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NUR 2243 EXAM NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
A nurse cares for a client who is prescribed lactulose (Heptalac). The client
states, I do not want to take this medication because it causes diarrhea. How
should the nurse respond?
a. Diarrhea is expected; thats how your body gets rid of ammonia.
b. You may take Kaopectate liquid daily for loose stools.
c. Do not take any more of the medication until your stools firm up.
d. We will need to send a stool specimen to the laboratory.
ANS: A
The purpose of administering lactulose to this client is to help ammonia leave the
circulatory system through the colon. Lactulose draws water into the bowel with its
high osmotic gradient, thereby producing a laxative effect and subsequently
evacuating ammonia from the bowel. The client must understand that this is an
expected and therapeutic effect for him or her to remain compliant. The nurse should
not suggest administering anything that would decrease the excretion of ammonia or
holding the medication. There is no need to send a stool specimen to the laboratory
because diarrhea is the therapeutic response to this medication.
After teaching a client who has been diagnosed with hepatitis A, the nurse
assesses the clients understanding. Which statement by the client indicates a
correct understanding of the teaching?
a. Some medications have been known to cause hepatitis A.
b. I may have been exposed when we ate shrimp last weekend.
c. I was infected with hepatitis A through a recent blood transfusion.
d. My infection with Epstein-Barr virus can co-infect me with hepatitis A.
ANS: B
The route of acquisition of hepatitis A infection is through close personal contact or
ingestion of contaminated water or shellfish. Hepatitis A is not transmitted through
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medications, blood transfusions, or Epstein-Barr virus. Toxic and drug-induced
hepatitis is caused from exposure to hepatotoxins, but this is not a form of hepatitis
A. Hepatitis B can be spread through blood transfusions. Epstein-Barr virus causes a
secondary infection that is not associated with hepatitis A.
A nurse assesses clients at a community health fair. Which client is at greatest
risk for the development of hepatitis B?
a. A 20-year-old college student who has had several sexual partners
b. A 46-year-old woman who takes acetaminophen daily for headaches
c. A 63-year-old businessman who travels frequently across the country
d. An 82-year-old woman who recently ate raw shellfish for dinner
ANS: A
Hepatitis B can be spread through sexual contact, needle sharing, needle sticks,
blood transfusions, hemodialysis, acupuncture, and the maternal-fetal route. A
person with multiple sexual partners has more opportunities to contract the infection.
Hepatitis B is not transmitted through medications, casual contact with other
travelers, or raw shellfish. Although an overdose of acetaminophen can cause liver
cirrhosis, this is not associated with hepatitis B. Hepatitis E is found most frequently
in international travelers. Hepatitis A is spread through ingestion of contaminated
shellfish.
A nurse teaches a client with hepatitis C who is prescribed ribavirin
(Copegus). Which statement should the nurse include in this clients discharge
education?
a. Use a pill organizer to ensure you take this medication as prescribed.
b. Transient muscle aching is a common side effect of this medication.
c. Follow up with your provider in 1 week to test your blood for toxicity.
d. Take your radial pulse for 1 minute prior to taking this medication.
ANS: A
Treatment of hepatitis C with ribavirin takes up to 48 weeks, making compliance a
serious issue. The nurse should work with the client on a strategy to remain
compliant for this length of time. Muscle aching is not a common side effect. The
client will be on this medication for many weeks and does not need a blood toxicity
examination. There is no need for the client to assess his or her radial pulse prior to
taking the medication.
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After teaching a client who has plans to travel to a non-industrialized country,
the nurse assesses the clients understanding regarding the prevention of viral
hepatitis. Which statement made by the client indicates a need for additional
teaching?
a. I should drink bottled water during my travels.
b. I will not eat off anothers plate or share utensils.
c. I should eat plenty of fresh fruits and vegetables.
d. I will wash my hands frequently and thoroughly.
ANS: C
The client should be advised to avoid fresh, raw fruits and vegetables because they
can be contaminated by tap water. Drinking bottled water, and not sharing plates,
glasses, or eating utensils are good ways to prevent illness, as is careful
handwashing.
A telehealth nurse speaks with a client who is recovering from a liver
transplant 2 weeks ago. The client states, I am experiencing right flank pain
and have a temperature of 101 F. How should the nurse respond?
a. The anti-rejection drugs you are taking make you susceptible to infection.
b. You should go to the hospital immediately to have your new liver checked
out.
c. You should take an additional dose of cyclosporine today.
d. Take acetaminophen (Tylenol) every 4 hours until you feel better.
