NR 464 Exam 1 Questions (BoostGrade) – Study Guide, Practice Questions &
Revision Notes
A 24-year-old female contracts hepatitis from contaminated food. During the acute (icteric)
phase of the patient's illness, the nurse would expect serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM). - ANS ✔✔d. anti-hepatitis A virus
immunoglobulin M (anti-HAV IgM).
Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM appears during
the acute phase of hepatitis A
A 36-year-old male patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV)
infection. Which action by the nurse is appropriate?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
c. Teach the patient about ribavirin (Rebetol) treatment.
d. Explain that the infection will resolve over a few months. - ANS ✔✔a. Schedule the patient
for HCV genotype testing.
Genotyping of HCV has an important role in managing treatment and is done before drug
therapy is initiated. Because most patients with acute HCV infection convert to the chronic
state, the nurse should not teach the patient that the HCV will resolve in a few months. Immune
globulin or vaccine is not available for HCV. Ribavirin is used for chronic HCV infection.
,The nurse will plan to teach the patient diagnosed with acute hepatitis B about
a. side effects of nucleotide analogs.
b. measures for improving the appetite
c. ways to increase activity and exercise.
d. administering a-interferon (Intron A). - ANS ✔✔b. measures for improving the appetite.
Maintaining adequate nutritional intake is important for regeneration of hepatocytes. Interferon
and antivirals may be used for chronic hepatitis B, but they are not prescribed for acute
hepatitis B infection. Rest is recommended.
The nurse administering a-interferon and ribavirin (Rebetol) to a patient with chronic hepatitis C
will plan to monitor for
a. leukopenia.
b. hypokalemia.
c. polycythemia.
d. hypoglycemia. - ANS ✔✔a. leukopenia.
Therapy with ribavirin and a-interferon may cause leukopenia. The other problems are not
associated with this drug therapy.
Which information given by a 70-year-old patient during a health history indicates to the nurse
that the patient should be screened for hepatitis C?
a. The patient had a blood transfusion in 2005.
b. The patient used IV drugs about 20 years ago.
c. The patient frequently eats in fast-food restaurants.
,d. The patient traveled to a country with poor sanitation. - ANS ✔✔b. The patient used IV drugs
about 20 years ago.
Any patient with a history of IV drug use should be tested for hepatitis C. Blood transfusions
given after 1992 (when an antibody test for hepatitis C became available) do not pose a risk for
hepatitis C. Hepatitis C is not spread by the oral-fecal route and therefore is not caused by
contaminated food or by traveling in underdeveloped countries.
A 55-year-old patient admitted with an abrupt onset of jaundice and nausea has abnormal liver
function studies but serologic testing is negative for viral causes of hepatitis. Which question by
the nurse is most appropriate?
a. "Is there any history of IV drug use?"
b. "Do you use any over-the-counter drugs?"
c. "Are you taking corticosteroids for any reason?"
d. "Have you recently traveled to a foreign country?" - ANS ✔✔b. "Do you use any over-the-
counter drugs?"
The patient's symptoms, lack of antibodies for hepatitis, and the abrupt onset of symptoms
suggest toxic hepatitis, which can be caused by commonly used over-the-counter drugs such as
acetaminophen (Tylenol). Travel to a foreign country and a history of IV drug use are risk factors
for viral hepatitis. Corticosteroid use does not cause the symptoms listed.
Which data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with
cirrhosis?
a. Hemoglobin
b. Temperature
c. Activity level
d. Albumin level - ANS ✔✔d. Albumin level
, The low oncotic pressure caused by hypoalbuminemia is a major pathophysiologic factor in the
development of edema.
Which topic is most important to include in patient teaching for a 41-year-old patient diagnosed
with early alcoholic cirrhosis?
a. Maintaining good nutrition
b. Avoiding alcohol ingestion
c. Taking lactulose (Cephulac)
d. Using vitamin B supplements - ANS ✔✔b. Avoiding alcohol ingestion
The disease progression can be stopped or reversed by alcohol abstinence.
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
should the nurse take?
a. Administer both drugs.
b. Administer the spironolactone.
c. Withhold the spironolactone and administer the furosemide.
d. Withhold both drugs until discussed with the health care provider. - ANS ✔✔b. Administer
the spironolactone.
Spironolactone is a potassium-sparing diuretic and will help increase the patient's potassium
level. The nurse does not need to talk with the doctor before giving the spironolactone,
although the health care provider should be notified about the low potassium value. The
furosemide will further decrease the patient's potassium level and should be held until the
nurse talks with the health care provider.
