NUR 213 – Test 5 Review with Practice Questions and Correct answers
for Medical-Surgical Nursing: Endocrine, Immune, and Hematologic
Systems
a
Hepatitis b vaccine if given at birth, 1 month old, and 6 months old as recommended by the
CDC - correct answer a nurse is counseling a 20 year old client with multiple sexual partners
about the hepatitis b vaccine. which of the following is indicated for adequate immunization?
a. a complete series of 3 HBV vaccines
b. a vaccine with a booster every 10 years
c. hepatitis B immune globulin followed by the vaccine
d. 1-time HBV vaccination
c
turning them on their right side helps provide pressure at the site and prevent bleeding -
correct answer a nurse is caring for a client with chronic hepatitis c who has returned to the
unit after a liver biopsy. which of the following is the priority nursing intervention?
a. educate the client about cirrhosis and its progression
b. review preprocedure coagulation studies
c. turn the client on the right side to provide pressure at the side
d. perform a detailed assessment
c - correct answer a nurse is caring for a client with acute hepatitis A infection. which of the
following nursing interventions should be implemented?
a. provide a low calorie diet with fluid restriction
b. remind the client to limit alcohol consumption to 1-2 drinks per day
c. administer antipruritic medication only as needed
d. keep the client on strict bedrest
c
asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of the liver - correct
answer a nurse is caring for a client with chronic hepatitis C and cirrhosis who was admitted for
,hepatic encephalopathy. which of the following does the nurse expect when assessing the
client?
a. hyperactive reflexes
b. agitation and restlessness
c. asterixis
d. enlarged liver
c
clay colored stools indicate an obstruction of the bile ducts - correct answer a nurse is assessing
a client with jaundice who has clay colored stool. what is the most likely cause of these
findings?
a. increased cholecystokinin production
b. increased production of bile
c. decreased flow of bile into the intestine
d. increased breakdown of hemoglobin
c
nursing is high risk for hep b because it is bloodborne pathogens - correct answer nurses and
other healthcare workers are considered high risk for infection by bloodborne pathogens.
which of the following vaccines is mandated by OSHA for healthcare workers?
a. influenza
b. TB
c. Hepatitis B
d. Hepatitis C
b
the first vaccine should be given within 12 hours of exposure - correct answer an unvaccinated
healthcare worker has been exposed to hepatitis B through a needle stick. which of the
following should the nurse anticipate administering as a post exposure prophylaxis?
a. hepatitis B immune globulin
b. hepatitis b vaccine and hepatitis b immune globulin
c. hepatitis B surface antigen
,d. amphotericin B
c
hep A is transmitted from contaminated foods, so good hand and skin hygiene is key to
preventing transmission - correct answer a nurse is providing teaching about hepatitis A with a
client who plans to travel. which of the following statements should the nurse make?
a. if exposed expect to have manifestations within 10 days
b. avoid donating blood or tissue for one year if you develop the infection
c. practice meticulous skin and hand hygiene
d. expect if you are exposed to have severe joint pain
a, c, d - correct answer the nurse is charting findings from a client with cirrhosis. which of the
following findings are specifically related to the clients diagnosis? select all that apply
a. anemia
b. hypoglycemia
c. bruising
d. gynecomastia
e. bradycardia
d
contraindications are conditions in the recipient of a vaccine that increase the risk of a serious
adverse reaction. hypersensitivity to yeast is an absolute contraindication to the hep B virus -
correct answer a nurse who is employed in a community outpatient clinic should question
which of the following prescriptions for vaccine administration?
a. a MMR in a client who hopes to become pregnant within the next 6 months
b. DTaP to a client who has a family history of seizures
c. DTaP to a client who develops a rash when exposed to latex
d. Hepatitis B for a client with hypersensitivity to yeast
c - correct answer a nurse is caring for a client with a GI bleed who has been diagnosed with
liver failure due to hepatitis B. which of the following blood products will most likely be
prescribed to achieve hemostasis?
a. PRBCs
b. cryoprecipitate
, c. platelets
d. whole blood
d
they may develop s/s heart failure and dyspnea. this reaction is about 20% of transfusion
related deaths - correct answer the nurse is preparing to administer on unit of whole blood.
which of the following describes the most life threatening complication associated with blood
transfusions?
a. chill rigor reaction
b. Hep A
c. a febrile non-hemolytic reaction
d. transfusion related circulatory overload
a, d, g, h - correct answer the nurse is assessing a client with hepatitis. which of the following
diagnostic tests will be recommended for this type of client? select all that apply
a. LDH
b. Potassium
c. sodium
d. HBV surface antigen
e. chloride
f. chest xray
g. ALP
h. AST
b - correct answer a nurse is reviewing the prescription for a client who is being evaluated for
the presence of hepatitis C. which of the following prescribed lab tests should the nurse identify
as diagnostic for hepatitis C?
