NUR1211 Exam 1 Questions with 100%
Correct Answers
Acute Pancreatitis Correct Answer: Severe, boring pain radiating to the back,
left flank, or shoulder; worse when lying down, improved in fetal or upright
positions.
Chronic Pancreatitis Correct Answer: Progressive inflammation, fibrosis, and
ductal obstruction.
Other signs of Pancreatitis Correct Answer: Nausea, vomiting, weight loss,
jaundice, ascites.
Ecchymoses Correct Answer: Bluish-gray periumbilical discoloration.
Tetany Correct Answer: Hand spasm when blood pressure cuff is inflated
(Trousseau's sign).
Chvostek's sign Correct Answer: Facial twitching when facial nerve is tapped.
Biliary Tract Disease Correct Answer: Gallstones obstructing ducts.
Alcohol Use Correct Answer: Primary cause of chronic pancreatitis cases.
Acute Phase Nutrition Education Correct Answer: Rest the pancreas with NPO
status; no food until pain-free.
Post-Acute Phase Nutrition Education Correct Answer: Resume a bland, high-
protein, low-fat diet with no caffeine or stimulants; encourage small, frequent
meals.
Chronic Phase Nutrition Education Correct Answer: Avoid alcohol and smoking
entirely.
,Nursing Management Correct Answer: Rest the pancreas: NPO until pain-free,
use enteral or parenteral nutrition if severe.
Gastric Decompression Correct Answer: Use NG tube for severe vomiting or
paralytic ileus.
Pancreatic enzyme (pancrelipase) administration Correct Answer: Aids
digestion of fats and proteins when taken with meals and snacks.
Cholecystitis Correct Answer: Inflammation of the gallbladder wall, which can
be acute or chronic, most caused by gallstones obstructing the cystic and/or
common bile ducts.
Cholelithiasis Correct Answer: Presence of stones in the gallbladder caused by
the precipitation of bile or cholesterol into stones.
Murphy's sign Correct Answer: Pain exacerbated by deep inspiration during right
subcostal palpation.
Increased WBC Correct Answer: Indicates inflammation.
Elevated ESR Correct Answer: Suggests an inflammatory process.
Bilirubin Levels Correct Answer: Direct, indirect, and total bilirubin may increase if
a bile duct is obstructed.
Pancreatic Enzymes Correct Answer: Amylase and lipase levels may increase
with pancreatic involvement.
Liver Function Tests Correct Answer: Elevated aspartate aminotransferase (AST),
lactate dehydrogenase (LDH), and alkaline phosphatase (ALP) suggest
common bile duct obstruction or liver dysfunction.
, Diet after Gallbladder Issues Correct Answer: Begin with clear liquids and
advance to solid foods as peristalsis returns; a low-fat diet is recommended.
Fat-soluble vitamins Correct Answer: Take as prescribed to enhance absorption
and aid with digestion.
Type 1 Diabetes Correct Answer: Autoimmune destruction of beta cells, leading
to no insulin production.
Insulin resistance Correct Answer: Cells don't respond to insulin properly.
Age of Onset (Type 1 Diabetes) Correct Answer: Before age 30, often in
childhood or adolescence.
Age of Onset (Type 2 Diabetes) Correct Answer: Usually after age 30 but can
occur in younger people due to obesity.
Insulin (Type 1 Diabetes) Correct Answer: Insulin-dependent (requires lifelong
insulin therapy).
Insulin (Type 2 Diabetes) Correct Answer: Insulin resistance at first; may need
insulin later.
Risk Factors Correct Answer: Obesity, lack of exercise, family history, age.
Genetic predisposition Correct Answer: Risk factor for diabetes.
Autoimmune factors Correct Answer: Risk factor for diabetes.
Viral infections Correct Answer: Risk factor for diabetes.
Symptoms (Type 1 Diabetes) Correct Answer: Sudden onset, rapid weight loss,
fatigue, risk of ketoacidosis.
