RNSG 1125 EXAM QUESTIONS AND ANSWERS A+
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A) Severe epigastric pain
B) Nausea and vomiting
C) Elevated temperature
D) Hypotension
The nurse is providing care to a client admitted with acute pancreatitis. Which data
support the client's diagnosis? Select all that apply.
A) Severe epigastric pain
B) Nausea and vomiting
C) Elevated temperature
D) Hypotension
E) Steatorrhea
B) Alcoholism
The nurse is providing care to a client who is being admitted to rule out acute
pancreatitis. Which item found in the client's history increases the client's risk for this
disease process?
A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia
B) Eliminating alcoholic beverages
C) Properly administering pancrelipase
D) Reporting symptoms of infection
E) Taking antacids
The nurse is providing care to an older adult client admitted to the medical unit for acute
gastric and left upper abdominal pain radiating to the back. The healthcare provider has
diagnosed the client with chronic pancreatitis. Which items are appropriate to include in
the discharge teaching for this client? Select all that apply.
A) Encouraging a high-fat diet
B) Eliminating alcoholic beverages
C) Properly administering pancrelipase
D) Reporting symptoms of infection
E) Taking antacids
A) Acute Pain
C) Deficient Fluid Volume
D) Nausea
E) Imbalanced Nutrition: Less than Body Requirement
An adult client is admitted to the emergency department with symptoms of acute
pancreatitis. Which nursing diagnoses are appropriate for this client? Select all that
apply.
A) Acute Pain
B) Impaired Swallowing
,C) Deficient Fluid Volume
D) Nausea
E) Imbalanced Nutrition: Less than Body Requirement
A) Opioid analgesics
C) Total parenteral nutrition
D) Nasogastric tube to suction
The nurse is providing care to an older adult client with a history of alcohol abuse who is
admitted to the hospital with acute pancreatitis. Which treatment options should the
nurse plan for when caring for this client? Select all that apply.
A) Opioid analgesics
B) High-fat diet
C) Total parenteral nutrition
D) Nasogastric tube to suction
E) Pancrelipase administration
B) IV fluid administration
A 63-year-old client is diagnosed with chronic pancreatitis. In planning care for this
patient, which of the following treatments should the nurse expect to increase the
patient's risk for edema?
A) Pancrelipase administration
B) IV fluid administration
C) Nasogastric tube insertion
D) Total parenteral nutrition
A) The client experiences reduction or elimination of pain.
B) The client is free from alterations in nutritional status.
C) The client remains free from alterations in fluid balance.
E) The client is free from nausea.
A client was discharged after hospitalization for acute pancreatitis with instructions on
the use of analgesics, cautions on the importance of avoiding alcohol and smoking, and
recommendations for a low-fat diet. Which outcomes would indicate that the client has
implemented the recommendations? Select all that apply.
A) The client experiences reduction or elimination of pain.
B) The client is free from alterations in nutritional status.
C) The client remains free from alterations in fluid balance.
D) The client returns to work.
E) The client is free from nausea.
A) Ultrasonography
A 28-year-old pregnant client presents with epigastric pain, back pain, anorexia,
nausea, vomiting, and jaundice. What diagnostic test should the nurse expect to be
performed on this client to determine the presence of gallstones?
A) Ultrasonography
B) Endoscopic retrograde cholangiopancreatography (ERCP)
C) Contrast-enhanced CT scan
D) Percutaneous fine-needle aspiration biopsy
A) The pancreas attacks its own tissue.
What is most characteristic of acute pancreatitis?
A) The pancreas attacks its own tissue.
, B) The pancreas becomes distended with fluid.
C) The pancreas ceases to produce enzymes.
D) The pancreas needs to be removed.
D) The enzymes that your pancreas produces have damaged the pancreas itself.
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to
the acute medical
unit. How should the nurse most likely explain the pathophysiology of this patients
health problem?
A) Toxins have accumulated and inflamed your pancreas.
B) Bacteria likely migrated from your intestines and became lodged in your pancreas.
C) A virus that was likely already present in your body has begun to attack your
pancreatic cells.
D) The enzymes that your pancreas produces have damaged the pancreas itself.
A) How many alcoholic drinks do you typically consume in a week?
C) Have you ever been diagnosed with gallstones?
A patients assessment and diagnostic testing are suggestive of acute pancreatitis.
When the nurse is
performing the health interview, what assessment questions address likely etiologic
factors? Select all
that apply.
A) How many alcoholic drinks do you typically consume in a week?
B) Have you ever been tested for diabetes?
C) Have you ever been diagnosed with gallstones?
D) Would you say that you eat a particularly high-fat diet?
E) Does anyone in your family have cystic fibrosis?
C) A 39-year-old man with chronic alcoholism
A nurse who provides care in a walk-in clinic assesses a wide range of individuals. The
nurse should
identify which of the following patients as having the highest risk for chronic
pancreatitis?
A) A 45-year-old obese woman with a high-fat diet
B) An 18-year-old man who is a weekend binge drinker
C) A 39-year-old man with chronic alcoholism
D) A 51-year-old woman who smokes one-and-a-half packs of cigarettes per day
A) Severe pancreatitis with possible peritonitis
A 37-year-old male patient presents at the emergency department (ED) complaining of
nausea and
vomiting and severe abdominal pain. The patients abdomen is rigid, and there is
bruising to the patients
flank. The patients wife states that he was on a drinking binge for the past 2 days. The
ED nurse should
assist in assessing the patient for what health problem?
