NURS 327 EXAM 4 QUESTIONS AND
ANSWERS 100% PASS
A client with gallstones tells the nurse, "The doctor has to do something. Isn't there
something he can give me to dissolve them?" What medication does the nurse know
may help dissolve the gallstones? - ✔✔Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to antidepressants.
What treatment does the nurse anticipate the client will receive to treat the reaction? -
✔✔High-dose corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory
study results would indicate that the client may have a primary malignant liver tumor?
- ✔✔Elevated alpha-fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds, compared
with a control time of 11 seconds. The nurse expects to administer: - ✔✔phytonadione
(Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead the
nurse to suspect that the client is in the prodromal phase? - ✔✔rash
Katelyn Whitman, All Rights Reserved © 2025 1
,A client with hepatitis who has not responded to medical treatment is scheduled for a
liver transplant. Which of the following most likely would be ordered? - ✔✔Tacrolimus
nurse is taking health history data from a client. Use of which of the following
medications would especially alert the nurse to an increased risk of hepatic dysfunction
and disease in this client? Select all that apply. - ✔✔Acetaminophen
Ketoconazole
Valproic acid
A client is actively bleeding from esophageal varices. Which medication would the
nurse most expect to be administered to this client? - ✔✔Octreotide
Which of the following liver function studies is used to show the size of abdominal
organs and the presence of masses? - ✔✔Ultrasonography
A nurse assesses a patient diagnosed with hepatic encephalopathy. She observes a
number of clinical signs, including asterixis and fetor hepaticus; the patient's
electroencephalogram (EEG) is abnormal. The nurse documents that the patient is
exhibiting signs of which stage of hepatic encephalopathy? - ✔✔stage 2
A nurse is responsible for monitoring the diet of a client with hepatic encephalopathy.
Which daily protein intake should this 185-pound (84-kilogram) male consume? -
✔✔100 to 126 grams
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,Which position should be used for a client undergoing a paracentesis? - ✔✔supine
Which medication is used to decrease portal pressure, halting bleeding of esophageal
varices? - ✔✔vasopressin
nursing student is reviewing for an upcoming anatomy and physiology examination.
Which of the following would the student correctly identify as a function of the liver?
Select all that apply. - ✔✔Glucose metabolism
Ammonia conversion
Protein metabolism
A physician has ordered a liver biopsy for a client with cirrhosis whose condition has
recently deteriorated. The nurse reviews the client's recent laboratory findings and
recognizes that the client is at risk for complications due to: - ✔✔low platelet count
Which liver function study is used to show the size of the liver and hepatic blood flow
and obstruction? - ✔✔Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal varices.
What medication should the nurse anticipate administering that will reduce pressure in
the portal venous system and control esophageal bleeding? - ✔✔Octreotide
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? -
✔✔pancreatitis
Katelyn Whitman, All Rights Reserved © 2025 3
, Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones.
Which duration of therapy is required to dissolve the stones? - ✔✔7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about
how many months of medication with UDCA or CDCA for stones to dissolve? - ✔✔6-12
months
A client with a history of alcohol abuse comes to the emergency department and
complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute
pancreatitis. The client's vital signs are stable, but the client's pain is worsening and
radiating to his back. Which intervention takes priority for this client? -
✔✔Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within which
time frame? - ✔✔48 hours
This example of cholesterol gallstones (left side of picture) is the result of decreased bile
acid synthesis and increased cholesterol synthesis in the liver, which in turn, form
stones. Cholesterol stones account for what percentage of cases of gallbladder disease in
the United States? - ✔✔75 %
The patient admitted with acute pancreatitis has passed the acute stage and is now able
to tolerate solid foods. What type of diet will increase caloric intake without stimulating
Katelyn Whitman, All Rights Reserved © 2025 4
ANSWERS 100% PASS
A client with gallstones tells the nurse, "The doctor has to do something. Isn't there
something he can give me to dissolve them?" What medication does the nurse know
may help dissolve the gallstones? - ✔✔Chenodiol
A client has developed drug-induced hepatitis from a drug reaction to antidepressants.
