N440 - Exam 2 UPDATED Exam Questions
and CORRECT Answers
What question by is asked to support the diagnosis of acute pancreatitis? - CORRECT
ANSWER - How often do you drink alcohol, and when was your last drink?
What lab data indicates that the pt is experiencing acute pancreatitis? - CORRECT
ANSWER - Amylase of 982 U/L and Lipase of 400 U/L
What medication should the nurse expect to deliver to help the pt with pancreatitis pain? -
CORRECT ANSWER - Morphine 5mg IV push administered diluted over 5 minutes.
Which diet should the nurse expect the HCP to prescribe the pt with pancreatitis? - CORRECT
ANSWER - NPO
Which intervention should the nurse implement prior to transferring the pancreatitis pt to the
floor? - CORRECT ANSWER - Insert a NG tube and connect it to low, intermittent
suction.
Which intervention regarding positioning should the nurse implement to alleviate pt with
pancreatitis pain? - CORRECT ANSWER - Encourage side lying with legs drawn to chest.
Which intervention should the nurse include in pancreatitis pt plan of care? - CORRECT
ANSWER - Administer oxygen via nasal cannula.
Which intervention should the nurse implement prior to administering TPN? - CORRECT
ANSWER - Assist the HCP with a subclavian line insertion.
The TPN is prescribed to run at 75mL per hour and is available in a 1000mL bag. The nurse
should anticipate that the TPN bag will be empty in how many hours? (round to the nearest
whole number.) - CORRECT ANSWER - 13
,Which independent nursing action regarding the client's nutritional status should the nurse
include when caring for the pancreatitis pt? - CORRECT ANSWER - Obtain and record a
daily weight.
Which task can the nurse delegate the UAP when caring for the pancreatitis pt receiving TPN? -
CORRECT ANSWER - Obtain a blood glucose reading.
The nurse is preparing to hang the second bag of TPN. TPN bag #1 has finished infusing at
75mL/hr, but TPN bag #2 has not been delivered from the pharmacy. The unit clerk calls the
pharmacy and is told that TPN bag #2 is not ready. Which action should the nurse take? -
CORRECT ANSWER - Administer D10W via the infusion pump at 75mL/hr.
After pt receives TPN for 3 days, his NG tube is removed. He is started on a clear liquid diet,
which he tolerates without pain. The HCP plans to remove the pt diet restrictions gradually,
decrease the TPN, and discharge pt in the next two days. Which nursing intervention has the
highest priority when preparing pt for discharge? - CORRECT ANSWER - Explain the
importance of alcohol abstinence.
Which action should the nurse include in when planning discharge teaching for pancreatitis pt? -
CORRECT ANSWER - Discuss ways to deal with stressful situations and avoid stress if
possible.
Pancreatitis pt states " I don't understand why I need this procedure. I am not hurting anymore, so
I think I want to cancel the test." Which statement by the nurse provides the best response to the
pt comment? - CORRECT ANSWER - I will contact your HCP to discuss this with you.
Which question should the nurse ask the pancreatitis pt prior to the ERCP? - CORRECT
ANSWER - When was the last time you had anything to eat or drink?
Which intervention has the highest priority when caring for pt after the ERCP? - CORRECT
ANSWER - Assess the client's pulse and blood pressure.
, Pt reports that his stools look fatty, appear bubbly and frothy, float on top of the water, and are
extremely malodorous. How should the nurse respond? - CORRECT ANSWER - This is
common in persons with chronic pancreatitis.
Which statement accurately explains the scientific rationale for the use of Omeprazole
(Prilosec)? - CORRECT ANSWER - Decreases gastric secretions.
HCP has prescribed Pancrelipase (Cotazym), a pancreatic enzyme, to help reduce the fatty,
frothy, foul-smelling stools. How should the nurse proceed when teaching the pt about this
medication? - CORRECT ANSWER - Determine if pt is allergic to any type of pork.
Which additional instruction regarding the use of Pancrelipase (Cotazym) is important for the
nurse to include? - CORRECT ANSWER - Take the medication with meals or snacks.
When the nurse is discussing the complications of chronic pancreatitis with the pt and his wife,
which information should be included in the teaching? (Select all that apply.) - CORRECT
ANSWER - The need to monitor blood glucose levels.
That recurring attacks tend to become more severe in nature.
Which interventions should the nurse encourage pt to implement at home? - CORRECT
ANSWER - Weigh weekly and report any significant weight loss.
Referral to Alcoholics Anonymous. The pt asks the nurse, "How will this meeting help me quit
drinking?" How should the nurse respond? - CORRECT ANSWER - It is a support group
that uses a 12-step recovery program to quit drinking.
The pt asks how much it costs to go an AA meeting. How should the nurse respond? -
CORRECT ANSWER - There are no dues or fees to attend the meetings.