Revision Notes
A 24-year-old female contracts hepatitis from contaminated food. During the acute (icteric)
phase of the patient's illness, the nurse would expect serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM). - ANS ✔✔d. anti-hepatitis A virus
immunoglobulin M (anti-HAV IgM).
Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM appears during
the acute phase of hepatitis A
A 36-year-old male patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV)
infection. Which action by the nurse is appropriate?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
c. Teach the patient about ribavirin (Rebetol) treatment.
d. Explain that the infection will resolve over a few months. - ANS ✔✔a. Schedule the patient
for HCV genotype testing.
Genotyping of HCV has an important role in managing treatment and is done before drug
therapy is initiated. Because most patients with acute HCV infection convert to the chronic
state, the nurse should not teach the patient that the HCV will resolve in a few months. Immune
globulin or vaccine is not available for HCV. Ribavirin is used for chronic HCV infection.
,The nurse will plan to teach the patient diagnosed with acute hepatitis B about
a. side effects of nucleotide analogs.
b. measures for improving the appetite
c. ways to increase activity and exercise.
d. administering a-interferon (Intron A). - ANS ✔✔b. measures for improving the appetite.
Maintaining adequate nutritional intake is important for regeneration of hepatocytes. Interferon
and antivirals may be used for chronic hepatitis B, but they are not prescribed for acute
hepatitis B infection. Rest is recommended.
The nurse administering a-interferon and ribavirin (Rebetol) to a patient with chronic hepatitis C
will plan to monitor for
a. leukopenia.
b. hypokalemia.
c. polycythemia.
d. hypoglycemia. - ANS ✔✔a. leukopenia.
Therapy with ribavirin and a-interferon may cause leukopenia. The other problems are not
associated with this drug therapy.
Which information given by a 70-year-old patient during a health history indicates to the nurse
that the patient should be screened for hepatitis C?
a. The patient had a blood transfusion in 2005.
b. The patient used IV drugs about 20 years ago.
c. The patient frequently eats in fast-food restaurants.
,d. The patient traveled to a country with poor sanitation. - ANS ✔✔b. The patient used IV drugs
about 20 years ago.
Any patient with a history of IV drug use should be tested for hepatitis C. Blood transfusions
given after 1992 (when an antibody test for hepatitis C became available) do not pose a risk for
hepatitis C. Hepatitis C is not spread by the oral-fecal route and therefore is not caused by
contaminated food or by traveling in underdeveloped countries.
A 55-year-old patient admitted with an abrupt onset of jaundice and nausea has abnormal liver
function studies but serologic testing is negative for viral causes of hepatitis. Which question by
the nurse is most appropriate?
a. "Is there any history of IV drug use?"
b. "Do you use any over-the-counter drugs?"
c. "Are you taking corticosteroids for any reason?"
d. "Have you recently traveled to a foreign country?" - ANS ✔✔b. "Do you use any over-the-
counter drugs?"
The patient's symptoms, lack of antibodies for hepatitis, and the abrupt onset of symptoms
suggest toxic hepatitis, which can be caused by commonly used over-the-counter drugs such as
acetaminophen (Tylenol). Travel to a foreign country and a history of IV drug use are risk factors
for viral hepatitis. Corticosteroid use does not cause the symptoms listed.
Which data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with
cirrhosis?
a. Hemoglobin
b. Temperature
c. Activity level
d. Albumin level - ANS ✔✔d. Albumin level
, The low oncotic pressure caused by hypoalbuminemia is a major pathophysiologic factor in the
development of edema.
Which topic is most important to include in patient teaching for a 41-year-old patient diagnosed
with early alcoholic cirrhosis?
a. Maintaining good nutrition
b. Avoiding alcohol ingestion
c. Taking lactulose (Cephulac)
d. Using vitamin B supplements - ANS ✔✔b. Avoiding alcohol ingestion
The disease progression can be stopped or reversed by alcohol abstinence.
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
should the nurse take?
a. Administer both drugs.
b. Administer the spironolactone.
c. Withhold the spironolactone and administer the furosemide.
d. Withhold both drugs until discussed with the health care provider. - ANS ✔✔b. Administer
the spironolactone.
Spironolactone is a potassium-sparing diuretic and will help increase the patient's potassium
level. The nurse does not need to talk with the doctor before giving the spironolactone,
although the health care provider should be notified about the low potassium value. The
furosemide will further decrease the patient's potassium level and should be held until the
nurse talks with the health care provider.
