NSG 4530 EXAM 1: ATI Questions & Cirrhosis Quiz
With Complete Solutions
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with
ascites. Which of the following actions should the nurse include in the plan of
care?
A) Initiate contact precautions
B) Weight the client weekly
C) Measure the abdominal girth at the base of the ribcage
D) Provide a high-calorie, high-carbohydrate diet - ANSWER D) Provide a high-
calorie, high-carbohydrate diet
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of
the following laboratory findings should the nurse expect?
A) Presence of immunoglobulin G antibodies (IgG)
B) Positive EIA test
C) Aspartate aminotransferase (AST) 35 units/L
D) Alanine aminotransferase (ALT) 15 IU/L - ANSWER B) Positive EIA test
A nurse is assessing a client who has advanced cirrhosis. The nurse should
identify which of the following findings as indicators of hepatic encephalopathy?
(SATA)
A) Anorexia
B) Change in orientation
C) Asterixis
D) Ascites
E) Fetor hepaticus - ANSWER B) Change in orientation
C) Asterixis
E) Fetor hepaticus
A nurse is caring for a client who has cirrhosis. Which of the following
medications can the nurse expect to administer to this client? (SATA)
A) Diuretic
B) Beta-blocking agent
C) Opioid analgesic
D) Lactulose
E) Sedative - ANSWER A) Diuretic
B) Beta-blocking agent
, D) Lactulose
A nurse is teaching a client who has hepatitis B about home care. Which of the
following instructions should the nurse include in the teaching? (SATA)
A) Limit physical activity
B) Avoid alcohol
C) Take acetaminophen for comfort
D) Wear a mask when in public places
E) Eat small frequent meals - ANSWER A) Limit physical activity
B) Avoid alcohol
E) Eat small frequent meals
A nurse is providing teaching to a client who is starting simvastatin. Which of the
following information should the nurse include in the teaching?
A) Take this medication in the evening
B) Change position slowly when rising from a chair
C) Maintain a steady intake of green leafy vegetables
D) Consume no more than 1 L/day of fluid - ANSWER A) Take this medication in
the evening
A nurse is collecting data from a client who is taking gemfibrozil. Which of the
following assessment findings should the nurse identify as an adverse effect of
this medication?
A) Mental status changes
B) Tremor
C) Jaundice
D) Pneumonia - ANSWER C) Jaundice
A nurse is teaching a client who is taking digoxin and has a new prescription for
colesevelam. Which of the following instructions should the nurse include in the
teaching?
A) "Take digoxin with your morning dose of colesevelam."
B) "Your sodium and potassium levels will be monitored periodically while taking
colesevelam."
C) "Watch for bleeding or bruising while taking colesevelam."
D) "Take colesevelam with food and at least one glass of water." - ANSWER D)
"Take colesevelam with food and at least one glass of water."
A nurse is completing a nursing history for a client who takes simvastatin. The
nurse should identify which of the following disorders as a contraindication to
adding ezetimibe to the client's medications?
With Complete Solutions
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with
ascites. Which of the following actions should the nurse include in the plan of
care?
A) Initiate contact precautions
B) Weight the client weekly
C) Measure the abdominal girth at the base of the ribcage
D) Provide a high-calorie, high-carbohydrate diet - ANSWER D) Provide a high-
calorie, high-carbohydrate diet
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of
the following laboratory findings should the nurse expect?
A) Presence of immunoglobulin G antibodies (IgG)
B) Positive EIA test
C) Aspartate aminotransferase (AST) 35 units/L
D) Alanine aminotransferase (ALT) 15 IU/L - ANSWER B) Positive EIA test
A nurse is assessing a client who has advanced cirrhosis. The nurse should
identify which of the following findings as indicators of hepatic encephalopathy?
(SATA)
A) Anorexia
B) Change in orientation
C) Asterixis
D) Ascites
E) Fetor hepaticus - ANSWER B) Change in orientation
C) Asterixis
E) Fetor hepaticus
A nurse is caring for a client who has cirrhosis. Which of the following
medications can the nurse expect to administer to this client? (SATA)
A) Diuretic
B) Beta-blocking agent
C) Opioid analgesic
D) Lactulose
E) Sedative - ANSWER A) Diuretic
B) Beta-blocking agent
, D) Lactulose
A nurse is teaching a client who has hepatitis B about home care. Which of the
following instructions should the nurse include in the teaching? (SATA)
A) Limit physical activity
B) Avoid alcohol
C) Take acetaminophen for comfort
D) Wear a mask when in public places
E) Eat small frequent meals - ANSWER A) Limit physical activity
B) Avoid alcohol
E) Eat small frequent meals
A nurse is providing teaching to a client who is starting simvastatin. Which of the
following information should the nurse include in the teaching?
A) Take this medication in the evening
B) Change position slowly when rising from a chair
C) Maintain a steady intake of green leafy vegetables
D) Consume no more than 1 L/day of fluid - ANSWER A) Take this medication in
the evening
A nurse is collecting data from a client who is taking gemfibrozil. Which of the
following assessment findings should the nurse identify as an adverse effect of
this medication?
A) Mental status changes
B) Tremor
C) Jaundice
D) Pneumonia - ANSWER C) Jaundice
A nurse is teaching a client who is taking digoxin and has a new prescription for
colesevelam. Which of the following instructions should the nurse include in the
teaching?
A) "Take digoxin with your morning dose of colesevelam."
B) "Your sodium and potassium levels will be monitored periodically while taking
colesevelam."
C) "Watch for bleeding or bruising while taking colesevelam."
D) "Take colesevelam with food and at least one glass of water." - ANSWER D)
"Take colesevelam with food and at least one glass of water."
A nurse is completing a nursing history for a client who takes simvastatin. The
nurse should identify which of the following disorders as a contraindication to
adding ezetimibe to the client's medications?
