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Nurs 400 Midterm Exam – Questions Answered With Expert Insights

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Nurs 400 Midterm Exam – Questions Answered With Expert Insights

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NURS 400
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January 8, 2026
Number of pages
383
Written in
2025/2026
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Nurs 400 Midterm Exam – Questions Answered
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Terms in this set (952)



Which electrolyte is a major cation in c) Potassium
body fluid? Potassium is a major cation that affects cardiac
a) Bicarbonate muscle functioning.
b) Chloride
c) Potassium
d) Phosphate


Which electrolyte is a major anion in c) Chloride
body fluid? Chloride is a major anion found in ECF
a) Sodium
b) Potassium
c) Chloride
d) Calcium


When caring for a client with cirrhosis, d) change in mental status
which symptom(s) should the nurse May indicate secondary complications
report immediately?
a) Fatigue and weight loss
b) Diarrhea or constipation
c) Anorexia and dyspepsia
d) change in mental status


What type of jaundice seen in adults is d) hemolytic
the result of increased destruction of Results because it cannot excrete the bilirubin as
RBC? quickly as it is formed
a) hepatocellular
b) obstructive
c) nonobstructive
d) hemolytic

,A client has undergone a liver biopsy. b) right side
Which postprocedure position is in this position liver is compressed against chest wall
appropriate? and the escape if blood or bile through the
a) left side perforation made for the biopsy is impeded
b) right side
c) high fowler
d) trendelenburg


Which term is used to describe a b) alcoholic cirrhosis
chronic liver disease in which scar Most common type of cirrhosis.
tissue surrounds the portal areas?
a) biliary cirrhosis
b) alcoholic cirrhosis
c) postnecrotic cirrhosis
d) compensated cirrhosis


Which term describes the passage of c) paracentesis
a hollow instrument into a cavity to
withdraw fluid?
a) Dialysis
b) Asterixis
c) paracentesis
d) ascites


a client has an elevated serum a) hepatic encephalopathy
ammonia concentration and is
exhibiting changes in mental status.
The nurse should suspect which
condition
a) hepatic encephalopathy
b) portal hypertensionn
c) cirrhosis
d) asterixis

,Which is an age-related change of the b) decreased blood flow
hepatobiliary system?
a) enlarged liver
b) decreased blood flow
c) increased drug clearance capability
d) decreased prevalence of
gallstones


Which liver function study is used to a) radioisotope liver scan
show the size of the liver and hepatic
blood flow and obstruction?
a) radioisotope liver scan
b) angiography
c) magnetic resonance imaging
d) electroencephalography


which position should be used for a c) upright at the edge of the bed
client undergoing a paracentesis?
a) trendelenburg
b) supine
c) upright at the edge of the bed
d) prone


Which is the most common cause of d) portal hypertension
esophageal varices
a) asterixis
b) jaundice
c) ascites
d) portal hypertension


Clients diagnosed with esophageal d) hypotension
varices are at risk for hemorrhagic
shock. Which is a sign of potential
hypovolemia
a) warm moist skin
b) polyuria
c) bradycardia
d) hypotension

, What medication is used to decrease b) vasopressin
portal pressure, halting bleeding of initial therapy for esophageal varices because it
esophageal varices? decreases portal hypertension
a) Nitroglycerin
b) vasopressin
c) cimetidine
d) spironolactone


What condition indicates an overdose b) watery diarrhea
of lactulose?
a) fecal impaction
b) watery diarrhea
c) hypoactive bowel sounds
d) constipation


clients with chronic liver dysfunction a) scurvy
have problems with insufficient vitamin
intake. Which may occur as a result of
vitamin C deficiency?
a) scurvy
b) beriberi
c) night blindness
d) hypoprothrombinemia


which assessments are important in a a) palpation pf abdomen for a fluid shift
client diagnosed with ascites? (Select b) measurement of abdominal girth
all that apply) c) weight
a) palpation of the abdomen for a
fluid shift
b) measurement of abdominal girth
c) weight
d) foul-smelling breath

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