NSG 3850 Exam 4 a Version a
Exam Questions
14
1. The nurse is caring for a client who has developed ascites as a complication of advanced liver
disease. The nurse recognizes which of the following as the etiological risk factors behind the
Ans serum hypoalbumenimia
complication?
8900 a. Portal hypertension.
b. Plasma hyperalbuminemia. hypo
c. An impaired absorption of fat-soluble vitamins.
d. An accumulation of ammonia in the peritoneal cavity.
4
2. The nurse is caring for a client who has acute cholecystitis. The nurse recognizes which of the
following as the contributing factor to the pathological process of this condition?
a. Enzymatic activation causes an autoimmune response in the gallbladder causes stones.
b. Lecithin production by the gallbladder causes the solidification of cholesterol into stones.
c. Vascular insufficiency to the gallbladder causes ischemic injury and hardened cystic ducts.
d. Cystic duct obstruction causes pathological processes within the gallbladder.
3
3. The nurse is caring for a client who has chronic cholelithiasis. Which of the following should the
nurse expect the client to report?
a. Persistent epigastric pain.
b. Functional dyspepsia.
c. A gray-blue color at the flank.
d. Left upper quadrant (LUQ) pain that radiates to the back. RUQpain
so
4. The nurse is discussing the pathogenesis of hepatitis virus A (HVA) with a client who is at increased
risk. Which of the following statements should the nurse include in the discussion?
a. “It is very important to get regular hepatitis titers if you are on dialysis.”
b. “Lack of safe water and poor sanitation are big risk factors.”
c. “This is a chronic illness with no lifelong immunity.”
d. “Do not travel for extended periods overseas.”
S
5. The nurse is caring for a client who has hepatitis virus C (HVC) and a positive anti-HVC laboratory
value. Which of the following conclusions should the nurse make?
a. There are antibodies to the virus present.
b. The client is in the early stage of infection.
c. The client has immunity to the virus.
d. The infection is in remission.
Page
,NSG 3850 Exam 4 a Version a
6. The nurse is caring for an older adult client who has liver disease. Which of the following should the
nurse consider when caring for this client?
15 a. Prolonged drug half-life.
b. Anasarca.
c. Narrow pulse pressure.
d. Hypocholesterolemia.
J
7. The nurse is caring for a client who has hepatitis virus D (HVD). The nurse is aware that this is
primarily transmitted by
9 a. the oral-fecal route and occurs with hepatitis virus E (HVE) infection.
b. the parenteral route and occurs with hepatitis virus B (HVB) infection.
I
c. the sexual route and occurs with hepatitis virus C (HVC) infection.
d. blood contamination and occurs with hepatitis virus A (HVA) infection.
8. The nurse is caring for a client who has chronic alcoholism and has developed jaundice. The nurse is
aware that the pathogenetic processes of this condition result in pathological
askedabout
process Ansinability
I a. greenish-yellow staining of body tissues by bilirubin. ofbileorbilirubin
b. decreased plasma proteins and increased urobilinogen. metabolism
c. hepatocytes secrete bile that is supersaturated with cholesterol.
d. serum IgA is often decreased in clients who have alcoholism.
E 9. The nurse is caring for a client who has a viral hepatitis screen with a positive hepatitis B surface
antigen (HBsAg). The nurse should interpret these results to indicate that the client
a. has chronic inflammation.
7
b. is recovering from acute disease.
c. has an active infection.
Exam didntsay this butsaid
d. has a positive titer. infectious others thatswhati put
to
10. The nurse is caring for a client who has cholelithiasis. Which of the following statements should the
nurse include in the client’s discharge teaching about the etiology of the condition?
a. “Bile that doesn’t flow normally stays in the gallbladder.”
b. “Dilation of the cystic duct in the gallbladder promotes sludge.”
c. “Calcium deposits obstruct blood flow in the gallbladder.”
d. “A reduction in cholecystokinin secretion leads to gallstone formation.”
G11. The nurse is caring for a client with nonalcoholic steatohepatitis (NASH). The nurse recognizes
which of the following as a contributing etiological factor behind this condition?
13
a. Gallbladder neoplasms.
b. Acetaminophen overdose.
