NUR 440 – Final Exam Review Questions – [ODU] – Academic Year
[2025/2026] – Comprehensive Nursing Practice Review
The nurse is reviewing the lab results for a client who has acute pancreatitis. Which of the
following findings should the nurse expect?
A) Decreased Lipase
B) Decreased Amylase
C) Increased Calcium
D) Increased Glucose - ANS✔✔ D) Increased Glucose
A nurse is preparing to administer Pancrelipase to a patient who has pancreatitis. Which of the
following actions should the nurse take?
A) Instruct the client to chew the medication before swallowing.
B) Offer a glass of water following medication administration.
C) Administer the medication 30 minutes before meals.
D) Sprinkle the contents on peanut butter. - ANS✔✔ B) Offer a glass of water following
medication administration.
A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the
following statements by the client indicates an understanding of the teaching? SELECT ALL THAT
APPLY
A) I plan to eat small, frequent meals.
B) I will eat easy-to-digest foods with limited spice.
C) I will use skim milk when cooking.
D) I plan to drink coffee or tea.
, E) I will limit alcohol intake to two drinks per day. - ANS✔✔ A) I plan to eat small, frequent
meals.
B) I will eat easy-to-digest foods with limited spice.
C) I will use skim milk when cooking.
A nurse is completing an admission assessment of a client who has pancreatitis. Which of the
following should the nurse expect?
A) Pain in the RUQ radiating to the right shoulder.
B) Report of pain being worse when sitting upright.
C) Pain relieved with defecation.
D) Epigastric pain radiating to the left shoulder. - ANS✔✔ D) Epigastric pain radiating to the left
shoulder.
A nurse is assessing a client who has pancreatitis. Which of the following findings should the
nurse identify as a manifestation of pancreatitis?
A) Generalized Cyanosis
B) Hyperactive Bowel Sounds
C) Gray-Blue Discoloration of Skin Around Umbilicus
D) Wheezing in the Lower Lung Fields - ANS✔✔ C) Gray-Blue Discoloration of Skin Around
Umbilicus
A nurse is reviewing the lab values of a client who takes Spironolactone and notes that the
client's serum potassium level is 6.8 mEq/L. The nurse notified the provider and anticipates that
the provider will provide which of the following instruction?
A) Administer potassium gluconate 40 mEq orally
[2025/2026] – Comprehensive Nursing Practice Review
The nurse is reviewing the lab results for a client who has acute pancreatitis. Which of the
following findings should the nurse expect?
A) Decreased Lipase
B) Decreased Amylase
C) Increased Calcium
D) Increased Glucose - ANS✔✔ D) Increased Glucose
A nurse is preparing to administer Pancrelipase to a patient who has pancreatitis. Which of the
following actions should the nurse take?
A) Instruct the client to chew the medication before swallowing.
B) Offer a glass of water following medication administration.
C) Administer the medication 30 minutes before meals.
D) Sprinkle the contents on peanut butter. - ANS✔✔ B) Offer a glass of water following
medication administration.
A nurse is completing nutrition teaching for a client who has pancreatitis. Which of the
following statements by the client indicates an understanding of the teaching? SELECT ALL THAT
APPLY
A) I plan to eat small, frequent meals.
B) I will eat easy-to-digest foods with limited spice.
C) I will use skim milk when cooking.
D) I plan to drink coffee or tea.
, E) I will limit alcohol intake to two drinks per day. - ANS✔✔ A) I plan to eat small, frequent
meals.
B) I will eat easy-to-digest foods with limited spice.
C) I will use skim milk when cooking.
A nurse is completing an admission assessment of a client who has pancreatitis. Which of the
following should the nurse expect?
A) Pain in the RUQ radiating to the right shoulder.
B) Report of pain being worse when sitting upright.
C) Pain relieved with defecation.
D) Epigastric pain radiating to the left shoulder. - ANS✔✔ D) Epigastric pain radiating to the left
shoulder.
A nurse is assessing a client who has pancreatitis. Which of the following findings should the
nurse identify as a manifestation of pancreatitis?
A) Generalized Cyanosis
B) Hyperactive Bowel Sounds
C) Gray-Blue Discoloration of Skin Around Umbilicus
D) Wheezing in the Lower Lung Fields - ANS✔✔ C) Gray-Blue Discoloration of Skin Around
Umbilicus
A nurse is reviewing the lab values of a client who takes Spironolactone and notes that the
client's serum potassium level is 6.8 mEq/L. The nurse notified the provider and anticipates that
the provider will provide which of the following instruction?
A) Administer potassium gluconate 40 mEq orally
