolactone is a potassium-sparing diuretic and will help increase the
patient's potassium level. The furosemide will further decrease the patient's
potassium level and should be held until the nurse talks with the health care
provider.
Which action would the nurse take to evaluate treatment effectiveness for a
patient who has hepatic encephalopathy?
1. Request that the patient stand on one foot.
2. Ask the patient to extend both arms forward.
3. Request that the patient walk with eyes closed.
4. Ask the patient to perform the Valsalva maneuver. –
Correct Answer :2. Ask the patient to extend both arms forward.
Extending the arms allows the nurse to check for asterixis, a classic sign of
hepatic encephalopathy. The other tests might be done as part of the
neurologic assessment but would not be diagnostic for hepatic encephalopathy.
Which finding indicates to the nurse that lactulose is effective for an older adult
who has advanced cirrhosis?
1. The patient is alert and oriented.
2. The patient denies nausea or anorexia.
A+ TEST BANK 2
, NUR417 LATEST EXAM
3. The patient's bilirubin level decreases.
4. The patient has at least one stool daily. –
Correct Answer :1. The patient is alert and oriented.
The purpose of lactulose in the patient with cirrhosis is to lower ammonia levels
and prevent encephalopathy. Although lactulose may be used to treat
constipation, that is not the purpose for this patient. Lactulose will not decrease
nausea and vomiting or lower bilirubin levels.
A patient is being treated for bleeding esophageal varices with balloon
tamponade. Which nursing action will be included in the plan of care?
1. Instruct the patient to cough every hour.
2. Monitor the patient for shortness of breath.
3. Verify the position of the balloon every 4 hours.
4. Deflate the gastric balloon if the patient reports nausea. –
Correct Answer :2. Monitor the patient for shortness of breath.
The most common complication of balloon tamponade is aspiration pneumonia.
In addition, if the gastric balloon ruptures, the esophageal balloon may slip
upward and occlude the airway. Coughing increases the pressure on the varices
and increases the risk for bleeding. Balloon position is verified after insertion and
does not require further verification. Balloons may be deflated briefly every 8 to
12 hours to avoid tissue necrosis, but if only the gastric balloon is deflated, the
A+ TEST BANK 3
, NUR417 LATEST EXAM
esophageal balloon may occlude the airway. Balloons are not deflated for
nausea.
Which result is most important for the nurse to monitor to detect possible
complications in a patient with severe cirrhosis who has bleeding esophageal
varices?
1. Bilirubin levels
2. Ammonia levels
3. Potassium levels
4. Prothrombin time –
Correct Answer :2. Ammonia levels
The protein in the blood in the gastrointestinal tract will be absorbed and may
result in an increase in the ammonia level because the liver cannot metabolize
protein very well. The prothrombin time, bilirubin, and potassium levels should
also be monitored, but they will not be affected by the bleeding episode.
A patient with cirrhosis has ascites and 4+ edema of the feet and legs. Which
nursing action will be included in the plan of care?
1. Restrict daily dietary protein intake.
2. Reposition the patient every 4 hours.
3. Perform passive range of motion twice daily.
A+ TEST BANK 4
NUR417 LATEST EXAM
2025- 2026 SOLVED Test
Bank with 200+ Practice Questions and
Correct Verified Answers
A serum potassium level of 3.2 mEq/L (3.2 mmol/L) is reported for a patient with
cirrhosis who has scheduled doses of spironolactone (Aldactone) and
furosemide (Lasix) due. Which action would the nurse take?
1. Withhold both drugs.
2. Administer both drugs.
3. Administer the furosemide.
4. Administer the spironolactone. –
Correct Answer :4. Administer the spironolactone.
A+ TEST BANK 1
, NUR417 LATEST EXAM
Spironolactone is a potassium-sparing diuretic and will help increase the
patient's potassium level. The furosemide will further decrease the patient's
potassium level and should be held until the nurse talks with the health care
provider.
Which action would the nurse take to evaluate treatment effectiveness for a
patient who has hepatic encephalopathy?
1. Request that the patient stand on one foot.
2. Ask the patient to extend both arms forward.
3. Request that the patient walk with eyes closed.
4. Ask the patient to perform the Valsalva maneuver. –
Correct Answer :2. Ask the patient to extend both arms forward.
Extending the arms allows the nurse to check for asterixis, a classic sign of
hepatic encephalopathy. The other tests might be done as part of the
neurologic assessment but would not be diagnostic for hepatic encephalopathy.
Which finding indicates to the nurse that lactulose is effective for an older adult
who has advanced cirrhosis?
1. The patient is alert and oriented.
2. The patient denies nausea or anorexia.
A+ TEST BANK 2
, NUR417 LATEST EXAM
3. The patient's bilirubin level decreases.
4. The patient has at least one stool daily. –
Correct Answer :1. The patient is alert and oriented.
The purpose of lactulose in the patient with cirrhosis is to lower ammonia levels
and prevent encephalopathy. Although lactulose may be used to treat
constipation, that is not the purpose for this patient. Lactulose will not decrease
nausea and vomiting or lower bilirubin levels.
A patient is being treated for bleeding esophageal varices with balloon
tamponade. Which nursing action will be included in the plan of care?
1. Instruct the patient to cough every hour.
2. Monitor the patient for shortness of breath.
3. Verify the position of the balloon every 4 hours.
4. Deflate the gastric balloon if the patient reports nausea. –
Correct Answer :2. Monitor the patient for shortness of breath.
The most common complication of balloon tamponade is aspiration pneumonia.
In addition, if the gastric balloon ruptures, the esophageal balloon may slip
upward and occlude the airway. Coughing increases the pressure on the varices
and increases the risk for bleeding. Balloon position is verified after insertion and
does not require further verification. Balloons may be deflated briefly every 8 to
12 hours to avoid tissue necrosis, but if only the gastric balloon is deflated, the
A+ TEST BANK 3
, NUR417 LATEST EXAM
esophageal balloon may occlude the airway. Balloons are not deflated for
nausea.
Which result is most important for the nurse to monitor to detect possible
complications in a patient with severe cirrhosis who has bleeding esophageal
varices?
1. Bilirubin levels
2. Ammonia levels
3. Potassium levels
4. Prothrombin time –
Correct Answer :2. Ammonia levels
The protein in the blood in the gastrointestinal tract will be absorbed and may
result in an increase in the ammonia level because the liver cannot metabolize
protein very well. The prothrombin time, bilirubin, and potassium levels should
also be monitored, but they will not be affected by the bleeding episode.
A patient with cirrhosis has ascites and 4+ edema of the feet and legs. Which
nursing action will be included in the plan of care?
1. Restrict daily dietary protein intake.
2. Reposition the patient every 4 hours.
3. Perform passive range of motion twice daily.
A+ TEST BANK 4