Ansonexam
c. Intravenous (IV) drug use.
d. High cholesterol. Diabetes Ptrecights Hyper
Page
,NSG 3850 Exam 4 a Version a
O12. The nurse has attended a continuing education conference about hepatitis. Which of the following
statements by the nurse indicates a need for further teaching?
17 a. “Depending on the virus, both DNA and RNA strands can be affected.”
b. “Hepatitis virus A (HVA) is a contagious but vaccine-preventable illness.”
c. “Hepatitis virus C (HVC) has an incubation period of 2 to 5 weeks.” 2 26wk
d. “Serologic testing is necessary to differentiate the various types of hepatitis.”
13. The nurse is caring for a client who has an acute infection of hepatitis virus A (HVA). The nurse
onexamit was196 Ansimmunity
expects the presence of
↳ a. anti-HVA IgG marker. toHVA
b. anti-HVA IgM marker.
c. Hepatitis virus E (HVE) antibody IgG and IgM.
d. HVA RNA serum.
14. The nurse is caring for a client who has cholelithiasis. Which of the following should the nurse
identify as a risk factor for this condition?
a. Excessive alcohol intake.
b. A nasogastric (NG) tube to low wall suction.
c. Gilbert syndrome.
d. Metabolic syndrome and insulin resistance.
15. The nurse is caring for a client who has had human immunodeficiency virus (HIV) for 15 years. The
client is now reporting difficulty swallowing, shortness of breath with cough, and weight loss. The
nurse would recognize that this client
a. is experiencing HIV seroconversion.
b. has most likely converted to acquired immune deficiency syndrome (AIDS).
c. has a decrease in the viral load of the virus.
d. initial destruction of lymph node tissue with immunosuppression.
16. The nurse has attended a continuing education conference about scleroderma. Which of the
following statements by the nurse indicates a correct understanding of the pathogenesis of the
disease?
a. “Tissue ischemia initiates the inflammatory process that causes vertebra skeleton fusion.”
b. “Injury occurs within smooth muscle cells causing vessel-wall thickening and ischemia.”
c. “Vascular necrosis occurs triggering crystalized antigens to shred the lumen of the vessels.”
d. “This disease develops due to genetic tendencies affecting more men than women.”
Page
, NSG 3850 Exam 4 a Version a
&17. The nurse is caring for a client who has chronic myeloid leukemia. Which of the following clinical
manifestations should the nurse expect to find in this client?
09200 a. Leukopenia. philadelphiachromosome
35 b. Bone demineralization.
c. High granulocyte count.
splenomegalyfatigue weightloss
d. Anemia.
diaphoresis bleeding and discomfort
18. The nurse is teaching at a continuing education conference about cancer metastasis. Which
information from the box below should the nurse include in the teaching?
K 1. Metastasis is when cancer cells escape the basement
membrane.
2. Metastasis follows blood and oxygen circulation.
T 3. After metastasis, the survival of tumor cells is not guaranteed in
circulation.
4. Tumor growth is limited by angiogenesis.
5. Only brain and peritoneal tumors can be graded and staged.
2mm
I cannot grow more than
a. 2, 4, 5.
unlesstheygrowbloodvessels
b. 1, 3, 5.
c. 1, 2, 3, 4.
d. 2, 3, 4, 5.
19. The nurse is caring for a client who has multiple myeloma. Which of the following should the nurse
recognize as a clinical manifestation of this condition?
a. Lymphadenopathy.
b. Diarrhea.
c. Bone lesion.
I
d. Hypocalcemia. hypercalcemia from bone lesions
20. The nurse is caring for a client who is suspected of having multiple myeloma and tested positive for
the Bence Jones protein. Which of the following should the nurse determine is the significance in the
Antibodiesfoundinurine
plan of care for this client?
a. The client will pass the Bence Jones protein gene to future offspring.
b. The diagnosis of any type of malignant lymphoma is ruled out.
c. The client has decreased kidney filtration due to kidney failure.
d. The diagnosis of Hodgkin disease is likely.
21. The nurse is caring for a client who has acute lymphoblastic leukemia (ALL). Which of the following
etiologic processes should the nurse associate with this disease?
a. Gene transformation of the Philadelphia chromosome.
CML
38 b. Malignant transformation of B cells.
c. Malignancy of the granulocytes.
d. Chromosomal translocation within the cell.