A) Severe pancreatitis with possible peritonitis
B) Acute cholecystitis
C) Chronic pancreatitis
D) Acute appendicitis with possible perforation
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A) Severe epigastric pain
B) Nausea and vomiting
C) Elevated temperature
D) Hypotension
The nurse is providing care to a client admitted with acute pancreatitis. Which data
support the client's diagnosis? Select all that apply.
A) Severe epigastric pain
B) Nausea and vomiting
C) Elevated temperature
D) Hypotension
E) Steatorrhea
B) Alcoholism
The nurse is providing care to a client who is being admitted to rule out acute
pancreatitis. Which item found in the client's history increases the client's risk for this
disease process?
A) Systemic lupus
B) Alcoholism
C) Cystic fibrosis
D) Hypertriglyceridemia
B) Eliminating alcoholic beverages
C) Properly administering pancrelipase
D) Reporting symptoms of infection
E) Taking antacids
The nurse is providing care to an older adult client admitted to the medical unit for acute
gastric and left upper abdominal pain radiating to the back. The healthcare provider has
diagnosed the client with chronic pancreatitis. Which items are appropriate to include in
the discharge teaching for this client? Select all that apply.
A) Encouraging a high-fat diet
B) Eliminating alcoholic beverages
C) Properly administering pancrelipase
D) Reporting symptoms of infection
E) Taking antacids
A) Acute Pain
C) Deficient Fluid Volume
D) Nausea
E) Imbalanced Nutrition: Less than Body Requirement
An adult client is admitted to the emergency department with symptoms of acute
pancreatitis. Which nursing diagnoses are appropriate for this client? Select all that
apply.
A) Acute Pain
B) Impaired Swallowing
,C) Deficient Fluid Volume
D) Nausea
E) Imbalanced Nutrition: Less than Body Requirement
A) Opioid analgesics
C) Total parenteral nutrition
D) Nasogastric tube to suction
The nurse is providing care to an older adult client with a history of alcohol abuse who is
admitted to the hospital with acute pancreatitis. Which treatment options should the
nurse plan for when caring for this client? Select all that apply.
A) Opioid analgesics
B) High-fat diet
C) Total parenteral nutrition
D) Nasogastric tube to suction
E) Pancrelipase administration
B) IV fluid administration
A 63-year-old client is diagnosed with chronic pancreatitis. In planning care for this
patient, which of the following treatments should the nurse expect to increase the
patient's risk for edema?
A) Pancrelipase administration
B) IV fluid administration
C) Nasogastric tube insertion
D) Total parenteral nutrition
A) The client experiences reduction or elimination of pain.
B) The client is free from alterations in nutritional status.
C) The client remains free from alterations in fluid balance.
E) The client is free from nausea.
A client was discharged after hospitalization for acute pancreatitis with instructions on
the use of analgesics, cautions on the importance of avoiding alcohol and smoking, and
recommendations for a low-fat diet. Which outcomes would indicate that the client has
implemented the recommendations? Select all that apply.
A) The client experiences reduction or elimination of pain.
B) The client is free from alterations in nutritional status.
C) The client remains free from alterations in fluid balance.
D) The client returns to work.
E) The client is free from nausea.
A) Ultrasonography
A 28-year-old pregnant client presents with epigastric pain, back pain, anorexia,
nausea, vomiting, and jaundice. What diagnostic test should the nurse expect to be
performed on this client to determine the presence of gallstones?
A) Ultrasonography
B) Endoscopic retrograde cholangiopancreatography (ERCP)
C) Contrast-enhanced CT scan
D) Percutaneous fine-needle aspiration biopsy
A) The pancreas attacks its own tissue.
What is most characteristic of acute pancreatitis?
A) The pancreas attacks its own tissue.
, B) The pancreas becomes distended with fluid.
C) The pancreas ceases to produce enzymes.
D) The pancreas needs to be removed.
D) The enzymes that your pancreas produces have damaged the pancreas itself.
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to
the acute medical
unit. How should the nurse most likely explain the pathophysiology of this patients
health problem?
A) Toxins have accumulated and inflamed your pancreas.
B) Bacteria likely migrated from your intestines and became lodged in your pancreas.
C) A virus that was likely already present in your body has begun to attack your
pancreatic cells.
D) The enzymes that your pancreas produces have damaged the pancreas itself.
A) How many alcoholic drinks do you typically consume in a week?
C) Have you ever been diagnosed with gallstones?
A patients assessment and diagnostic testing are suggestive of acute pancreatitis.
When the nurse is
performing the health interview, what assessment questions address likely etiologic
factors? Select all
that apply.
A) How many alcoholic drinks do you typically consume in a week?
B) Have you ever been tested for diabetes?
C) Have you ever been diagnosed with gallstones?
D) Would you say that you eat a particularly high-fat diet?
E) Does anyone in your family have cystic fibrosis?
C) A 39-year-old man with chronic alcoholism
A nurse who provides care in a walk-in clinic assesses a wide range of individuals. The
nurse should
identify which of the following patients as having the highest risk for chronic
pancreatitis?
A) A 45-year-old obese woman with a high-fat diet
B) An 18-year-old man who is a weekend binge drinker
C) A 39-year-old man with chronic alcoholism
D) A 51-year-old woman who smokes one-and-a-half packs of cigarettes per day
A) Severe pancreatitis with possible peritonitis
A 37-year-old male patient presents at the emergency department (ED) complaining of
nausea and
vomiting and severe abdominal pain. The patients abdomen is rigid, and there is
bruising to the patients
flank. The patients wife states that he was on a drinking binge for the past 2 days. The
ED nurse should
assist in assessing the patient for what health problem?
A) Severe pancreatitis with possible peritonitis
B) Acute cholecystitis
C) Chronic pancreatitis
D) Acute appendicitis with possible perforation
