1|Page
Galen NSG 4100 Adult Health III Exam 2 & 3 Practice
Test | Adult Health III NSG 4100 Exam 2 and 3 Prep
Test Bank with 200 Questions and Correct Answers
****ACUTE PANCREATITIS (FOCUS ON FOR EXAM) patho
and cause - ...ANSWER...✓✓ 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 - ...ANSWER...✓✓ acute - pancreatic
enzymes (serum) elevated
hepatic aminotransferases, alkaline phosphatase,
bilirubin
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dx for chronic pancreatitis - ...ANSWER...✓✓ hx
blood chemical analysis
gold standard for dx pancreatitis (acute or chronic) -
...ANSWER...✓✓ CT scan
s/s of pancreatitis - ...ANSWER...✓✓ 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
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• Nursing Interventions and Assessment
two hallmark s/s of pancreatitis - ...ANSWER...✓✓
cullen's / turner's sign
Tx for pancreatitis - ...ANSWER...✓✓ 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
Galen NSG 4100 Adult Health III Exam 2 & 3 Practice
Test | Adult Health III NSG 4100 Exam 2 and 3 Prep
Test Bank with 200 Questions and Correct Answers
****ACUTE PANCREATITIS (FOCUS ON FOR EXAM) patho
and cause - ...ANSWER...✓✓ 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 - ...ANSWER...✓✓ acute - pancreatic
enzymes (serum) elevated
hepatic aminotransferases, alkaline phosphatase,
bilirubin
,2|Page
dx for chronic pancreatitis - ...ANSWER...✓✓ hx
blood chemical analysis
gold standard for dx pancreatitis (acute or chronic) -
...ANSWER...✓✓ CT scan
s/s of pancreatitis - ...ANSWER...✓✓ 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
, 3|Page
• Nursing Interventions and Assessment
two hallmark s/s of pancreatitis - ...ANSWER...✓✓
cullen's / turner's sign
Tx for pancreatitis - ...ANSWER...✓✓ 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