Page
Exam Questions
14
1. The nurse is caring for a client who has developed ascites as a complication of advanced liver
disease. The nurse recognizes which of the following as the etiological risk factors behind the
Ans serum hypoalbumenimia
complication?
8900 a. Portal hypertension.
b. Plasma hyperalbuminemia. hypo
c. An impaired absorption of fat-soluble vitamins.
d. An accumulation of ammonia in the peritoneal cavity.
4
2. The nurse is caring for a client who has acute cholecystitis. The nurse recognizes which of the
following as the contributing factor to the pathological process of this condition?
a. Enzymatic activation causes an autoimmune response in the gallbladder causes stones.
b. Lecithin production by the gallbladder causes the solidification of cholesterol into stones.
c. Vascular insufficiency to the gallbladder causes ischemic injury and hardened cystic ducts.
d. Cystic duct obstruction causes pathological processes within the gallbladder.
3
3. The nurse is caring for a client who has chronic cholelithiasis. Which of the following should the
nurse expect the client to report?
a. Persistent epigastric pain.
b. Functional dyspepsia.
c. A gray-blue color at the flank.
d. Left upper quadrant (LUQ) pain that radiates to the back. RUQpain
so
4. The nurse is discussing the pathogenesis of hepatitis virus A (HVA) with a client who is at increased
risk. Which of the following statements should the nurse include in the discussion?
a. “It is very important to get regular hepatitis titers if you are on dialysis.”
b. “Lack of safe water and poor sanitation are big risk factors.”
c. “This is a chronic illness with no lifelong immunity.”
d. “Do not travel for extended periods overseas.”
S
5. The nurse is caring for a client who has hepatitis virus C (HVC) and a positive anti-HVC laboratory
value. Which of the following conclusions should the nurse make?
a. There are antibodies to the virus present.
b. The client is in the early stage of infection.
c. The client has immunity to the virus.
d. The infection is in remission.
Page
,NSG 3850 Exam 4 a Version a
6. The nurse is caring for an older adult client who has liver disease. Which of the following should the
nurse consider when caring for this client?
15 a. Prolonged drug half-life.
b. Anasarca.
c. Narrow pulse pressure.
d. Hypocholesterolemia.
J
7. The nurse is caring for a client who has hepatitis virus D (HVD). The nurse is aware that this is
primarily transmitted by
9 a. the oral-fecal route and occurs with hepatitis virus E (HVE) infection.
b. the parenteral route and occurs with hepatitis virus B (HVB) infection.
I
c. the sexual route and occurs with hepatitis virus C (HVC) infection.
d. blood contamination and occurs with hepatitis virus A (HVA) infection.
8. The nurse is caring for a client who has chronic alcoholism and has developed jaundice. The nurse is
aware that the pathogenetic processes of this condition result in pathological
askedabout
process Ansinability
I a. greenish-yellow staining of body tissues by bilirubin. ofbileorbilirubin
b. decreased plasma proteins and increased urobilinogen. metabolism
c. hepatocytes secrete bile that is supersaturated with cholesterol.
d. serum IgA is often decreased in clients who have alcoholism.
E 9. The nurse is caring for a client who has a viral hepatitis screen with a positive hepatitis B surface
antigen (HBsAg). The nurse should interpret these results to indicate that the client
a. has chronic inflammation.
7
b. is recovering from acute disease.
c. has an active infection.
Exam didntsay this butsaid
d. has a positive titer. infectious others thatswhati put
to
10. The nurse is caring for a client who has cholelithiasis. Which of the following statements should the
nurse include in the client’s discharge teaching about the etiology of the condition?
a. “Bile that doesn’t flow normally stays in the gallbladder.”
b. “Dilation of the cystic duct in the gallbladder promotes sludge.”
c. “Calcium deposits obstruct blood flow in the gallbladder.”
d. “A reduction in cholecystokinin secretion leads to gallstone formation.”
G11. The nurse is caring for a client with nonalcoholic steatohepatitis (NASH). The nurse recognizes
which of the following as a contributing etiological factor behind this condition?
13
a. Gallbladder neoplasms.
b. Acetaminophen overdose.
