RNSG 2539 Test #2 2026 | Latest Update 2026 | 100%
Correct Answers | Actual Exam Prep
1. A patient with acute pancreatitis is not responding to IV hydromorphone for
pain relief. What should the nurse consider as the next step in pain
management?
Consult the healthcare provider for possible adjustment of pain
management strategy.
Administer a non-steroidal anti-inflammatory drug (NSAID) without a
prescription.
Switch to oral pain medications immediately.
Increase the dose of IV hydromorphone without consulting the
provider.
2. In a scenario where a patient with a history of heavy alcohol use presents
with abdominal pain and rigidity, what immediate nursing intervention should
be prioritized?
Schedule an ultrasound of the abdomen
Assess for signs of severe pancreatitis and potential peritonitis
Administer pain medication immediately
Provide patient education on diet changes
3. A patient with pancreatitis presents with fever, tachycardia, and hypotension.
What should the nurse prioritize in the management of this patient?
Encouraging oral intake to improve hydration
Administration of analgesics for pain relief
Immediate assessment for sepsis and initiation of appropriate
interventions
, Monitoring blood glucose levels only
4. What treatment is associated with an increased risk for edema in patients with
chronic pancreatitis?
Total parenteral nutrition
IV fluid administration
Nasogastric tube insertion
Pancrelipase administration
5. A patient is receiving care in the ICU for acute pancreatitis. The nurse is aware
that pancreatic necrosis is a major cause of morbidity and mortality in
patients with acute pancreatitis. Consequently, the nurse should assess for
what signs or symptoms of this complication?
Increased abdominal girth accompanied by decreased LOC
Sudden increase in random blood glucose readings
Fever, increase HR, and decreased BP
Abdominal pain unresponsive to analgesics
6. Which of the following symptoms is commonly associated with acute
pancreatitis? Select all that apply.
Abdominal bloating, B) Diarrhea, C) Fever, D) Weight loss
Severe epigastric pain, B) Nausea and vomiting, C) Elevated
temperature, D) Hypotension
Severe back pain, B) Nausea, C) Elevated liver enzymes, D) Fatigue
Severe chest pain, B) Constipation, C) Elevated blood sugar, D)
Jaundice
,7. Which vital signs changes are indicative of pancreatic necrosis in a patient
with acute pancreatitis?
Stable temperature and normal heart rate
Normal heart rate and blood pressure
Decreased heart rate and increased blood pressure
Fever, increased heart rate and decreased blood pressure
8. A patient with acute pancreatitis presents with severe epigastric pain and
hypotension. What immediate nursing interventions should be prioritized?
Encourage oral intake of solid foods.
Administer IV fluids and pain management.
Perform a comprehensive abdominal assessment without intervention.
Schedule the patient for an immediate surgical consult.
9. A patient is admitted with a diagnosis of cirrhosis of the liver related to
alcohol abuse and exhibits classic manifestations of the disease. The nurse
should formulate which nursing diagnosis for this patient?
risk for injury related to insomnia and sleep pattern disturbance
impaired skin integrity related to vitamin D deficiency
fluid volume deficit related to abnormal fluid loss
fluid volume excess related to ascites
10. A patient expresses anxiety about undergoing an ERCP and is concerned
about pain during the procedure. How should the nurse address this
concern based on the use of moderate sedation?
, The nurse should explain that moderate sedation will help manage
pain and anxiety during the procedure.
The nurse should suggest that the patient take pain medication
before the procedure.
The nurse should reassure the patient that no sedation will be used.
The nurse should recommend that the patient avoid eating before the
procedure.
11. Which would be a major nursing concern to monitor postoperatively in a
patient who has had a liver transplant?
Serum electrolytes
Infection
Urinary retention
Drainage
12. A client is admitted to the ICU with acute pancreatitis. The client's family asks
what causes acute pancreatitis. The critical care nurse knows that a majority
of clients with acute pancreatitis have what health issue?
An amylase deficiency
Type 1 diabetes
An impaired immune system
Undiagnosed chronic pancreatitis
13. Describe the rationale for using IV hydromorphone in patients with acute
pancreatitis experiencing severe pain.
IV hydromorphone is used for its rapid onset of action and
effectiveness in managing severe pain.
