NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
NURS 327 EXAM 4 NEWEST / NURS 327 EXAM 4 PREPARATION
/NURS 327 EXAM 4 PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS| BRAND NEW VERSION!
A physician has ordered a liver biopsy for a client with cirrhosis whose condition
has recently deteriorated. The nurse reviews the client's recent laboratory findings
and recognizes that the client is at risk for complications due to: - Correct Answer-
low platelet count
Which liver function study is used to show the size of the liver and hepatic blood
flow and obstruction? - Correct Answer-Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal
varices. What medication should the nurse anticipate administering that will
reduce pressure in the portal venous system and control esophageal bleeding? -
Correct Answer-Octreotide
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? -
Correct Answer-pancreatitis
Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent
gallstones. Which duration of therapy is required to dissolve the stones? - Correct
Answer-7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes
about how many months of medication with UDCA or CDCA for stones to
dissolve? - Correct Answer-6-12 months
1|Page
, NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
A client with a history of alcohol abuse comes to the emergency department and
complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute
pancreatitis. The client's vital signs are stable, but the client's pain is worsening
and radiating to his back. Which intervention takes priority for this client? -
Correct Answer-Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within
which time frame? - Correct Answer-48 hours
This example of cholesterol gallstones (left side of picture) is the result of
decreased bile acid synthesis and increased cholesterol synthesis in the liver,
which in turn, form stones. Cholesterol stones account for what percentage of
cases of gallbladder disease in the United States? - Correct Answer-75 %
The patient admitted with acute pancreatitis has passed the acute stage and is
now able to tolerate solid foods. What type of diet will increase caloric intake
without stimulating pancreatic enzymes beyond the ability of the pancreas to
respond? - Correct Answer-High-carbohydrate, low-protein, low-fat diet
The nurse cares for a client with cholecystitis with severe biliary colic symptoms.
Which nursing intervention best promotes adequate respirations in a client with
these symptoms? - Correct Answer-place the client in semi fowlers position
A client is admitted to the health care facility with abdominal pain, a low-grade
fever, abdominal distention, and weight loss. The physician diagnoses acute
pancreatitis. What is the primary goal of nursing care for this client? - Correct
Answer-relieving abdominal pain
2|Page
, NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
A client with pancreatitis is admitted to the medical intensive care unit. Which
nursing intervention is most appropriate? - Correct Answer-Reserving an
antecubital site for a peripherally inserted central catheter (PICC)
Which term most precisely refers to the incision of the common bile duct for
removal of stones? - Correct Answer-Choledocholithotomy
The nurse knows that the client with cholelithiasis can have a nutritional
deficiency. The obstruction of bile flow due to cholelithiasis can interfere with the
absorption of - Correct Answer-vitamin A
The nurse should assess for an important early indicator of acute pancreatitis,
which is a prolonged and elevated level of: - Correct Answer-serum lipase
A nurse is preparing a client for endoscopic retrograde cholangiopancreatography
(ERCP). The client asks what this test is used for. Which statements by the nurse
explains how ERCP can determine the difference between pancreatitis and other
biliary disorders? Select all that apply. - Correct Answer-"It can evaluate the
presence and location of ductal stones and aid in stone removal."
"It can assess the anatomy of the pancreas and the pancreatic and biliary ducts."
"It can detect unhealthy tissues in the pancreas and assess for abscesses and
pseudocysts."
A patient is admitted to the hospital with possible cholelithiasis. What diagnostic
test of choice will the nurse prepare the patient for? - Correct Answer-
ultrasonography
3|Page
, NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
A client with gallstones tells the nurse, "The doctor has to do something. Isn't
there something he can give me to dissolve them?" What medication does the
nurse know may help dissolve the gallstones? - Correct Answer-Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to
antidepressants. What treatment does the nurse anticipate the client will receive
to treat the reaction? - Correct Answer-High-dose corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory
study results would indicate that the client may have a primary malignant liver
tumor? - Correct Answer-Elevated alpha-fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds,
compared with a control time of 11 seconds. The nurse expects to administer: -
Correct Answer-phytonadione (Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead
the nurse to suspect that the client is in the prodromal phase? - Correct Answer-
rash
A client with hepatitis who has not responded to medical treatment is scheduled
for a liver transplant. Which of the following most likely would be ordered? -
Correct Answer-Tacrolimus
nurse is taking health history data from a client. Use of which of the following
medications would especially alert the nurse to an increased risk of hepatic
4|Page
NURS 327 EXAM 4 NEWEST / NURS 327 EXAM 4 PREPARATION
/NURS 327 EXAM 4 PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS| BRAND NEW VERSION!
