NURS 497 Exam #3 NEWEST 2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
In the liver, free bilirubin moves from the plasma in the sinusoids into the hepatocytes, where it is
converted into:
a.conjugated bilirubin.
b.unconjugated bilirubin.
c.urobilinogen.
d.biliverdin. - (answer)A
The autopsy of a 55-year-old revealed an inflamed and fatty liver, with necrotic hepatocytes. What is the
most likely cause of this condition?
a.Viral infection
b.Bacterial infection
c.Alcoholic steatohepatitis
d.Drug overdose - (answer)C
The presence of bright red stools is referred to as:
a.hematochezia.
b.hematemesis.
c.melena.
d.occult bleeding - (answer)A
Which of the following data obtained by the nurse during the assessment of a client with cirrhosis is of
most concern?
a.The client's hands flap back and forth when the arms are extended.
b.The client complains of right upper-quadrant pain with abdominal palpation.
c.The client's skin has multiple spider-shaped blood vessels on the abdomen.
d.The client has ascites and a 2-kg weight gain from the previous day. - (answer)A
A 54-year-old reports vomiting blood. Tests reveal portal hypertension. Which of the following is the
most likely cause of this condition?
,NURS 497 Exam #3 NEWEST 2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
a.Renal stenosis
b.Cirrhosis of the liver
c.Left ventricular failure
d.Thrombosis in the spleen - (answer)B
In alcoholic cirrhosis, hepatocellular damage is caused by:
a.acidosis.
b.bile toxicity.
c.fatty infiltrations.
d.acetaldehyde accumulation. - (answer)D
During change-of-shift report, the nurse learns about the following four clients. Which client requires
the most rapid assessment?
a.45-year-old with cirrhosis and severe ascites who has an oral temperature of 38.8°C (101.8°F)
b.56-year-old who is recovering from a laparoscopic cholecystectomy and has severe shoulder pain
c.48-year-old who has compensated cirrhosis and is complaining of anorexia
d.50-year-old with chronic pancreatitis who has gnawing abdominal pain - (answer)A
A 52-year-old female presents with continuous abdominal pain that intensifies after eating. She is
diagnosed with chronic pancreatitis. Contributing factors include which of the following? (Select all that
apply.)
a.Smoking
b.History of gallstones
c.Bulimia
d.Alcohol abuse
e.Trauma - (answer)A, B, D
, NURS 497 Exam #3 NEWEST 2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is caring for a client with severe cirrhosis who has an episode of bleeding esophageal varices.
Which of the following laboratory tests should the nurse monitor to detect possible complications of the
bleeding episode?
a.Potassium
b.Ammonia
c.Bilirubin
d.Prothrombin time - (answer)B
An increase in the rate of red blood cell breakdown causes which form of jaundice?
a.Hemolytic
b.Metabolic
c.Hepatocellular
d.Obstructive - (answer)A
A 50-year-old male reports episodes of frequently recurring crampy abdominal pain, diarrhea, and
bloody stools. What might a possible diagnosis be?
a.Hiatal hernia
b.Ulcerative colitis
c.Pyloric obstruction
d.Achalasia - (answer)B
Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:
a.impaired ammonia metabolism.
b.fluid and electrolyte imbalances.
c.hyperbilirubinemia and jaundice.
d.decreased cerebral blood flow. - (answer)A
The nurse is obtaining a health history and physical assessment from a client with possible multiple
sclerosis (MS). Which of the following assessments should the nurse include?
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
In the liver, free bilirubin moves from the plasma in the sinusoids into the hepatocytes, where it is
converted into:
a.conjugated bilirubin.
b.unconjugated bilirubin.
c.urobilinogen.
d.biliverdin. - (answer)A
The autopsy of a 55-year-old revealed an inflamed and fatty liver, with necrotic hepatocytes. What is the
most likely cause of this condition?
a.Viral infection
b.Bacterial infection
c.Alcoholic steatohepatitis
d.Drug overdose - (answer)C
The presence of bright red stools is referred to as:
a.hematochezia.
b.hematemesis.
c.melena.
d.occult bleeding - (answer)A
Which of the following data obtained by the nurse during the assessment of a client with cirrhosis is of
most concern?
a.The client's hands flap back and forth when the arms are extended.
b.The client complains of right upper-quadrant pain with abdominal palpation.
c.The client's skin has multiple spider-shaped blood vessels on the abdomen.
d.The client has ascites and a 2-kg weight gain from the previous day. - (answer)A
A 54-year-old reports vomiting blood. Tests reveal portal hypertension. Which of the following is the
most likely cause of this condition?
,NURS 497 Exam #3 NEWEST 2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
a.Renal stenosis
b.Cirrhosis of the liver
c.Left ventricular failure
d.Thrombosis in the spleen - (answer)B
In alcoholic cirrhosis, hepatocellular damage is caused by:
a.acidosis.
b.bile toxicity.
c.fatty infiltrations.
d.acetaldehyde accumulation. - (answer)D
During change-of-shift report, the nurse learns about the following four clients. Which client requires
the most rapid assessment?
a.45-year-old with cirrhosis and severe ascites who has an oral temperature of 38.8°C (101.8°F)
b.56-year-old who is recovering from a laparoscopic cholecystectomy and has severe shoulder pain
c.48-year-old who has compensated cirrhosis and is complaining of anorexia
d.50-year-old with chronic pancreatitis who has gnawing abdominal pain - (answer)A
A 52-year-old female presents with continuous abdominal pain that intensifies after eating. She is
diagnosed with chronic pancreatitis. Contributing factors include which of the following? (Select all that
apply.)
a.Smoking
b.History of gallstones
c.Bulimia
d.Alcohol abuse
e.Trauma - (answer)A, B, D
, NURS 497 Exam #3 NEWEST 2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
The nurse is caring for a client with severe cirrhosis who has an episode of bleeding esophageal varices.
Which of the following laboratory tests should the nurse monitor to detect possible complications of the
bleeding episode?
a.Potassium
b.Ammonia
c.Bilirubin
d.Prothrombin time - (answer)B
An increase in the rate of red blood cell breakdown causes which form of jaundice?
a.Hemolytic
b.Metabolic
c.Hepatocellular
d.Obstructive - (answer)A
A 50-year-old male reports episodes of frequently recurring crampy abdominal pain, diarrhea, and
bloody stools. What might a possible diagnosis be?
a.Hiatal hernia
b.Ulcerative colitis
c.Pyloric obstruction
d.Achalasia - (answer)B
Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:
a.impaired ammonia metabolism.
b.fluid and electrolyte imbalances.
c.hyperbilirubinemia and jaundice.
d.decreased cerebral blood flow. - (answer)A
The nurse is obtaining a health history and physical assessment from a client with possible multiple
sclerosis (MS). Which of the following assessments should the nurse include?
