MEDICAL SURGICAL EXAM 3
TESTBANK WITH VERIFIED
ANSWERS GRADED A+
The nursing instructor is teaching the beginning nursing students how to
palpate a liver. What technique will the student nurse use to palpate a
patient's liver?
A) Place hand under left lower rib cage and press down lightly with the other
hand.
B) Place the left hand over the abdomen and behind the left side at the 11th
rib.
C) Place hand under right lower rib cage and press down lightly with the
other hand.
D) Hold hand 90 degrees to abdomen and push down firmly
C) Place hand under right lower rib cage and press down lightly with the
other hand.
A patient with portal hypertension has been admitted to the floor you work
on. What will you assess for related to portal hypertension?
A) Bowel obstruction
B) Vitamin A deficiency
C) Ascites
,D) Hepatic encephalopathy
C) Ascites
The nurse is caring for a patient with liver failure. The nurse understands that
patients in liver failure often require vitamin therapy. Which vitamin does the
liver require for the synthesis of prothrombin?
A) Vitamin B12
B) Vitamin A
C) Vitamin D
D) Vitamin K
D) Vitamin K
The nurse is caring for a patient with cancer of the liver. The patient has a
percutaneous biliary drainage system. What assessments should the nurse
record in the patient's chart?
A) Amount and color of drainage
B) Temperature of drainage
C) Odor of drainage
D) Consistency of drainage
A) Amount and color of drainage
A patient who has undergone liver transplantation is ready to be discharged
home. The nurse is providing discharge teaching. Which topic will the nurse
emphasize the most related to discharge teaching?
A) The patient will obtain measurement of drainage from the T-tube.
B) The patient will exercise three times a week.
C) The patient will take immunosuppressive agents as required.
D) The patient will monitor for signs of liver dysfunction.
,C) The patient will take immunosuppressive agents as required.
The triage nurse in the emergency department is assessing a patient who
presented with complaints of not feeling well. The patient has ascites and an
enlarged liver. The patient reports a history of drinking a 12 pack of beer
every evening for the past 15 years. The nurse is aware that the patient is at
risk for which disease?
A) Cirrhosis
B) Renal failure
C) Hepatitis
D) Cardiovascular disease
A) Cirrhosis
The nurse is reviewing the history of a patient newly admitted to the unit.
This patient has been ordered vasopressin for bleeding esophageal varices.
The nurse calls the physician to question the use of vasopressin when she
reads that the patient has a history of what?
A) Diabetes mellitus
B) Chronic kidney disease
C) Arthritis
D) Coronary artery disease
D) Coronary artery disease
The nurse is caring for a patient with hepatic encephalopathy. While making
the initial shift assessment the nurse notes that the patient has a flapping
tremor of the hands. What will the nurse document this condition as in the
patient's chart?
, A) Asterixis
B) Constructional apraxia
C) Fetor hepaticus
D) Palmar erythema
A) Asterixis
A patient with a history of postnecrotic cirrhosis is being cared for on your
unit. What is this type of cirrhosis often the result of?
A) A previous bout of acute viral hepatitis
B) Chronic alcoholism
C) Bilary obstruction
D) Cholangitis
A) A previous bout of acute viral hepatitis
The nursing instructor is teaching the senior nursing students about liver
disease. What would the instructor teach the students is the most common
surgical procedure for liver cancer?
A) Cryosurgery
B) Liver transplantation
C) A lobectomy
D) Laser hyperthermia
C) A lobectomy
A patient with liver cancer is at the clinic to talk with the physician. The
physician tells the patient that it is to risky to do surgery on their hepatic
TESTBANK WITH VERIFIED
ANSWERS GRADED A+
The nursing instructor is teaching the beginning nursing students how to
palpate a liver. What technique will the student nurse use to palpate a
patient's liver?
A) Place hand under left lower rib cage and press down lightly with the other
hand.
B) Place the left hand over the abdomen and behind the left side at the 11th
rib.
C) Place hand under right lower rib cage and press down lightly with the
other hand.
D) Hold hand 90 degrees to abdomen and push down firmly
C) Place hand under right lower rib cage and press down lightly with the
other hand.
A patient with portal hypertension has been admitted to the floor you work
on. What will you assess for related to portal hypertension?
A) Bowel obstruction
B) Vitamin A deficiency
C) Ascites
,D) Hepatic encephalopathy
C) Ascites
The nurse is caring for a patient with liver failure. The nurse understands that
patients in liver failure often require vitamin therapy. Which vitamin does the
liver require for the synthesis of prothrombin?
A) Vitamin B12
B) Vitamin A
C) Vitamin D
D) Vitamin K
D) Vitamin K
The nurse is caring for a patient with cancer of the liver. The patient has a
percutaneous biliary drainage system. What assessments should the nurse
record in the patient's chart?
A) Amount and color of drainage
B) Temperature of drainage
C) Odor of drainage
D) Consistency of drainage
A) Amount and color of drainage
A patient who has undergone liver transplantation is ready to be discharged
home. The nurse is providing discharge teaching. Which topic will the nurse
emphasize the most related to discharge teaching?
A) The patient will obtain measurement of drainage from the T-tube.
B) The patient will exercise three times a week.
C) The patient will take immunosuppressive agents as required.
D) The patient will monitor for signs of liver dysfunction.
,C) The patient will take immunosuppressive agents as required.
The triage nurse in the emergency department is assessing a patient who
presented with complaints of not feeling well. The patient has ascites and an
enlarged liver. The patient reports a history of drinking a 12 pack of beer
every evening for the past 15 years. The nurse is aware that the patient is at
risk for which disease?
A) Cirrhosis
B) Renal failure
C) Hepatitis
D) Cardiovascular disease
A) Cirrhosis
The nurse is reviewing the history of a patient newly admitted to the unit.
This patient has been ordered vasopressin for bleeding esophageal varices.
The nurse calls the physician to question the use of vasopressin when she
reads that the patient has a history of what?
A) Diabetes mellitus
B) Chronic kidney disease
C) Arthritis
D) Coronary artery disease
D) Coronary artery disease
The nurse is caring for a patient with hepatic encephalopathy. While making
the initial shift assessment the nurse notes that the patient has a flapping
tremor of the hands. What will the nurse document this condition as in the
patient's chart?
, A) Asterixis
B) Constructional apraxia
C) Fetor hepaticus
D) Palmar erythema
A) Asterixis
A patient with a history of postnecrotic cirrhosis is being cared for on your
unit. What is this type of cirrhosis often the result of?
A) A previous bout of acute viral hepatitis
B) Chronic alcoholism
C) Bilary obstruction
D) Cholangitis
A) A previous bout of acute viral hepatitis
The nursing instructor is teaching the senior nursing students about liver
disease. What would the instructor teach the students is the most common
surgical procedure for liver cancer?
A) Cryosurgery
B) Liver transplantation
C) A lobectomy
D) Laser hyperthermia
C) A lobectomy
A patient with liver cancer is at the clinic to talk with the physician. The
physician tells the patient that it is to risky to do surgery on their hepatic