ANS: B
Fever, right quadrant or flank pain, and jaundice are signs of liver transplant
rejection; the client should be admitted to the hospital as soon as possible for
intervention. Anti-rejection drugs do make a client more susceptible to infection, but
this client has signs of rejection, not infection. The nurse should not advise the client
to take an additional dose of cyclosporine or acetaminophen as these medications
will not treat the acute rejection.
After teaching a client who has alcohol-induced cirrhosis, a nurse assesses
the clients understanding. Which statement made by the client indicates a
need for additional teaching?
a. I cannot drink any alcohol at all anymore.
b. I need to avoid protein in my diet.
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c. I should not take over-the-counter medications.
d. I should eat small, frequent, balanced meals.
ANS: B
Based on the degree of liver involvement and decreased function, protein intake may
have to be decreased. However, some protein is necessary for the synthesis of
albumin and normal healing. The other statements indicate accurate understanding
of self-care measures for this client.
A nurse cares for a client with hepatopulmonary syndrome who is
experiencing dyspnea with oxygen saturations at 92%. The client states, I do
not want to wear the oxygen because it causes my nose to bleed. Get out of
my room and leave me alone! Which action should the nurse take?
a. Instruct the client to sit in as upright a position as possible.
b. Add humidity to the oxygen and encourage the client to wear it.
c. Document the clients refusal, and call the health care provider.
d. Contact the provider to request an extra dose of the clients diuretic.
ANS: A
The client with hepatopulmonary syndrome is often dyspneic. Because the oxygen
saturation is not significantly low, the nurse should first allow the client to sit upright
to see if that helps. If the client remains dyspneic, or if the oxygen saturation drops
further, the nurse should investigate adding humidity to the oxygen and seeing
whether the client will tolerate that. The other two options may be beneficial, but they
are not the best choices. If the client is comfortable, his or her agitation will
decrease; this will improve respiratory status.
A nurse cares for a client who is scheduled for a paracentesis. Which
intervention should the nurse delegate to an unlicensed assistive personnel
(UAP)?
a. Have the client sign the informed consent form.
b. Assist the client to void before the procedure.
c. Help the client lie flat in bed on the right side.
d. Get the client into a chair after the procedure.
ANS: B
For safety, the client should void just before a paracentesis. The nurse or the
provider should have the client sign the consent form. The proper position for a
NUR 2243 EXAM NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED
A nurse cares for a client who is prescribed lactulose (Heptalac). The client
states, I do not want to take this medication because it causes diarrhea. How
should the nurse respond?
a. Diarrhea is expected; thats how your body gets rid of ammonia.
b. You may take Kaopectate liquid daily for loose stools.
c. Do not take any more of the medication until your stools firm up.
d. We will need to send a stool specimen to the laboratory.
ANS: A
The purpose of administering lactulose to this client is to help ammonia leave the
circulatory system through the colon. Lactulose draws water into the bowel with its
high osmotic gradient, thereby producing a laxative effect and subsequently
evacuating ammonia from the bowel. The client must understand that this is an
expected and therapeutic effect for him or her to remain compliant. The nurse should
not suggest administering anything that would decrease the excretion of ammonia or
holding the medication. There is no need to send a stool specimen to the laboratory
because diarrhea is the therapeutic response to this medication.
After teaching a client who has been diagnosed with hepatitis A, the nurse
assesses the clients understanding. Which statement by the client indicates a
correct understanding of the teaching?
a. Some medications have been known to cause hepatitis A.
b. I may have been exposed when we ate shrimp last weekend.
c. I was infected with hepatitis A through a recent blood transfusion.
d. My infection with Epstein-Barr virus can co-infect me with hepatitis A.
ANS: B
The route of acquisition of hepatitis A infection is through close personal contact or
ingestion of contaminated water or shellfish. Hepatitis A is not transmitted through
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medications, blood transfusions, or Epstein-Barr virus. Toxic and drug-induced
hepatitis is caused from exposure to hepatotoxins, but this is not a form of hepatitis
A. Hepatitis B can be spread through blood transfusions. Epstein-Barr virus causes a
secondary infection that is not associated with hepatitis A.
A nurse assesses clients at a community health fair. Which client is at greatest
risk for the development of hepatitis B?
a. A 20-year-old college student who has had several sexual partners
b. A 46-year-old woman who takes acetaminophen daily for headaches
c. A 63-year-old businessman who travels frequently across the country
d. An 82-year-old woman who recently ate raw shellfish for dinner
ANS: A
Hepatitis B can be spread through sexual contact, needle sharing, needle sticks,
blood transfusions, hemodialysis, acupuncture, and the maternal-fetal route. A
person with multiple sexual partners has more opportunities to contract the infection.
Hepatitis B is not transmitted through medications, casual contact with other
travelers, or raw shellfish. Although an overdose of acetaminophen can cause liver
cirrhosis, this is not associated with hepatitis B. Hepatitis E is found most frequently
in international travelers. Hepatitis A is spread through ingestion of contaminated
shellfish.
A nurse teaches a client with hepatitis C who is prescribed ribavirin
(Copegus). Which statement should the nurse include in this clients discharge
education?
a. Use a pill organizer to ensure you take this medication as prescribed.
b. Transient muscle aching is a common side effect of this medication.
c. Follow up with your provider in 1 week to test your blood for toxicity.
d. Take your radial pulse for 1 minute prior to taking this medication.
ANS: A
Treatment of hepatitis C with ribavirin takes up to 48 weeks, making compliance a
serious issue. The nurse should work with the client on a strategy to remain
compliant for this length of time. Muscle aching is not a common side effect. The
client will be on this medication for many weeks and does not need a blood toxicity
examination. There is no need for the client to assess his or her radial pulse prior to
taking the medication.
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After teaching a client who has plans to travel to a non-industrialized country,
the nurse assesses the clients understanding regarding the prevention of viral
hepatitis. Which statement made by the client indicates a need for additional
teaching?
a. I should drink bottled water during my travels.
b. I will not eat off anothers plate or share utensils.
c. I should eat plenty of fresh fruits and vegetables.
d. I will wash my hands frequently and thoroughly.
ANS: C
The client should be advised to avoid fresh, raw fruits and vegetables because they
can be contaminated by tap water. Drinking bottled water, and not sharing plates,
glasses, or eating utensils are good ways to prevent illness, as is careful
handwashing.
A telehealth nurse speaks with a client who is recovering from a liver
transplant 2 weeks ago. The client states, I am experiencing right flank pain
and have a temperature of 101 F. How should the nurse respond?
a. The anti-rejection drugs you are taking make you susceptible to infection.
b. You should go to the hospital immediately to have your new liver checked
out.
c. You should take an additional dose of cyclosporine today.
d. Take acetaminophen (Tylenol) every 4 hours until you feel better.
ANS: B
Fever, right quadrant or flank pain, and jaundice are signs of liver transplant
rejection; the client should be admitted to the hospital as soon as possible for
intervention. Anti-rejection drugs do make a client more susceptible to infection, but
this client has signs of rejection, not infection. The nurse should not advise the client
to take an additional dose of cyclosporine or acetaminophen as these medications
will not treat the acute rejection.
After teaching a client who has alcohol-induced cirrhosis, a nurse assesses
the clients understanding. Which statement made by the client indicates a
need for additional teaching?
a. I cannot drink any alcohol at all anymore.
b. I need to avoid protein in my diet.
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c. I should not take over-the-counter medications.
d. I should eat small, frequent, balanced meals.
ANS: B
Based on the degree of liver involvement and decreased function, protein intake may
have to be decreased. However, some protein is necessary for the synthesis of
albumin and normal healing. The other statements indicate accurate understanding
of self-care measures for this client.
A nurse cares for a client with hepatopulmonary syndrome who is
experiencing dyspnea with oxygen saturations at 92%. The client states, I do
not want to wear the oxygen because it causes my nose to bleed. Get out of
my room and leave me alone! Which action should the nurse take?
a. Instruct the client to sit in as upright a position as possible.
b. Add humidity to the oxygen and encourage the client to wear it.
c. Document the clients refusal, and call the health care provider.
d. Contact the provider to request an extra dose of the clients diuretic.
ANS: A
The client with hepatopulmonary syndrome is often dyspneic. Because the oxygen
saturation is not significantly low, the nurse should first allow the client to sit upright
to see if that helps. If the client remains dyspneic, or if the oxygen saturation drops
further, the nurse should investigate adding humidity to the oxygen and seeing
whether the client will tolerate that. The other two options may be beneficial, but they
are not the best choices. If the client is comfortable, his or her agitation will
decrease; this will improve respiratory status.
A nurse cares for a client who is scheduled for a paracentesis. Which
intervention should the nurse delegate to an unlicensed assistive personnel
(UAP)?
a. Have the client sign the informed consent form.
b. Assist the client to void before the procedure.
c. Help the client lie flat in bed on the right side.
d. Get the client into a chair after the procedure.
ANS: B
For safety, the client should void just before a paracentesis. The nurse or the
provider should have the client sign the consent form. The proper position for a