a. indirect bilirubin
b. HCV RNA testing
c. AST
d. ALT
b
for Medical-Surgical Nursing: Endocrine, Immune, and Hematologic
Systems
a
Hepatitis b vaccine if given at birth, 1 month old, and 6 months old as recommended by the
CDC - correct answer a nurse is counseling a 20 year old client with multiple sexual partners
about the hepatitis b vaccine. which of the following is indicated for adequate immunization?
a. a complete series of 3 HBV vaccines
b. a vaccine with a booster every 10 years
c. hepatitis B immune globulin followed by the vaccine
d. 1-time HBV vaccination
c
turning them on their right side helps provide pressure at the site and prevent bleeding -
correct answer a nurse is caring for a client with chronic hepatitis c who has returned to the
unit after a liver biopsy. which of the following is the priority nursing intervention?
a. educate the client about cirrhosis and its progression
b. review preprocedure coagulation studies
c. turn the client on the right side to provide pressure at the side
d. perform a detailed assessment
c - correct answer a nurse is caring for a client with acute hepatitis A infection. which of the
following nursing interventions should be implemented?
a. provide a low calorie diet with fluid restriction
b. remind the client to limit alcohol consumption to 1-2 drinks per day
c. administer antipruritic medication only as needed
d. keep the client on strict bedrest
c
asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of the liver - correct
answer a nurse is caring for a client with chronic hepatitis C and cirrhosis who was admitted for
,hepatic encephalopathy. which of the following does the nurse expect when assessing the
client?
a. hyperactive reflexes
b. agitation and restlessness
c. asterixis
d. enlarged liver
c
clay colored stools indicate an obstruction of the bile ducts - correct answer a nurse is assessing
a client with jaundice who has clay colored stool. what is the most likely cause of these
findings?
a. increased cholecystokinin production
b. increased production of bile
c. decreased flow of bile into the intestine
d. increased breakdown of hemoglobin
c
nursing is high risk for hep b because it is bloodborne pathogens - correct answer nurses and
other healthcare workers are considered high risk for infection by bloodborne pathogens.
which of the following vaccines is mandated by OSHA for healthcare workers?
a. influenza
b. TB
c. Hepatitis B
d. Hepatitis C
b
the first vaccine should be given within 12 hours of exposure - correct answer an unvaccinated
healthcare worker has been exposed to hepatitis B through a needle stick. which of the
following should the nurse anticipate administering as a post exposure prophylaxis?
a. hepatitis B immune globulin
b. hepatitis b vaccine and hepatitis b immune globulin
c. hepatitis B surface antigen
,d. amphotericin B
c
hep A is transmitted from contaminated foods, so good hand and skin hygiene is key to
preventing transmission - correct answer a nurse is providing teaching about hepatitis A with a
client who plans to travel. which of the following statements should the nurse make?
a. if exposed expect to have manifestations within 10 days
b. avoid donating blood or tissue for one year if you develop the infection
c. practice meticulous skin and hand hygiene
d. expect if you are exposed to have severe joint pain
a, c, d - correct answer the nurse is charting findings from a client with cirrhosis. which of the
following findings are specifically related to the clients diagnosis? select all that apply
a. anemia
b. hypoglycemia
c. bruising
d. gynecomastia
e. bradycardia
d
contraindications are conditions in the recipient of a vaccine that increase the risk of a serious
adverse reaction. hypersensitivity to yeast is an absolute contraindication to the hep B virus -
correct answer a nurse who is employed in a community outpatient clinic should question
which of the following prescriptions for vaccine administration?
a. a MMR in a client who hopes to become pregnant within the next 6 months
b. DTaP to a client who has a family history of seizures
c. DTaP to a client who develops a rash when exposed to latex
d. Hepatitis B for a client with hypersensitivity to yeast
c - correct answer a nurse is caring for a client with a GI bleed who has been diagnosed with
liver failure due to hepatitis B. which of the following blood products will most likely be
prescribed to achieve hemostasis?
a. PRBCs
b. cryoprecipitate
, c. platelets
d. whole blood
d
they may develop s/s heart failure and dyspnea. this reaction is about 20% of transfusion
related deaths - correct answer the nurse is preparing to administer on unit of whole blood.
which of the following describes the most life threatening complication associated with blood
transfusions?
a. chill rigor reaction
b. Hep A
c. a febrile non-hemolytic reaction
d. transfusion related circulatory overload
a, d, g, h - correct answer the nurse is assessing a client with hepatitis. which of the following
diagnostic tests will be recommended for this type of client? select all that apply
a. LDH
b. Potassium
c. sodium
d. HBV surface antigen
e. chloride
f. chest xray
g. ALP
h. AST
b - correct answer a nurse is reviewing the prescription for a client who is being evaluated for
the presence of hepatitis C. which of the following prescribed lab tests should the nurse identify
as diagnostic for hepatitis C?
a. indirect bilirubin
b. HCV RNA testing
c. AST
d. ALT
b
