NRl 325/l NR325l Finall Exam:l Adultl
Healthl IIl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Initiall andl collaborativel carel forl acutel pancreatitisl includingl dietl therapy
Answer:
Diet:l NPOl statusl initially
-enterall feedingsl vsl nasojejunall tubel mayl bel initiated
-moderate-severel ptsl mayl requirel enterall feedingsl vial jejunall feedingl tube
-Whenl foodsl allowed,l small,l frequentl mealsl highl inl carbs
-Supplementall fat-solublel vitaminsl mayl bel given
QUESTION
Initiall andl collaborativel carel forl acutel pancreatitisl includingl Drugl therapy
Answer:
Acutel pancreatitis:l Morphine
Antispasmodics
Carbonicl anhydrasel inhibitor
Antacids
Protonl pumpl inhibitors
Chronicl pancreatitis:
Pancreaticl enzymes
Insulin
QUESTION
Al nursingl studentl isl askingl herl teacherl whatl signsl mayl bel presentl whenl anl acutel
pancreatitisl clientl hasl anl intolerancel tol orall foodsl (SATA)
A.l painl
,B.l increasedl abdominall girth
C.l clientl refusingl tol eat
D.headache
E.l elevationsl inl seruml amylasel andl lipasel levels
Answer:
A.l painl
B.l increasedl abdominall girth
E.l elevationsl inl seruml amylasel andl lipasel levels
QUESTION
Greyl Turner'sl spotsl andl Cullen'sl sign
Answer:
Resultsl froml seepagel ofl bloodstainsl exudatel froml thel pancreasl andl mayl occurl inl stages
Greyl Turner'sl spots
-ecchymosesl onl thel flanks,l al bluishl flankl discolorationl
Cullen'sl sign
-ecchymosesl onl thel periumbilicall area,l bluishl periumbilicall discolorations
QUESTION
Managementl forl pancreatitis
Answer:
VS,l NPO,l IVF,l NGl tube
Analgesics,l antispasmodics,l calciuml gluconate,l protonl pumpl inhibitor,l antibiotics,l O2
Glucosel andl electrolytel monitoring
Respiratoryl andl bowell assessment,l surgery
Longl terml followl upl condition
Oftenl putl onl TPN
QUESTION
Pancreaticl cancer
Answer:
Assessment:l pain,l weightl loss,l jaundice
,S/S:l painl especiallyl withl eating
Tests:l ultrasound,l EUS,l CT,l ERCP,l MRI,l MRCP,l PET,l tumorl markers
Management:l surgeryl (whipplel procedure),l pancreatectomy,l chemo,l radiation
QUESTION
Whatl isl donel duringl al whipple
Answer:
Removel partl ofl badl pancreasl andl usel goodl pancreasl andl attachl tol digestivel tract
QUESTION
Cholelithiasis
Answer:
Creationl ofl gallstonesl (collectionsl ofl bilel salts,l cholesteroll andl calcium)
-severel symptomsl orl none
-RUGl pain,l spasms,l tachycardia,l diaphoresis,l painl afterl highl fatl meal
-Deferredl painl betweenl shoulders
Tests:l US,l ERCP,l percutaneousl transhepaticl cholangiography
Management:l IVF,l NPO,l NGl tube,l laterl low-fatl diet,l antiemetics,l analgesics,l fat-volume,l
vitamines,l antispasmodics,antibiotics,l transhepaticl biliaryl catheter,l ERCP,l lithotripsyl
dissolutionl therapy,l ursodioll (Actigall)l surgery
QUESTION
Diagnosticl labl valuesl ofl cholelithiasis
Answer:
Increasedl WBCl count
Indirectl andl directl bilirubinl levelsl mayl bel elevated
Alkalinel phosphates,l ALT,l andl ASTl mayl bel elevated
Seruml amylasel increased
QUESTION
Choleycystits
, Answer:
Usuallyl associatedl withl gallstone
Thel liningl ofl thel gallbladderl becomesl inflamed
-indigestion,l fever,l jaundice
-l RUGl pain,l N/V,l restlessness,l diaphoresis,l fatl intolerancel
Tests:l US,l ERCP,l percutaneousl transhepaticl cholangiography
Management:l IVF,l NPO,l NGl tube,l laterl low-fatl diet,l antiemetics,l analgesics,l fat-volume,l
vitamines,l antispasmodics,antibiotics,l transhepaticl biliaryl catheter,l ERCP,l lithotripsyl
dissolutionl therapy,l ursodioll (Actigall)l surgery
QUESTION
Laparoscopicl cholecystectomyl postl opl care
Answer:
Gallbladderl isl removedl throughl onel tol fourl smalll puncturesl inl abdomen
Post-opl care
-teachl tol avoidl heavyl liftingl forl 4-6l weeks
1.l Removel thel bandagesl onl thel puncturel sitesl thel dayl afterl surgeryl andl youl canl
shower.