Correct Answers | Actual Exam Prep
1. A patient with acute pancreatitis is not responding to IV hydromorphone for
pain relief. What should the nurse consider as the next step in pain
management?
Consult the healthcare provider for possible adjustment of pain
management strategy.
Administer a non-steroidal anti-inflammatory drug (NSAID) without a
prescription.
Switch to oral pain medications immediately.
Increase the dose of IV hydromorphone without consulting the
provider.
2. In a scenario where a patient with a history of heavy alcohol use presents
with abdominal pain and rigidity, what immediate nursing intervention should
be prioritized?
Schedule an ultrasound of the abdomen
Assess for signs of severe pancreatitis and potential peritonitis
Administer pain medication immediately
Provide patient education on diet changes
3. A patient with pancreatitis presents with fever, tachycardia, and hypotension.
What should the nurse prioritize in the management of this patient?
Encouraging oral intake to improve hydration
Administration of analgesics for pain relief
Immediate assessment for sepsis and initiation of appropriate
interventions
, Monitoring blood glucose levels only
4. What treatment is associated with an increased risk for edema in patients with
chronic pancreatitis?
Total parenteral nutrition
IV fluid administration
Nasogastric tube insertion
Pancrelipase administration
5. A patient is receiving care in the ICU for acute pancreatitis. The nurse is aware
that pancreatic necrosis is a major cause of morbidity and mortality in
patients with acute pancreatitis. Consequently, the nurse should assess for
what signs or symptoms of this complication?
Increased abdominal girth accompanied by decreased LOC
Sudden increase in random blood glucose readings
Fever, increase HR, and decreased BP
Abdominal pain unresponsive to analgesics
6. Which of the following symptoms is commonly associated with acute
pancreatitis? Select all that apply.
Abdominal bloating, B) Diarrhea, C) Fever, D) Weight loss
Severe epigastric pain, B) Nausea and vomiting, C) Elevated
temperature, D) Hypotension
Severe back pain, B) Nausea, C) Elevated liver enzymes, D) Fatigue
Severe chest pain, B) Constipation, C) Elevated blood sugar, D)
Jaundice
,7. Which vital signs changes are indicative of pancreatic necrosis in a patient
with acute pancreatitis?
Stable temperature and normal heart rate
Normal heart rate and blood pressure
Decreased heart rate and increased blood pressure
Fever, increased heart rate and decreased blood pressure
8. A patient with acute pancreatitis presents with severe epigastric pain and
hypotension. What immediate nursing interventions should be prioritized?
Encourage oral intake of solid foods.
Administer IV fluids and pain management.
Perform a comprehensive abdominal assessment without intervention.
Schedule the patient for an immediate surgical consult.
9. A patient is admitted with a diagnosis of cirrhosis of the liver related to
alcohol abuse and exhibits classic manifestations of the disease. The nurse
should formulate which nursing diagnosis for this patient?
risk for injury related to insomnia and sleep pattern disturbance
impaired skin integrity related to vitamin D deficiency
fluid volume deficit related to abnormal fluid loss
fluid volume excess related to ascites
10. A patient expresses anxiety about undergoing an ERCP and is concerned
about pain during the procedure. How should the nurse address this
concern based on the use of moderate sedation?
, The nurse should explain that moderate sedation will help manage
pain and anxiety during the procedure.
The nurse should suggest that the patient take pain medication
before the procedure.
The nurse should reassure the patient that no sedation will be used.
The nurse should recommend that the patient avoid eating before the
procedure.
11. Which would be a major nursing concern to monitor postoperatively in a
patient who has had a liver transplant?
Serum electrolytes
Infection
Urinary retention
Drainage
12. A client is admitted to the ICU with acute pancreatitis. The client's family asks
what causes acute pancreatitis. The critical care nurse knows that a majority
of clients with acute pancreatitis have what health issue?
An amylase deficiency
Type 1 diabetes
An impaired immune system
Undiagnosed chronic pancreatitis
13. Describe the rationale for using IV hydromorphone in patients with acute
pancreatitis experiencing severe pain.
IV hydromorphone is used for its rapid onset of action and
effectiveness in managing severe pain.
