Intermediate-MedSurge Final 2025/2026
Exam Questions and Answers | 100%
Solved
A patient with liver cirrhosis is prescribed lactulose. What is the primary
goal of this medication?
A. Increase appetite
B. Promote fluid retention
C. Reduce blood ammonia levels
D. Improve liver enzyme levels - 🧠 ANSWER ✔✔C. Reduce blood ammonia
levels
,Rationale: Lactulose is given to reduce serum ammonia levels in patients
with hepatic encephalopathy by trapping ammonia in the gut and
eliminating it through the stool.
A nurse is assessing a client with suspected hepatitis C. Which statement
by the client requires further investigation?
A. "I feel tired all the time."
B. "My urine has been darker than usual."
C. "I haven't had any symptoms, so I'm not worried."
D. "Sometimes I feel nauseated in the morning." - 🧠 ANSWER ✔✔C. "I
haven't had any symptoms, so I'm not worried."
Rationale: Hepatitis C can be asymptomatic and still cause chronic liver
damage.
Which finding is most concerning in a patient with known esophageal
varices due to liver cirrhosis?
,A. Dark-colored urine
B. Hematemesis (vomiting blood)
C. Mild abdominal discomfort
D. Yellow sclera - 🧠 ANSWER ✔✔B. Hematemesis (vomiting blood)
Rationale: Esophageal varices can rupture and lead to life-threatening
bleeding. Vomiting blood is an emergency.
The nurse is caring for a patient with liver cirrhosis. Which laboratory value
is most important to monitor?
A. Hemoglobin
B. Creatinine
C. Ammonia
D. Glucose - 🧠 ANSWER ✔✔C. Ammonia
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, Rationale: Elevated ammonia levels can indicate hepatic encephalopathy,
a serious complication of cirrhosis.
A patient with cirrhosis and ascites asks why their abdomen keeps getting
bigger. What's the best response?
A. "Your liver makes too much bile.
"B. "Fluid is building up because your liver is scarred."
C. "You probably drank too much water."
D. "Your intestines are swollen from the infection." - 🧠 ANSWER ✔✔B.
"Fluid is building up because your liver is scarred."
Rationale: Cirrhosis leads to portal hypertension and decreased albumin
production, both contributing to fluid accumulation (ascites) in the
abdomen.
A client with AKI is in the oliguric phase. Which assessment finding is the
nurse most concerned about?
Exam Questions and Answers | 100%
Solved
A patient with liver cirrhosis is prescribed lactulose. What is the primary
goal of this medication?
A. Increase appetite
B. Promote fluid retention
C. Reduce blood ammonia levels
D. Improve liver enzyme levels - 🧠 ANSWER ✔✔C. Reduce blood ammonia
levels
,Rationale: Lactulose is given to reduce serum ammonia levels in patients
with hepatic encephalopathy by trapping ammonia in the gut and
eliminating it through the stool.
A nurse is assessing a client with suspected hepatitis C. Which statement
by the client requires further investigation?
A. "I feel tired all the time."
B. "My urine has been darker than usual."
C. "I haven't had any symptoms, so I'm not worried."
D. "Sometimes I feel nauseated in the morning." - 🧠 ANSWER ✔✔C. "I
haven't had any symptoms, so I'm not worried."
Rationale: Hepatitis C can be asymptomatic and still cause chronic liver
damage.
Which finding is most concerning in a patient with known esophageal
varices due to liver cirrhosis?
,A. Dark-colored urine
B. Hematemesis (vomiting blood)
C. Mild abdominal discomfort
D. Yellow sclera - 🧠 ANSWER ✔✔B. Hematemesis (vomiting blood)
Rationale: Esophageal varices can rupture and lead to life-threatening
bleeding. Vomiting blood is an emergency.
The nurse is caring for a patient with liver cirrhosis. Which laboratory value
is most important to monitor?
A. Hemoglobin
B. Creatinine
C. Ammonia
D. Glucose - 🧠 ANSWER ✔✔C. Ammonia
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, Rationale: Elevated ammonia levels can indicate hepatic encephalopathy,
a serious complication of cirrhosis.
A patient with cirrhosis and ascites asks why their abdomen keeps getting
bigger. What's the best response?
A. "Your liver makes too much bile.
"B. "Fluid is building up because your liver is scarred."
C. "You probably drank too much water."
D. "Your intestines are swollen from the infection." - 🧠 ANSWER ✔✔B.
"Fluid is building up because your liver is scarred."
Rationale: Cirrhosis leads to portal hypertension and decreased albumin
production, both contributing to fluid accumulation (ascites) in the
abdomen.
A client with AKI is in the oliguric phase. Which assessment finding is the
nurse most concerned about?