2.l Notifyl yourl surgeonl ifl anyl ofl thel followingl signsl andl symptomsl occurs:
•l Redness,l swelling,l bile-coloredl drainagel orl pusl froml anyl incision
•l Severel abdominall pain,l nausea,l vomiting,l fever,l chills
3.l Youl canl graduallyl resumel normall activities.
4.l Returnl tol workl withinl 1l wkl ofl surgery.
5.l Youl canl resumel yourl usuall diet,l butl al low-fatl dietl isl usuallyl betterl toleratedl forl
severall weeksl afterl surgery.
QUESTION
Normall physicall assessmentl ofl femalel reproductivel system
Answer:
Breast-l Symmetricl withoutl dimpling.l Nipplesl soft.l Nol drainage,l retraction,l orl lesionsl
noted.l Nol massesl orl tenderness.l Nol lymphadenopathy.
Externall genitalia-l Triangularl hairl distribution.l Genitalial darkl pink,l nol lesions,l redness,l
swelling,l orl inflammationl inl perineall region.l Nol vaginall dischargel noted.l Nol tendernessl
withl palpationl ofl Skene'sl ductsl andl Bartholin'sl glands.
Healthl IIl Guidel (Latestl 2026/l 2027l
Update)l |l Qsl &l As|l Gradel A|l 100%l
Correctl (Verifiedl Answers)-l Chamberlain
QUESTION
Initiall andl collaborativel carel forl acutel pancreatitisl includingl dietl therapy
Answer:
Diet:l NPOl statusl initially
-enterall feedingsl vsl nasojejunall tubel mayl bel initiated
-moderate-severel ptsl mayl requirel enterall feedingsl vial jejunall feedingl tube
-Whenl foodsl allowed,l small,l frequentl mealsl highl inl carbs
-Supplementall fat-solublel vitaminsl mayl bel given
QUESTION
Initiall andl collaborativel carel forl acutel pancreatitisl includingl Drugl therapy
Answer:
Acutel pancreatitis:l Morphine
Antispasmodics
Carbonicl anhydrasel inhibitor
Antacids
Protonl pumpl inhibitors
Chronicl pancreatitis:
Pancreaticl enzymes
Insulin
QUESTION
Al nursingl studentl isl askingl herl teacherl whatl signsl mayl bel presentl whenl anl acutel
pancreatitisl clientl hasl anl intolerancel tol orall foodsl (SATA)
A.l painl
,B.l increasedl abdominall girth
C.l clientl refusingl tol eat
D.headache
E.l elevationsl inl seruml amylasel andl lipasel levels
Answer:
A.l painl
B.l increasedl abdominall girth
E.l elevationsl inl seruml amylasel andl lipasel levels
QUESTION
Greyl Turner'sl spotsl andl Cullen'sl sign
Answer:
Resultsl froml seepagel ofl bloodstainsl exudatel froml thel pancreasl andl mayl occurl inl stages
Greyl Turner'sl spots
-ecchymosesl onl thel flanks,l al bluishl flankl discolorationl
Cullen'sl sign
-ecchymosesl onl thel periumbilicall area,l bluishl periumbilicall discolorations
QUESTION
Managementl forl pancreatitis
Answer:
VS,l NPO,l IVF,l NGl tube
Analgesics,l antispasmodics,l calciuml gluconate,l protonl pumpl inhibitor,l antibiotics,l O2
Glucosel andl electrolytel monitoring
Respiratoryl andl bowell assessment,l surgery
Longl terml followl upl condition
Oftenl putl onl TPN
QUESTION
Pancreaticl cancer
Answer:
Assessment:l pain,l weightl loss,l jaundice
,S/S:l painl especiallyl withl eating