A physician has ordered a liver biopsy for a client with cirrhosis whose condition
has recently deteriorated. The nurse reviews the client's recent laboratory findings
and recognizes that the client is at risk for complications due to: - Correct Answer-
low platelet count
Which liver function study is used to show the size of the liver and hepatic blood
flow and obstruction? - Correct Answer-Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal
varices. What medication should the nurse anticipate administering that will
reduce pressure in the portal venous system and control esophageal bleeding? -
Correct Answer-Octreotide
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? -
Correct Answer-pancreatitis
Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent
gallstones. Which duration of therapy is required to dissolve the stones? - Correct
Answer-7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes
about how many months of medication with UDCA or CDCA for stones to
dissolve? - Correct Answer-6-12 months
1|Page
, NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
A client with a history of alcohol abuse comes to the emergency department and
complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute
pancreatitis. The client's vital signs are stable, but the client's pain is worsening
and radiating to his back. Which intervention takes priority for this client? -
Correct Answer-Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within
which time frame? - Correct Answer-48 hours
This example of cholesterol gallstones (left side of picture) is the result of
decreased bile acid synthesis and increased cholesterol synthesis in the liver,
which in turn, form stones. Cholesterol stones account for what percentage of
cases of gallbladder disease in the United States? - Correct Answer-75 %
The patient admitted with acute pancreatitis has passed the acute stage and is
now able to tolerate solid foods. What type of diet will increase caloric intake
without stimulating pancreatic enzymes beyond the ability of the pancreas to
respond? - Correct Answer-High-carbohydrate, low-protein, low-fat diet
The nurse cares for a client with cholecystitis with severe biliary colic symptoms.
Which nursing intervention best promotes adequate respirations in a client with
these symptoms? - Correct Answer-place the client in semi fowlers position
A client is admitted to the health care facility with abdominal pain, a low-grade
fever, abdominal distention, and weight loss. The physician diagnoses acute
pancreatitis. What is the primary goal of nursing care for this client? - Correct
Answer-relieving abdominal pain
2|Page
, NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
A client with pancreatitis is admitted to the medical intensive care unit. Which
nursing intervention is most appropriate? - Correct Answer-Reserving an
antecubital site for a peripherally inserted central catheter (PICC)
Which term most precisely refers to the incision of the common bile duct for
removal of stones? - Correct Answer-Choledocholithotomy
The nurse knows that the client with cholelithiasis can have a nutritional
deficiency. The obstruction of bile flow due to cholelithiasis can interfere with the
absorption of - Correct Answer-vitamin A
The nurse should assess for an important early indicator of acute pancreatitis,
which is a prolonged and elevated level of: - Correct Answer-serum lipase
A nurse is preparing a client for endoscopic retrograde cholangiopancreatography
(ERCP). The client asks what this test is used for. Which statements by the nurse
explains how ERCP can determine the difference between pancreatitis and other
biliary disorders? Select all that apply. - Correct Answer-"It can evaluate the
presence and location of ductal stones and aid in stone removal."
"It can assess the anatomy of the pancreas and the pancreatic and biliary ducts."
"It can detect unhealthy tissues in the pancreas and assess for abscesses and
pseudocysts."
A patient is admitted to the hospital with possible cholelithiasis. What diagnostic
test of choice will the nurse prepare the patient for? - Correct Answer-
ultrasonography
3|Page
, NURS 327 Exam 4 Newest / NURS 327 Exam 4 Preparation
A client with gallstones tells the nurse, "The doctor has to do something. Isn't
there something he can give me to dissolve them?" What medication does the
nurse know may help dissolve the gallstones? - Correct Answer-Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to
antidepressants. What treatment does the nurse anticipate the client will receive
to treat the reaction? - Correct Answer-High-dose corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory
study results would indicate that the client may have a primary malignant liver
tumor? - Correct Answer-Elevated alpha-fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds,
compared with a control time of 11 seconds. The nurse expects to administer: -
Correct Answer-phytonadione (Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead
the nurse to suspect that the client is in the prodromal phase? - Correct Answer-
rash
A client with hepatitis who has not responded to medical treatment is scheduled
for a liver transplant. Which of the following most likely would be ordered? -
Correct Answer-Tacrolimus
nurse is taking health history data from a client. Use of which of the following
medications would especially alert the nurse to an increased risk of hepatic
4|Page
