NSG 4100 Exam 1 Questions and
Answers
A 37-year-old client presents at the emergency department (ED) reporting
nausea and vomiting and severe abdominal pain. The client's abdomen is
rigid, and there is bruising to the client's flank. The client's spouse states that
the client was on a drinking binge for the past 2 days. The ED nurse should
assist in assessing the client for what health problem?
A. Severe pancreatitis with possible peritonitis
B. Acute cholecystitis
C. Chronic pancreatitis
D. Acute appendicitis with possible perforation - ----ANS:A. Severe
pancreatitis with possible peritonitis
A 55-year-old female client with hepatocellular carcinoma (HCC) is
undergoing radiofrequency ablation. The nurse should recognize what goal of
this treatment?
A. Destruction of the client's liver tumor
B. Restoration of portal vein patency
Done
C. Destruction of a liver abscess
D. Reversal of metastasis - ----ANS:A. Destruction of the client's liver tumor
A client admitted to the ED with severe diarrhea and vomiting is subsequently
diagnosed with food poisoning. The nurse caring for this client assesses for
signs and symptoms of fluid and electrolyte imbalances. For what signs and
symptoms would this nurse assess? Select all that apply.
A. Dysrhythmias
B. Hypothermia
C. Hypotension
D. Hyperglycemia
E. Delirium - ----ANS:A) Dysrhythmias
C) Hypotension
E) Delirium
,A client has a recent diagnosis of chronic pancreatitis and is undergoing
diagnostic testing to determine pancreatic islet cell function. The nurse should
anticipate what diagnostic test?
A. Glucose tolerance test
B. ERCP
C. Pancreatic biopsy
D. Abdominal ultrasonography - ----ANS:A. Glucose tolerance test
A client has been admitted to the critical care unit with a diagnosis of toxic
hepatitis.
When planning the client's care, the nurse should be aware of what potential
clinical course of this health problem? Place the following events in the correct
sequence.
1. Fever rises.
2. Hematemesis.
3. Clotting abnormalities.
4. Vascular collapse.
5. Coma.
A. 1, 2, 5, 4, 3
B. 1, 2, 3, 4, 5
C. 2, 3, 1, 4, 5
D. 3, 1, 2, 5, 4 - ----ANS:B. 1, 2, 3, 4, 5
A client has been admitted to the hospital for the treatment of chronic
pancreatitis.
The client has been stabilized and the nurse is now planning health promotion
and educational interventions. Which of the following should the nurse
prioritize?
A. Educating the client about expectations and care following surgery
B. Educating the client about the management of blood glucose after
discharge
C. Educating the client about postdischarge lifestyle modifications
D. Educating the client about the potential benefits of pancreatic
transplantation - ----ANS:C. Educating the client about postdischarge lifestyle
modifications
A client has been brought to the ED after suffering genitourinary trauma in an
assault. Initial assessment reveals that the client's bladder is distended. What
is the nurse's most appropriate action?
, A. Withhold fluids from the client.
B. Perform intermittent urinary catheterization.
C. Insert a narrow-gauge indwelling urinary catheter.
D. Await orders following the urologist's assessment. - ----ANS:D) Await orders
following the urologists assessment.
A client has been diagnosed with acute pancreatitis. The nurse is addressing
the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic
intervention is most likely to be ordered for this client?
A. Oral oxycodone
B. IV hydromorphone
C. IM meperidine
D. Oral naproxen - ----ANS:B. IV hydromorphone
A client has been diagnosed with advanced stage breast cancer and will soon
begin aggressive treatment. What assessment findings would most strongly
suggest that the client may have developed liver metastases?
A. Persistent fever and cognitive changes
B. Abdominal pain and hepatomegaly
C. Peripheral edema unresponsive to diuresis
D. Spontaneous bleeding and jaundice - ----ANS:B. Abdominal pain and
hepatomegaly
A client has been diagnosed with pancreatic cancer and has been admitted for
care. Following initial treatment, the nurse should be aware that the client is
most likely to require which of the following situations?
A. Inpatient rehabilitation
B. Rehabilitation in the home setting
C. Intensive physical therapy
D. Hospice care - ----ANS:D. Hospice care
A client has been newly diagnosed with acute pancreatitis and admitted to the
acute medical unit. How should the nurse explain the pathophysiology of this
client's health problem?
