ADULT HEALTH 2 NR325 FINAL EXAM / NR 325 ADULT
HEALTH 2 ACTUAL FINAL EXAM COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) LATEST UPDATED VERSION|
ALREADY GRADED A+
Lifestyle modification for hepatobiliary disorder - ANSWER: rest
avoid alcohol
eat small frequent meals
Signs and symptoms of cirrhosis - ANSWER: Elevate ALT and AST, PT, Bilirubin,
bleeding/ bruising, ascites, decreased albumin, Edema, hepatic encephalopathy,
elevated ammonia, Jaundice, peripheral edema, skin lesions, peripheral neuropathy,
pruritus, fetor hepaticus (fecal odor to breath), asterixis (flapping tremor), palmar
erythema (redness to palms of hand)
Best way to diagnose liver disease - ANSWER: liver biopsy
after biopsy place patient is side-lying position
assess for signs of bleeding at the surgical site
assess vital signs
Labs for liver disease - ANSWER: ALT (elevated)
AST (elevated)
common change in coagulation status, seen in patients with liver failure - ANSWER:
Thrombocytopenia (low platelets - risk for bleeding)
Neutropenia (lower WBC risk for infection)
Anemia (due to low RBC)
all issues related to bone marrow suppression (myelosuppression)
What labs will we do for suspected pancreatitis? - ANSWER: Lipase and amylase
elevated enzymes are positive for pancreatitis
Hyperglycemia
hypocalcemia
(tissue perfusion is a priority)
Patient at risk for pancreatitis
Test for Gallbladder disease - ANSWER: Murphey's sign (aka inspiratory arrest)
Diet for cholecystitis - ANSWER: low fat diet
Sign's and symptoms of cholecystitis - ANSWER: *Clay colored stool, RUQ pain (can
radiate to shoulder) nausea, pain and vomit after meal fatty meals. Assess with
Murphey's sign (inspiratory arrest)
, How to teach/monitor a patient with ascites - ANSWER: daily weights, daily
measurement of abdominal girth, diuretics, low sodium diet
Hepatitis A - ANSWER: inflammation of the liver caused by the hepatitis A virus
(HAV), usually transmitted orally through fecal contamination of food or water
think HEP A double S
Hepatitis B - ANSWER: inflammation of the liver caused by the hepatitis B virus
(HBV), which is transmitted sexually or by exposure to contaminated blood or body
fluids
Treatment for Hepatitis patients - ANSWER: allow for periods of rest
increase activity as tolerated
Avoid alcohol
avoid acetaminophen
Small frequent meals (adequate nutrition)
If a patient is in V-fib what is the priority action of the nurse? - ANSWER: D-fib
If a patient is in V-tach but has a pulse what is the priority action of the nurse? -
ANSWER: cardiovert
Patient comes into the emergency department with a suspected MI. What is the
priority action of the nurse? - ANSWER: *12 lead EKG, test for *troponin, *MONA -
morphine, oxygen, nitroglycerin, aspirin
Nursing interventions prior to an angiogram - ANSWER: assess for allergies
(especially to iodine and shellfish)
check kidney function
check for coagulation abilities
give lots fluids after
stop metformin 48 hr before and after
neuro checks before and after procedure
Complications of a-fib - ANSWER: emboli that can lead to stroke and dysrhythmias
induced by tachycardia
Palliative care - ANSWER: no longer treating illness
providing comfort cared
pain management
A 53 yo female client presents with elevated FSH. The nurse suspects to educate the
patient on what? - ANSWER: menopause
Signs and symptoms of breast cancer - ANSWER: Discharge, lump, dimpling,
retraction, thickening (upper outer quad)
HEALTH 2 ACTUAL FINAL EXAM COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) LATEST UPDATED VERSION|
ALREADY GRADED A+
Lifestyle modification for hepatobiliary disorder - ANSWER: rest
avoid alcohol
eat small frequent meals
Signs and symptoms of cirrhosis - ANSWER: Elevate ALT and AST, PT, Bilirubin,
bleeding/ bruising, ascites, decreased albumin, Edema, hepatic encephalopathy,
elevated ammonia, Jaundice, peripheral edema, skin lesions, peripheral neuropathy,
pruritus, fetor hepaticus (fecal odor to breath), asterixis (flapping tremor), palmar
erythema (redness to palms of hand)
Best way to diagnose liver disease - ANSWER: liver biopsy
after biopsy place patient is side-lying position
assess for signs of bleeding at the surgical site
assess vital signs
Labs for liver disease - ANSWER: ALT (elevated)
AST (elevated)
common change in coagulation status, seen in patients with liver failure - ANSWER:
Thrombocytopenia (low platelets - risk for bleeding)
Neutropenia (lower WBC risk for infection)
Anemia (due to low RBC)
all issues related to bone marrow suppression (myelosuppression)
What labs will we do for suspected pancreatitis? - ANSWER: Lipase and amylase
elevated enzymes are positive for pancreatitis
Hyperglycemia
hypocalcemia
(tissue perfusion is a priority)
Patient at risk for pancreatitis
Test for Gallbladder disease - ANSWER: Murphey's sign (aka inspiratory arrest)
Diet for cholecystitis - ANSWER: low fat diet
Sign's and symptoms of cholecystitis - ANSWER: *Clay colored stool, RUQ pain (can
radiate to shoulder) nausea, pain and vomit after meal fatty meals. Assess with
Murphey's sign (inspiratory arrest)
, How to teach/monitor a patient with ascites - ANSWER: daily weights, daily
measurement of abdominal girth, diuretics, low sodium diet
Hepatitis A - ANSWER: inflammation of the liver caused by the hepatitis A virus
(HAV), usually transmitted orally through fecal contamination of food or water
think HEP A double S
Hepatitis B - ANSWER: inflammation of the liver caused by the hepatitis B virus
(HBV), which is transmitted sexually or by exposure to contaminated blood or body
fluids
Treatment for Hepatitis patients - ANSWER: allow for periods of rest
increase activity as tolerated
Avoid alcohol
avoid acetaminophen
Small frequent meals (adequate nutrition)
If a patient is in V-fib what is the priority action of the nurse? - ANSWER: D-fib
If a patient is in V-tach but has a pulse what is the priority action of the nurse? -
ANSWER: cardiovert
Patient comes into the emergency department with a suspected MI. What is the
priority action of the nurse? - ANSWER: *12 lead EKG, test for *troponin, *MONA -
morphine, oxygen, nitroglycerin, aspirin
Nursing interventions prior to an angiogram - ANSWER: assess for allergies
(especially to iodine and shellfish)
check kidney function
check for coagulation abilities
give lots fluids after
stop metformin 48 hr before and after
neuro checks before and after procedure
Complications of a-fib - ANSWER: emboli that can lead to stroke and dysrhythmias
induced by tachycardia
Palliative care - ANSWER: no longer treating illness
providing comfort cared
pain management
A 53 yo female client presents with elevated FSH. The nurse suspects to educate the
patient on what? - ANSWER: menopause
Signs and symptoms of breast cancer - ANSWER: Discharge, lump, dimpling,
retraction, thickening (upper outer quad)