Pancreatitis pt asks "Am I going to die if I keep drinking?" How should the nurse respond? -
CORRECT ANSWER - "If you don't stop drinking, this disease may kill you."
and CORRECT Answers
What question by is asked to support the diagnosis of acute pancreatitis? - CORRECT
ANSWER - How often do you drink alcohol, and when was your last drink?
What lab data indicates that the pt is experiencing acute pancreatitis? - CORRECT
ANSWER - Amylase of 982 U/L and Lipase of 400 U/L
What medication should the nurse expect to deliver to help the pt with pancreatitis pain? -
CORRECT ANSWER - Morphine 5mg IV push administered diluted over 5 minutes.
Which diet should the nurse expect the HCP to prescribe the pt with pancreatitis? - CORRECT
ANSWER - NPO
Which intervention should the nurse implement prior to transferring the pancreatitis pt to the
floor? - CORRECT ANSWER - Insert a NG tube and connect it to low, intermittent
suction.
Which intervention regarding positioning should the nurse implement to alleviate pt with
pancreatitis pain? - CORRECT ANSWER - Encourage side lying with legs drawn to chest.
Which intervention should the nurse include in pancreatitis pt plan of care? - CORRECT
ANSWER - Administer oxygen via nasal cannula.
Which intervention should the nurse implement prior to administering TPN? - CORRECT
ANSWER - Assist the HCP with a subclavian line insertion.
The TPN is prescribed to run at 75mL per hour and is available in a 1000mL bag. The nurse
should anticipate that the TPN bag will be empty in how many hours? (round to the nearest
whole number.) - CORRECT ANSWER - 13
,Which independent nursing action regarding the client's nutritional status should the nurse
include when caring for the pancreatitis pt? - CORRECT ANSWER - Obtain and record a
daily weight.
Which task can the nurse delegate the UAP when caring for the pancreatitis pt receiving TPN? -
CORRECT ANSWER - Obtain a blood glucose reading.
The nurse is preparing to hang the second bag of TPN. TPN bag #1 has finished infusing at
75mL/hr, but TPN bag #2 has not been delivered from the pharmacy. The unit clerk calls the
pharmacy and is told that TPN bag #2 is not ready. Which action should the nurse take? -
CORRECT ANSWER - Administer D10W via the infusion pump at 75mL/hr.
After pt receives TPN for 3 days, his NG tube is removed. He is started on a clear liquid diet,
which he tolerates without pain. The HCP plans to remove the pt diet restrictions gradually,
decrease the TPN, and discharge pt in the next two days. Which nursing intervention has the
highest priority when preparing pt for discharge? - CORRECT ANSWER - Explain the
importance of alcohol abstinence.
Which action should the nurse include in when planning discharge teaching for pancreatitis pt? -
CORRECT ANSWER - Discuss ways to deal with stressful situations and avoid stress if
possible.
Pancreatitis pt states " I don't understand why I need this procedure. I am not hurting anymore, so
I think I want to cancel the test." Which statement by the nurse provides the best response to the
pt comment? - CORRECT ANSWER - I will contact your HCP to discuss this with you.
Which question should the nurse ask the pancreatitis pt prior to the ERCP? - CORRECT
ANSWER - When was the last time you had anything to eat or drink?
Which intervention has the highest priority when caring for pt after the ERCP? - CORRECT
ANSWER - Assess the client's pulse and blood pressure.
, Pt reports that his stools look fatty, appear bubbly and frothy, float on top of the water, and are
extremely malodorous. How should the nurse respond? - CORRECT ANSWER - This is
common in persons with chronic pancreatitis.
Which statement accurately explains the scientific rationale for the use of Omeprazole
(Prilosec)? - CORRECT ANSWER - Decreases gastric secretions.
HCP has prescribed Pancrelipase (Cotazym), a pancreatic enzyme, to help reduce the fatty,
frothy, foul-smelling stools. How should the nurse proceed when teaching the pt about this
medication? - CORRECT ANSWER - Determine if pt is allergic to any type of pork.
Which additional instruction regarding the use of Pancrelipase (Cotazym) is important for the
nurse to include? - CORRECT ANSWER - Take the medication with meals or snacks.
When the nurse is discussing the complications of chronic pancreatitis with the pt and his wife,
which information should be included in the teaching? (Select all that apply.) - CORRECT
ANSWER - The need to monitor blood glucose levels.
That recurring attacks tend to become more severe in nature.
Which interventions should the nurse encourage pt to implement at home? - CORRECT
ANSWER - Weigh weekly and report any significant weight loss.
Referral to Alcoholics Anonymous. The pt asks the nurse, "How will this meeting help me quit
drinking?" How should the nurse respond? - CORRECT ANSWER - It is a support group
that uses a 12-step recovery program to quit drinking.
The pt asks how much it costs to go an AA meeting. How should the nurse respond? -
CORRECT ANSWER - There are no dues or fees to attend the meetings.
Pancreatitis pt asks "Am I going to die if I keep drinking?" How should the nurse respond? -
CORRECT ANSWER - "If you don't stop drinking, this disease may kill you."