A. "Toxins have accumulated and inflamed your pancreas."
Answers
A 37-year-old client presents at the emergency department (ED) reporting
nausea and vomiting and severe abdominal pain. The client's abdomen is
rigid, and there is bruising to the client's flank. The client's spouse states that
the client was on a drinking binge for the past 2 days. The ED nurse should
assist in assessing the client for what health problem?
A. Severe pancreatitis with possible peritonitis
B. Acute cholecystitis
C. Chronic pancreatitis
D. Acute appendicitis with possible perforation - ----ANS:A. Severe
pancreatitis with possible peritonitis
A 55-year-old female client with hepatocellular carcinoma (HCC) is
undergoing radiofrequency ablation. The nurse should recognize what goal of
this treatment?
A. Destruction of the client's liver tumor
B. Restoration of portal vein patency
Done
C. Destruction of a liver abscess
D. Reversal of metastasis - ----ANS:A. Destruction of the client's liver tumor
A client admitted to the ED with severe diarrhea and vomiting is subsequently
diagnosed with food poisoning. The nurse caring for this client assesses for
signs and symptoms of fluid and electrolyte imbalances. For what signs and
symptoms would this nurse assess? Select all that apply.
A. Dysrhythmias
B. Hypothermia
C. Hypotension
D. Hyperglycemia
E. Delirium - ----ANS:A) Dysrhythmias
C) Hypotension
E) Delirium
,A client has a recent diagnosis of chronic pancreatitis and is undergoing
diagnostic testing to determine pancreatic islet cell function. The nurse should
anticipate what diagnostic test?
A. Glucose tolerance test
B. ERCP
C. Pancreatic biopsy
D. Abdominal ultrasonography - ----ANS:A. Glucose tolerance test
A client has been admitted to the critical care unit with a diagnosis of toxic
hepatitis.
When planning the client's care, the nurse should be aware of what potential
clinical course of this health problem? Place the following events in the correct
sequence.
1. Fever rises.
2. Hematemesis.
3. Clotting abnormalities.
4. Vascular collapse.
5. Coma.
A. 1, 2, 5, 4, 3
B. 1, 2, 3, 4, 5
C. 2, 3, 1, 4, 5
D. 3, 1, 2, 5, 4 - ----ANS:B. 1, 2, 3, 4, 5
A client has been admitted to the hospital for the treatment of chronic
pancreatitis.
The client has been stabilized and the nurse is now planning health promotion
and educational interventions. Which of the following should the nurse
prioritize?
A. Educating the client about expectations and care following surgery
B. Educating the client about the management of blood glucose after
discharge
C. Educating the client about postdischarge lifestyle modifications
D. Educating the client about the potential benefits of pancreatic
transplantation - ----ANS:C. Educating the client about postdischarge lifestyle
modifications
A client has been brought to the ED after suffering genitourinary trauma in an
assault. Initial assessment reveals that the client's bladder is distended. What
is the nurse's most appropriate action?
, A. Withhold fluids from the client.
B. Perform intermittent urinary catheterization.
C. Insert a narrow-gauge indwelling urinary catheter.
D. Await orders following the urologist's assessment. - ----ANS:D) Await orders
following the urologists assessment.
A client has been diagnosed with acute pancreatitis. The nurse is addressing
the diagnosis of Acute Pain Related to Pancreatitis. What pharmacologic
intervention is most likely to be ordered for this client?
A. Oral oxycodone
B. IV hydromorphone
C. IM meperidine
D. Oral naproxen - ----ANS:B. IV hydromorphone
A client has been diagnosed with advanced stage breast cancer and will soon
begin aggressive treatment. What assessment findings would most strongly
suggest that the client may have developed liver metastases?
A. Persistent fever and cognitive changes
B. Abdominal pain and hepatomegaly
C. Peripheral edema unresponsive to diuresis
D. Spontaneous bleeding and jaundice - ----ANS:B. Abdominal pain and
hepatomegaly
A client has been diagnosed with pancreatic cancer and has been admitted for
care. Following initial treatment, the nurse should be aware that the client is
most likely to require which of the following situations?
A. Inpatient rehabilitation
B. Rehabilitation in the home setting
C. Intensive physical therapy
D. Hospice care - ----ANS:D. Hospice care
A client has been newly diagnosed with acute pancreatitis and admitted to the
acute medical unit. How should the nurse explain the pathophysiology of this
client's health problem?
A. "Toxins have accumulated and inflamed your pancreas."