What treatment does the nurse anticipate the client will receive to treat the reaction? -
✔✔High-dose corticosteroids
A client is seeing the physician for a suspected tumor of the liver. What laboratory
study results would indicate that the client may have a primary malignant liver tumor?
- ✔✔Elevated alpha-fetoprotein
A client with advanced cirrhosis has a prothrombin time (PT) of 15 seconds, compared
with a control time of 11 seconds. The nurse expects to administer: - ✔✔phytonadione
(Mephyton).
The nurse is caring for a client with hepatitis. Which of the following would lead the
nurse to suspect that the client is in the prodromal phase? - ✔✔rash
Katelyn Whitman, All Rights Reserved © 2025 1
,A client with hepatitis who has not responded to medical treatment is scheduled for a
liver transplant. Which of the following most likely would be ordered? - ✔✔Tacrolimus
nurse is taking health history data from a client. Use of which of the following
medications would especially alert the nurse to an increased risk of hepatic dysfunction
and disease in this client? Select all that apply. - ✔✔Acetaminophen
Ketoconazole
Valproic acid
A client is actively bleeding from esophageal varices. Which medication would the
nurse most expect to be administered to this client? - ✔✔Octreotide
Which of the following liver function studies is used to show the size of abdominal
organs and the presence of masses? - ✔✔Ultrasonography
A nurse assesses a patient diagnosed with hepatic encephalopathy. She observes a
number of clinical signs, including asterixis and fetor hepaticus; the patient's
electroencephalogram (EEG) is abnormal. The nurse documents that the patient is
exhibiting signs of which stage of hepatic encephalopathy? - ✔✔stage 2
A nurse is responsible for monitoring the diet of a client with hepatic encephalopathy.
Which daily protein intake should this 185-pound (84-kilogram) male consume? -
✔✔100 to 126 grams
Katelyn Whitman, All Rights Reserved © 2025 2
,Which position should be used for a client undergoing a paracentesis? - ✔✔supine
Which medication is used to decrease portal pressure, halting bleeding of esophageal
varices? - ✔✔vasopressin
nursing student is reviewing for an upcoming anatomy and physiology examination.
Which of the following would the student correctly identify as a function of the liver?
Select all that apply. - ✔✔Glucose metabolism
Ammonia conversion
Protein metabolism
A physician has ordered a liver biopsy for a client with cirrhosis whose condition has
recently deteriorated. The nurse reviews the client's recent laboratory findings and
recognizes that the client is at risk for complications due to: - ✔✔low platelet count
Which liver function study is used to show the size of the liver and hepatic blood flow
and obstruction? - ✔✔Radioisotope liver scan
A client is admitted to the hospital with acute hemorrhage from esophageal varices.
What medication should the nurse anticipate administering that will reduce pressure in
the portal venous system and control esophageal bleeding? - ✔✔Octreotide
Which condition is most likely to have a nursing diagnosis of fluid volume deficit? -
✔✔pancreatitis
Katelyn Whitman, All Rights Reserved © 2025 3
, Ursodeoxycholic acid (UDCA) has been used to dissolve small, radiolucent gallstones.
Which duration of therapy is required to dissolve the stones? - ✔✔7 months
Pharmacologic therapy frequently is used to dissolve small gallstones. It takes about
how many months of medication with UDCA or CDCA for stones to dissolve? - ✔✔6-12
months
A client with a history of alcohol abuse comes to the emergency department and
complains of abdominal pain. Laboratory studies help confirm a diagnosis of acute
pancreatitis. The client's vital signs are stable, but the client's pain is worsening and
radiating to his back. Which intervention takes priority for this client? -
✔✔Administering morphine I.V. as ordered
The nurse knows that the serum amylase concentration returns to normal within which
time frame? - ✔✔48 hours
This example of cholesterol gallstones (left side of picture) is the result of decreased bile
acid synthesis and increased cholesterol synthesis in the liver, which in turn, form
stones. Cholesterol stones account for what percentage of cases of gallbladder disease in
the United States? - ✔✔75 %
The patient admitted with acute pancreatitis has passed the acute stage and is now able
to tolerate solid foods. What type of diet will increase caloric intake without stimulating
Katelyn Whitman, All Rights Reserved © 2025 4