Tests:l ultrasound,l EUS,l CT,l ERCP,l MRI,l MRCP,l PET,l tumorl markers
Management:l surgeryl (whipplel procedure),l pancreatectomy,l chemo,l radiation
QUESTION
Whatl isl donel duringl al whipple
Answer:
Removel partl ofl badl pancreasl andl usel goodl pancreasl andl attachl tol digestivel tract
QUESTION
Cholelithiasis
Answer:
Creationl ofl gallstonesl (collectionsl ofl bilel salts,l cholesteroll andl calcium)
-severel symptomsl orl none
-RUGl pain,l spasms,l tachycardia,l diaphoresis,l painl afterl highl fatl meal
-Deferredl painl betweenl shoulders
Tests:l US,l ERCP,l percutaneousl transhepaticl cholangiography
Management:l IVF,l NPO,l NGl tube,l laterl low-fatl diet,l antiemetics,l analgesics,l fat-volume,l
vitamines,l antispasmodics,antibiotics,l transhepaticl biliaryl catheter,l ERCP,l lithotripsyl
dissolutionl therapy,l ursodioll (Actigall)l surgery
QUESTION
Diagnosticl labl valuesl ofl cholelithiasis
Answer:
Increasedl WBCl count
Indirectl andl directl bilirubinl levelsl mayl bel elevated
Alkalinel phosphates,l ALT,l andl ASTl mayl bel elevated
Seruml amylasel increased
QUESTION
Choleycystits
, Answer:
Usuallyl associatedl withl gallstone
Thel liningl ofl thel gallbladderl becomesl inflamed
-indigestion,l fever,l jaundice
-l RUGl pain,l N/V,l restlessness,l diaphoresis,l fatl intolerancel
Tests:l US,l ERCP,l percutaneousl transhepaticl cholangiography
Management:l IVF,l NPO,l NGl tube,l laterl low-fatl diet,l antiemetics,l analgesics,l fat-volume,l
vitamines,l antispasmodics,antibiotics,l transhepaticl biliaryl catheter,l ERCP,l lithotripsyl
dissolutionl therapy,l ursodioll (Actigall)l surgery
QUESTION
Laparoscopicl cholecystectomyl postl opl care
Answer:
Gallbladderl isl removedl throughl onel tol fourl smalll puncturesl inl abdomen
Post-opl care
-teachl tol avoidl heavyl liftingl forl 4-6l weeks
1.l Removel thel bandagesl onl thel puncturel sitesl thel dayl afterl surgeryl andl youl canl
shower.
2.l Notifyl yourl surgeonl ifl anyl ofl thel followingl signsl andl symptomsl occurs:
•l Redness,l swelling,l bile-coloredl drainagel orl pusl froml anyl incision
•l Severel abdominall pain,l nausea,l vomiting,l fever,l chills
3.l Youl canl graduallyl resumel normall activities.
4.l Returnl tol workl withinl 1l wkl ofl surgery.
5.l Youl canl resumel yourl usuall diet,l butl al low-fatl dietl isl usuallyl betterl toleratedl forl
severall weeksl afterl surgery.
QUESTION
Normall physicall assessmentl ofl femalel reproductivel system
Answer:
Breast-l Symmetricl withoutl dimpling.l Nipplesl soft.l Nol drainage,l retraction,l orl lesionsl
noted.l Nol massesl orl tenderness.l Nol lymphadenopathy.
Externall genitalia-l Triangularl hairl distribution.l Genitalial darkl pink,l nol lesions,l redness,l
swelling,l orl inflammationl inl perineall region.l Nol vaginall dischargel noted.l Nol tendernessl
withl palpationl ofl Skene'sl ductsl andl Bartholin'sl glands.
