Graded A+
1. "A patient with hepatitis B is be- Answer B
ing discharged in 2 days. In the Hepatitis B virus may be transmitted by
discharge teching plan the nurse mucosal exposure to infectious blood,
should include instructions to: blood products, or other body fluids (e.g.,
semen, vaginal secretions, saliva). He-
a. Avoid alcohol for the first 3 patitis B is a sexually transmitted disease
weeks that is acquired through unprotected sex
b. Use a condom during sexual with an infected person. Condom use
intercourse should be taught to patients to prevent
c. Have family members get an transmission of hepatitis B.
injection of immunoglobin
d. Follow a low-protein, mod-
erate-carbohydrate, moderate-fat
diet
2. Which priority teaching informa- Answer 1 would be appropriate for pre-
tion should the nurse discuss vention of hepatitis A.
with the client to help prevent
contracting hep. B?
1. Explain the importance of good
hand washing.
2. Tell the client to take the hepati-
tis B vaccine in three (3) doses.
3. Tell the client not to ingest un-
sanitary food or water.
4. Discuss how to implement
standard precautions.
3. A client is suspected of having Correct Answer B Laboratory indicator
hepatitis. Which diagnoistic test of hepatitis include elevated liver en-
result will assist in confirming zyme levels, elevated serum bilirubin lev-
this diagonis ? els.Thinking about the organ that is in-
A.Elevate hemoglobin level B. El- volved in hepatitis should assist in direct-
evated serum bilirubin level C. El- ing to choose option B liver function test.
evated blood urea nitrogen lev-
el D. Decreasd erythrocycte sed-
imentation rate
4.
, Hepatitis NCLEX test Questions with 100% Verified Answers
Graded A+
"A client with acute hepatitis is"Correct Answer: A
prescribed lactulose. The nurse Rationale: Lactulose helps prevent the
knows this medication will: absorption of ammonia from the bow-
el because it will cause frequent bow-
A. Prevent the absorption of am- el movements, which facilitates the re-
monia from the bowel. moval of ammonia from the intestines."
B. Prevent hypoglycemia.
C. Remove bilirubin from the
blood.
D. Mobilize iron stores from the
liver"
5. "To prevent the spread of hepati- B is the correct answer. HAV is trans-
tis A virus (HAV) infection the mitted primarily person-to-person by the
nurse is especially careful fecal-oral route. Food can be a method
when of transmission but needs to be fecally
A. Disposing of food trays contaminated. Since the transmission of
B. Emptying bed pans hepatitis A is fecal-oral and not saliva or
C. Taking an oral temperature blood like hepatitis B, taking a temper-
D. Changing IV ature and changing IV tubing would not
spread hepatitis A.
6. "Which type of hepatitis is trans- "Correct answer: 1
mitted by the fecal-oral route via Rationale:
contaminated food, water, or di- 1. The hepatitis A virus is in the stool of
rect contact with an infected per- infected people for up to 2 weeks before
son? symptoms develop
"1. Hepatitis A 2. Hepatitis B is spread through contact
2. Hepatitis B with infected blood and body fluids
3. Hepatitis C 3. Hepatitis C is transmitted through con-
4. Hepatitis D" tact with infected blood and body fluids
4. Hepatitis D infection only causes infec-
tion in people who are also infected with
Hepatitis B or C"
7. The nurse is performing an as- "ANSWER: 1
sessment on a client bein eval- Rationale: arthralgia is common in
uated for viral hepatitis. Which clients with viral hepatitis. Other symp-
symptom will the nurse most like- toms of viral hepatits include lethargy, flu-
, Hepatitis NCLEX test Questions with 100% Verified Answers
Graded A+
ly assess on this client? like symptoms, anorexia, N/V, abdominal
1. Arthralgia 2. Excitability 3. pain, diarrhea, constipation, and fever.
Headache 4. Polyphagia The others are not symptoms of viral
hepatitis."
8. During evaluation of a patient at Answer B: The presence of surface an-
an outpatient clinic, the nurse de- tibody to HBV (anti-HBs) is a marker of
termines that administration of a positive response to the vaccine. The
hepatitis B vaccine has been ef- other laboratory values indicate current
fective when a specimen of the infection with HBV
patient's blood reveals:
a. HBsAg.
b. anti-HBs
c. anti-HBc IgM.
d. anti-HBc IgG"
9. "A patient contracts hepatitis "ANSWER: D
from contaminated food. During Rationale: Hepatitis A is transmitted
the acute (icteric) phase of the pa- through the oral-fecal route, and anti-
tient's illness, the nurse would ex- body to HAV IgM appears during the
pect serologic testing to reveal... acute phase of hepatitis A. The patient
a. hepatitis B surface antigen would not have antigen or antibodies for
(HBsAg). hepatitis B. Anti-HAV IgG would indicate
b. anti-hepatitis B core im- past infection and lifelong immunity."
munoglobulin M (anti-HBc IgM).
c. anti-hepatitis A virus im-
munoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus im-
munoglobulin M (anti-HAV IgM)."
10. "The female nurse sticks herself Answer 2. The nurse should rst clean the
with a dirty needle. Which action needle stick with soap and water to help
should the nurse implement rst?remove any virus that is on the skin
1. Notify the infection control
nurse.
2. Cleanse the area with soap and
water.
3. Request post-exposure pro-
phylaxis.
, Hepatitis NCLEX test Questions with 100% Verified Answers
Graded A+
4. Check the hepatitis status of
the client.
11. The client is in the pre- Correct Answer 4
icteric phase of hepatitis. Which "Flu-like" symptoms are the rst
signs/symptoms would thenurse com-plaints of the client in the preicteric
expect the client to exhibit during phase of hepatitis, which is the initial
this phase? phase and may begin abruptly or insid-
1.Clay-colored stools and jaun- iously
dice.2.Normal appetite and pruri-
tus.3.Being afebrile and left up-
per quadrant pain.4.Complaints
of fatigue and diarrhea.
12. A college student is required to Correct Answer 2
be inculated for hepatitis before Hepatitis B is considered a significant
starting college. The nurse recog- sexually transmitted disease and is seen
nizes that he will be inoculated in all age groups. A vaccine is available
for: for this type of hepatitis.
1. Hepatitis A 2. Hepatitis B 3. He-
patitis C 4. Hepatitis D
13. The physican has determine the Answer 1: Hepatitis A is the correct an-
client with Hepatitis has contract- swer because it is transmitted by the
ed the infection from contaminat- oral-fecal route, via contaminated food
ed food. The nurse understands or food handlers. B, C, and D are trans-
that this client is most likely expe- mitted most commonly via infected body
riencing what type of hepatitis? 1. fluids
Hepatitis A 2. Hepatitis B 3. He-
patitis C 4. Hepatitis D
14. A client is suspected of having B. Laboratory indicators of hepatitis in-
hepatitis. Which diagnostic test clude elevated liver enzyme levels, el-
result will assist in confirming evated serum bilirubin levels, elevat-
this diagnosis? ed erythrocyte sedimentation rates, and
a. Elevated hemoglobin level leukopenia. An elevated blood urea nitro-
b. Elevated serum bilirubin level gen level may indicate renal dysfunction.
c. Elevated blood urea nitrogen A hemoglobin level is unrelated to this
level diagnosis.