Correct Answers
Acute Pancreatitis Correct Answer: Severe, boring pain radiating to the back,
left flank, or shoulder; worse when lying down, improved in fetal or upright
positions.
Chronic Pancreatitis Correct Answer: Progressive inflammation, fibrosis, and
ductal obstruction.
Other signs of Pancreatitis Correct Answer: Nausea, vomiting, weight loss,
jaundice, ascites.
Ecchymoses Correct Answer: Bluish-gray periumbilical discoloration.
Tetany Correct Answer: Hand spasm when blood pressure cuff is inflated
(Trousseau's sign).
Chvostek's sign Correct Answer: Facial twitching when facial nerve is tapped.
Biliary Tract Disease Correct Answer: Gallstones obstructing ducts.
Alcohol Use Correct Answer: Primary cause of chronic pancreatitis cases.
Acute Phase Nutrition Education Correct Answer: Rest the pancreas with NPO
status; no food until pain-free.
Post-Acute Phase Nutrition Education Correct Answer: Resume a bland, high-
protein, low-fat diet with no caffeine or stimulants; encourage small, frequent
meals.
Chronic Phase Nutrition Education Correct Answer: Avoid alcohol and smoking
entirely.
,Nursing Management Correct Answer: Rest the pancreas: NPO until pain-free,
use enteral or parenteral nutrition if severe.
Gastric Decompression Correct Answer: Use NG tube for severe vomiting or
paralytic ileus.
Pancreatic enzyme (pancrelipase) administration Correct Answer: Aids
digestion of fats and proteins when taken with meals and snacks.
Cholecystitis Correct Answer: Inflammation of the gallbladder wall, which can
be acute or chronic, most caused by gallstones obstructing the cystic and/or
common bile ducts.
Cholelithiasis Correct Answer: Presence of stones in the gallbladder caused by
the precipitation of bile or cholesterol into stones.
Murphy's sign Correct Answer: Pain exacerbated by deep inspiration during right
subcostal palpation.
Increased WBC Correct Answer: Indicates inflammation.
Elevated ESR Correct Answer: Suggests an inflammatory process.
Bilirubin Levels Correct Answer: Direct, indirect, and total bilirubin may increase if
a bile duct is obstructed.
Pancreatic Enzymes Correct Answer: Amylase and lipase levels may increase
with pancreatic involvement.
Liver Function Tests Correct Answer: Elevated aspartate aminotransferase (AST),
lactate dehydrogenase (LDH), and alkaline phosphatase (ALP) suggest
common bile duct obstruction or liver dysfunction.
, Diet after Gallbladder Issues Correct Answer: Begin with clear liquids and
advance to solid foods as peristalsis returns; a low-fat diet is recommended.
Fat-soluble vitamins Correct Answer: Take as prescribed to enhance absorption
and aid with digestion.
Type 1 Diabetes Correct Answer: Autoimmune destruction of beta cells, leading
to no insulin production.
Insulin resistance Correct Answer: Cells don't respond to insulin properly.
Age of Onset (Type 1 Diabetes) Correct Answer: Before age 30, often in
childhood or adolescence.
Age of Onset (Type 2 Diabetes) Correct Answer: Usually after age 30 but can
occur in younger people due to obesity.
Insulin (Type 1 Diabetes) Correct Answer: Insulin-dependent (requires lifelong
insulin therapy).
Insulin (Type 2 Diabetes) Correct Answer: Insulin resistance at first; may need
insulin later.
Risk Factors Correct Answer: Obesity, lack of exercise, family history, age.
Genetic predisposition Correct Answer: Risk factor for diabetes.
Autoimmune factors Correct Answer: Risk factor for diabetes.
Viral infections Correct Answer: Risk factor for diabetes.
Symptoms (Type 1 Diabetes) Correct Answer: Sudden onset, rapid weight loss,
fatigue, risk of ketoacidosis.