Ansonexam
c. Intravenous (IV) drug use.
d. High cholesterol. Diabetes Ptrecights Hyper
Page
,NSG 3850 Exam 4 a Version a
O12. The nurse has attended a continuing education conference about hepatitis. Which of the following
statements by the nurse indicates a need for further teaching?
17 a. “Depending on the virus, both DNA and RNA strands can be affected.”
b. “Hepatitis virus A (HVA) is a contagious but vaccine-preventable illness.”
c. “Hepatitis virus C (HVC) has an incubation period of 2 to 5 weeks.” 2 26wk
d. “Serologic testing is necessary to differentiate the various types of hepatitis.”
13. The nurse is caring for a client who has an acute infection of hepatitis virus A (HVA). The nurse
onexamit was196 Ansimmunity
expects the presence of
↳ a. anti-HVA IgG marker. toHVA
b. anti-HVA IgM marker.
c. Hepatitis virus E (HVE) antibody IgG and IgM.
d. HVA RNA serum.
14. The nurse is caring for a client who has cholelithiasis. Which of the following should the nurse
identify as a risk factor for this condition?
a. Excessive alcohol intake.
b. A nasogastric (NG) tube to low wall suction.
c. Gilbert syndrome.
d. Metabolic syndrome and insulin resistance.
15. The nurse is caring for a client who has had human immunodeficiency virus (HIV) for 15 years. The
client is now reporting difficulty swallowing, shortness of breath with cough, and weight loss. The
nurse would recognize that this client
a. is experiencing HIV seroconversion.
b. has most likely converted to acquired immune deficiency syndrome (AIDS).
c. has a decrease in the viral load of the virus.
d. initial destruction of lymph node tissue with immunosuppression.
16. The nurse has attended a continuing education conference about scleroderma. Which of the
following statements by the nurse indicates a correct understanding of the pathogenesis of the
disease?
a. “Tissue ischemia initiates the inflammatory process that causes vertebra skeleton fusion.”
b. “Injury occurs within smooth muscle cells causing vessel-wall thickening and ischemia.”
c. “Vascular necrosis occurs triggering crystalized antigens to shred the lumen of the vessels.”
d. “This disease develops due to genetic tendencies affecting more men than women.”
Page
, NSG 3850 Exam 4 a Version a
&17. The nurse is caring for a client who has chronic myeloid leukemia. Which of the following clinical
manifestations should the nurse expect to find in this client?
09200 a. Leukopenia. philadelphiachromosome
35 b. Bone demineralization.
c. High granulocyte count.
splenomegalyfatigue weightloss
d. Anemia.
diaphoresis bleeding and discomfort
18. The nurse is teaching at a continuing education conference about cancer metastasis. Which
information from the box below should the nurse include in the teaching?
K 1. Metastasis is when cancer cells escape the basement
membrane.
2. Metastasis follows blood and oxygen circulation.
T 3. After metastasis, the survival of tumor cells is not guaranteed in
circulation.
4. Tumor growth is limited by angiogenesis.
5. Only brain and peritoneal tumors can be graded and staged.
2mm
I cannot grow more than
a. 2, 4, 5.
unlesstheygrowbloodvessels
b. 1, 3, 5.
c. 1, 2, 3, 4.
d. 2, 3, 4, 5.
19. The nurse is caring for a client who has multiple myeloma. Which of the following should the nurse
recognize as a clinical manifestation of this condition?
a. Lymphadenopathy.
b. Diarrhea.
c. Bone lesion.
I
d. Hypocalcemia. hypercalcemia from bone lesions
20. The nurse is caring for a client who is suspected of having multiple myeloma and tested positive for
the Bence Jones protein. Which of the following should the nurse determine is the significance in the
Antibodiesfoundinurine
plan of care for this client?
a. The client will pass the Bence Jones protein gene to future offspring.
b. The diagnosis of any type of malignant lymphoma is ruled out.
c. The client has decreased kidney filtration due to kidney failure.
d. The diagnosis of Hodgkin disease is likely.
21. The nurse is caring for a client who has acute lymphoblastic leukemia (ALL). Which of the following
etiologic processes should the nurse associate with this disease?
a. Gene transformation of the Philadelphia chromosome.
CML
38 b. Malignant transformation of B cells.
c. Malignancy of the granulocytes.
d. Chromosomal translocation within the cell.
Page
