NSG 4100 Adult Health III Exam 2 Newest 2025 – 100
Questions and Correct Answers with Rationales |
Galen NSG 4100 Exam 2 Prep Latest|| LATEST UPDATE
2025/26
****ACUTE PANCREATITIS (FOCUS ON FOR EXAM) patho and cause -
CORRECTANSWER inflammatory process involving pancreas
mild to severe, rapidly fatal due to complications (necrosis leading to shock)
common causes are biliary tract disease/cholelithiasis, and EtoH
patho :
pancreatic duct is obstructed
dx for pancreatitis -CORRECTANSWER acute - pancreatic enzymes (serum) elevated
hepatic aminotransferases, alkaline phosphatase, bilirubin
dx for chronic pancreatitis -CORRECTANSWER hx
blood chemical analysis
gold standard for dx pancreatitis (acute or chronic) -CORRECTANSWER CT scan
,s/s of pancreatitis -CORRECTANSWER Pain Acute Occurring 24-48 Hours After A
Heavy Meal Or ETOH
• Pain Is Difficult to Localize
• Decreased Peristalsis
• Patient Appears Acutely Ill
• Abdominal Guarding
Rigid/Board Like Abdomen
• Ecchymosis in Flank/Umbilicus
• Nausea/Vomiting
• Jaundice
• Mental Confusion
• Hypotension
• Tachycardia
• Cold/clammy skin
• Nursing Interventions and Assessment
two hallmark s/s of pancreatitis -CORRECTANSWER cullen's / turner's sign
Tx for pancreatitis -CORRECTANSWER Preventing and managing acute attacks
• Relieve pain,
• Manage exocrine and endocrine insufficiency,
, • Surgical management
• Nursing:
• Maintain NPO: inhibit stimulation of enzyme release
• May have enteral or parenteral nutrition, but will be NPO
• Opioid Pain meds but no Demerol: accumulation of metabolites cause seizures
• Bedrest (usually semi-fowlers to decrease pressure on the diaphragm): decrease
secretion of pancreatic and gastric enzymes
• NG: suction to relieve N/V
• IV fluid and electrolytes
• Assess respiratory status: diaphragm elevated, atelectasis; put in semi fowler
• Weigh daily, measure abdominal girth, AVOID high-fat foods
pancreatic cancer patho + etiology + risk factors -CORRECTANSWER Pathophysiology
• Vast majority of pancreatic tumors are adenocarcinomas• An important subset of
neoplasms is neuroendocrine tumors.
• Etiology
• Lesions of the head of pancreas outnumber those in the body and tail
• Risk factors:
Questions and Correct Answers with Rationales |
Galen NSG 4100 Exam 2 Prep Latest|| LATEST UPDATE
2025/26
****ACUTE PANCREATITIS (FOCUS ON FOR EXAM) patho and cause -
CORRECTANSWER inflammatory process involving pancreas
mild to severe, rapidly fatal due to complications (necrosis leading to shock)
common causes are biliary tract disease/cholelithiasis, and EtoH
patho :
pancreatic duct is obstructed
dx for pancreatitis -CORRECTANSWER acute - pancreatic enzymes (serum) elevated
hepatic aminotransferases, alkaline phosphatase, bilirubin
dx for chronic pancreatitis -CORRECTANSWER hx
blood chemical analysis
gold standard for dx pancreatitis (acute or chronic) -CORRECTANSWER CT scan
,s/s of pancreatitis -CORRECTANSWER Pain Acute Occurring 24-48 Hours After A
Heavy Meal Or ETOH
• Pain Is Difficult to Localize
• Decreased Peristalsis
• Patient Appears Acutely Ill
• Abdominal Guarding
Rigid/Board Like Abdomen
• Ecchymosis in Flank/Umbilicus
• Nausea/Vomiting
• Jaundice
• Mental Confusion
• Hypotension
• Tachycardia
• Cold/clammy skin
• Nursing Interventions and Assessment
two hallmark s/s of pancreatitis -CORRECTANSWER cullen's / turner's sign
Tx for pancreatitis -CORRECTANSWER Preventing and managing acute attacks
• Relieve pain,
• Manage exocrine and endocrine insufficiency,
, • Surgical management
• Nursing:
• Maintain NPO: inhibit stimulation of enzyme release
• May have enteral or parenteral nutrition, but will be NPO
• Opioid Pain meds but no Demerol: accumulation of metabolites cause seizures
• Bedrest (usually semi-fowlers to decrease pressure on the diaphragm): decrease
secretion of pancreatic and gastric enzymes
• NG: suction to relieve N/V
• IV fluid and electrolytes
• Assess respiratory status: diaphragm elevated, atelectasis; put in semi fowler
• Weigh daily, measure abdominal girth, AVOID high-fat foods
pancreatic cancer patho + etiology + risk factors -CORRECTANSWER Pathophysiology
• Vast majority of pancreatic tumors are adenocarcinomas• An important subset of
neoplasms is neuroendocrine tumors.
• Etiology
• Lesions of the head of pancreas outnumber those in the body and tail
• Risk factors:
