Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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A nurse is caring for a patient with liver failure and is per-
forming an assessment in the knowledge of the patients
increased risk of bleeding. The nurse recognizes that this
risk is related to the patients inability to synthesize pro-
thrombin in the liver. What factor most likely contributes
D) Inability of the liver to use vitamin K
to this loss of function?
A) Alterations in glucose metabolism
B) Retention of bile salts
C) Inadequate production of albumin by hepatocytes
D) Inability of the liver to use vitamin K
A nurse is performing an admission assessment of a pa-
tient with a diagnosis of cirrhosis. What technique should
the nurse use to palpate the patients liver?
A) Place hand under the right lower abdominal quadrant
and press down lightly with the other hand.
C) Place hand under right lower rib cage and press down
B) Place the left hand over the abdomen and behind the
lightly with the other hand.
left side at the 11th rib.
C) Place hand under right lower rib cage and press down
lightly with the other hand.
D) Hold hand 90 degrees to right side of the abdomen
and push down firmly.
A patient with portal hypertension has been admitted to
the medical floor. The nurse should prioritize which of
the following assessments related to the manifestations
of this health problem?
A) Assessment of blood pressure and assessment for
C) Daily weights and abdominal girth measurement
headaches and visual changes
B) Assessments for signs and symptoms of venous throm-
boembolism
C) Daily weights and abdominal girth measurement
D) Blood glucose monitoring q4h
, NUR 213 test 3 practice questions Comprehensive Resource To Help You Ace 2026-2027 Exams Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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A nurse educator is teaching a group of recent nursing
graduates about their occupational risks for contracting
hepatitis B. What preventative measures should the edu-
cator promote? Select all that apply.
A) Immunization
A) Immunization
B) Use of standard precautions
B) Use of standard precautions
C) Consumption of a vitamin-rich diet
D) Annual vitamin K injections
E) Annual vitamin B12 injections
A nurse is caring for a patient with cancer of the liver
whose condition has required the insertion of a percu-
taneous biliary drainage system. The nurses most recent
assessment reveals the presence of dark green fluid in the
collection container. What is the nurses best response to
this assessment finding?
A) Document the presence of normal bile output.
A) Document the presence of normal bile output.
B) Irrigate the drainage system with normal saline as
ordered.
C) Aspirate a sample of the drainage for culture.
D) Promptly report this assessment finding to the primary
care provider
A patient who has undergone liver transplantation is ready
to be discharged home. Which outcome of health educa-
tion should the nurse prioritize?
A) The patient will obtain measurement of drainage from
C) The patient will take immunosuppressive agents as
the T-tube.
required.
B) The patient will exercise three times a week.
C) The patient will take immunosuppressive agents as
required.
D) The patient will monitor for signs of liver dysfunction
,A triage nurse in the emergency department is assess-
ing a patient who presented with complaints of general
malaise. Assessment reveals the presence of jaundice and
increased abdominal girth. What assessment question
best addresses the possible etiology of this patients pre-
sentation?
A) How many alcoholic drinks do you typically consume in A) How many alcoholic drinks do you typically consume in
a week? a week?
B) To the best of your knowledge, are your immunizations
up to date?
C) Have you ever worked in an occupation where you
might have been exposed to toxins?
D) Has anyone in your family ever experienced symptoms
similar to yours?
A nurse is participating in the emergency care of a patient
who has just developed variceal bleeding. What interven-
tion should the nurse anticipate?
A) Infusion of intravenous heparin
D) IV administration of octreotide (Sandostatin)
B) IV administration of albumin
C) STAT administration of vitamin K by the intramuscular
route
D) IV administration of octreotide (Sandostatin)
A nurse is caring for a patient with hepatic encephalopa-
thy. While making the initial shift assessment, the nurse
notes that the patient has a flapping tremor of the hands.
The nurse should document the presence of what sign of
liver disease? A) Asterixis
A) Asterixis
B) Constructional apraxia
C) Fetor hepaticus
D) Palmar erythema
, A local public health nurse is informed that a cook in
a local restaurant has been diagnosed with hepatitis A.
What should the nurse advise individuals to obtain who
ate at this restaurant and have never received the hepatitis
A vaccine? D) An immune globulin injection
A) The hepatitis A vaccine
B) Albumin infusion
C) The hepatitis A and B vaccines
D) An immune globulin injection
A participant in a health fair has asked the nurse about
the role of drugs in liver disease. What health promotion
teaching has the most potential to prevent drug induced
hepatitis?
A) Finish all prescribed courses of antibiotics, regardless
B) Adhere to dosing recommendations of OTC analgesics.
of symptom resolution.
B) Adhere to dosing recommendations of OTC analgesics.
C) Ensure that expired medications are disposed of safely.
D) Ensure that pharmacists regularly review drug regi-
mens for potential interactions.
Diagnostic testing has revealed that a patients hepato-
cellular carcinoma(HCC) is limited to one lobe. The nurse
should anticipate that this patients plan of care will focus
on what intervention?
C) Lobectomy
A) Cryosurgery
B) Liver transplantation
C) Lobectomy
D) Laser hyperthermia
A patient has been diagnosed with advanced stage breast
cancer and will soon begin aggressive treatment. What
assessment findings would most strongly suggest that the
patient may have developed liver metastases?