INSTANT GUARANTEED PASS!
NSG 4100 Exam 1
MOSTLY ACCURATE TESTED RELEVANT COVERAGE
AREAS
1. Acute Pancreatitis: Priority nursing actions, diagnostic confirmation, and pain
patterns 1 5
2. Chronic Pancreatitis: Discharge teaching, alcohol avoidance, and enzyme
replacement timing 1 12
3. Cholecystitis and Gallstones: Murphy's sign, ultrasound findings, and
complication risks 1 12
4. Acute Kidney Injury: Urine output thresholds, prerenal causes, and
hyperkalemia management 8 20
5. End-Stage Kidney Disease: Anemia etiology, phosphorus binders, and dialysis
access care 13 24
6. Glomerulonephritis: Classic manifestations including hematuria and
hypertension 8 11
, 7. Cirrhosis and Portal Hypertension: Ascites, esophageal varices, and hepatic
encephalopathy signs 12 13
8. Bladder and Colorectal Cancer: Risk factors, hematuria, and vesicovaginal
fistula recognition 5 7
9. Postoperative Nursing Care: Perineal wound drainage and complication
monitoring 5 7
10. Fluid and Electrolyte Imbalances: SIADH management and Addison's disease
manifestations 12
NSG 4100 Exam 1
250 MULTIPLE-CHOICE QUESTIONS WITH ANSWERS AND
RATIONALES
1. The nurse is caring for a client admitted with acute pancreatitis who reports
severe epigastric pain radiating to the back. Which initial nursing action should
the nurse anticipate implementing?
☐ A. Administering oral pain medication immediately
☐ B. Placing the client on NPO status and inserting a nasogastric tube to low
intermittent suction
,☐ C. Encouraging the client to ambulate frequently to relieve discomfort
☐ D. Providing a low-fat snack to neutralize gastric acid
☑ B. Placing the client on NPO status and inserting a nasogastric tube to low
intermittent suction
Rationale: Pancreatic rest is essential in acute pancreatitis to reduce autodigestion
and enzyme secretion. NPO status and nasogastric decompression decrease
pancreatic stimulation by removing gastric contents that would otherwise enter
the duodenum and trigger enzyme release . 1
2. The nurse is reviewing laboratory results for a client with suspected acute
pancreatitis. Which serum laboratory finding is most specific for confirming this
diagnosis?
☐ A. Elevated serum amylase
☐ B. Elevated serum lipase
☐ C. Elevated white blood cell count
☐ D. Elevated liver function tests
☑ B. Elevated serum lipase
, Rationale: Serum lipase is more specific to pancreatic tissue than amylase and
remains elevated for a longer duration. Amylase can be elevated in other
abdominal conditions, making it less specific for pancreatitis . 1
3. The nurse is providing discharge instructions to a client with chronic
pancreatitis. Which statement by the client indicates correct understanding of
the most critical lifestyle modification?
☐ A. "I will take my pancreatic enzymes on an empty stomach every morning."
☐ B. "I plan to eat a high-fat diet to help maintain my weight."
☐ C. "I will completely avoid all alcoholic beverages from now on."
☐ D. "I will restrict my fluid intake to one liter per day."
☑ C. "I will completely avoid all alcoholic beverages from now on."
Rationale: Alcohol is a major cause of pancreatitis and can trigger recurrent
episodes, leading to progressive pancreatic damage. Complete abstinence is
essential. Pancreatic enzymes should be taken with meals, and a low-fat diet is
generally recommended . 1
NSG 4100 Exam 1
MOSTLY ACCURATE TESTED RELEVANT COVERAGE
AREAS
1. Acute Pancreatitis: Priority nursing actions, diagnostic confirmation, and pain
patterns 1 5
2. Chronic Pancreatitis: Discharge teaching, alcohol avoidance, and enzyme
replacement timing 1 12
3. Cholecystitis and Gallstones: Murphy's sign, ultrasound findings, and
complication risks 1 12
4. Acute Kidney Injury: Urine output thresholds, prerenal causes, and
hyperkalemia management 8 20
5. End-Stage Kidney Disease: Anemia etiology, phosphorus binders, and dialysis
access care 13 24
6. Glomerulonephritis: Classic manifestations including hematuria and
hypertension 8 11
, 7. Cirrhosis and Portal Hypertension: Ascites, esophageal varices, and hepatic
encephalopathy signs 12 13
8. Bladder and Colorectal Cancer: Risk factors, hematuria, and vesicovaginal
fistula recognition 5 7
9. Postoperative Nursing Care: Perineal wound drainage and complication
monitoring 5 7
10. Fluid and Electrolyte Imbalances: SIADH management and Addison's disease
manifestations 12
NSG 4100 Exam 1
250 MULTIPLE-CHOICE QUESTIONS WITH ANSWERS AND
RATIONALES
1. The nurse is caring for a client admitted with acute pancreatitis who reports
severe epigastric pain radiating to the back. Which initial nursing action should
the nurse anticipate implementing?
☐ A. Administering oral pain medication immediately
☐ B. Placing the client on NPO status and inserting a nasogastric tube to low
intermittent suction
,☐ C. Encouraging the client to ambulate frequently to relieve discomfort
☐ D. Providing a low-fat snack to neutralize gastric acid
☑ B. Placing the client on NPO status and inserting a nasogastric tube to low
intermittent suction
Rationale: Pancreatic rest is essential in acute pancreatitis to reduce autodigestion
and enzyme secretion. NPO status and nasogastric decompression decrease
pancreatic stimulation by removing gastric contents that would otherwise enter
the duodenum and trigger enzyme release . 1
2. The nurse is reviewing laboratory results for a client with suspected acute
pancreatitis. Which serum laboratory finding is most specific for confirming this
diagnosis?
☐ A. Elevated serum amylase
☐ B. Elevated serum lipase
☐ C. Elevated white blood cell count
☐ D. Elevated liver function tests
☑ B. Elevated serum lipase
, Rationale: Serum lipase is more specific to pancreatic tissue than amylase and
remains elevated for a longer duration. Amylase can be elevated in other
abdominal conditions, making it less specific for pancreatitis . 1
3. The nurse is providing discharge instructions to a client with chronic
pancreatitis. Which statement by the client indicates correct understanding of
the most critical lifestyle modification?
☐ A. "I will take my pancreatic enzymes on an empty stomach every morning."
☐ B. "I plan to eat a high-fat diet to help maintain my weight."
☐ C. "I will completely avoid all alcoholic beverages from now on."
☐ D. "I will restrict my fluid intake to one liter per day."
☑ C. "I will completely avoid all alcoholic beverages from now on."
Rationale: Alcohol is a major cause of pancreatitis and can trigger recurrent
episodes, leading to progressive pancreatic damage. Complete abstinence is
essential. Pancreatic enzymes should be taken with meals, and a low-fat diet is
generally recommended . 1
