Adult 2 Exam 1 Practice Questions
with Guaranteed Pass Solutions 2025-
2026 Updated.
Which goal has the highest priority in the plan of care for a 26-yr-old patient who is homeless
who was admitted with viral hepatitis who has severe anorexia and fatigue?
a.Increase activity level.
b.Maintain adequate nutrition.
c.Establish a stable environment.
d.Identify source of hepatitis exposure - Answer B
The highest priority outcome is to maintain nutrition because adequate nutrition is needed for
hepatocyte regeneration. Finding a home for the patient and identifying the source of the
infection would be appropriate activities, but they do not have as high a priority as ensuring
adequate nutrition. Although the patient's activity level will be gradually increased, rest is
indicated during the acute phase of hepatitis.
After an unimmunized individual is exposed to hepatitis B through a needle-stick injury, which
actions will the nurse plan to take (select all that apply)?
a. Administer hepatitis B vaccine.
b. Test for antibodies to hepatitis B.
c. Teach about a-interferon therapy.
d. Give hepatitis B immune globulin.
e. Teach about choices for oral antiviral therapy. - Answer A,B,D
The recommendations for hepatitis B exposure include both vaccination and immune globulin
administration. In addition, baseline testing for hepatitis B antibodies will be needed. Interferon
and oral antivirals are not used for hepatitis B prophylaxis
a patient is admitted to the medical unit with a diagnosis of hepatitis. when preparing to
administer intravenous medications, the healthcare provider understands that the patient's
diagnosis primary impacts which phase of pharmacokinetics?
, d. excretion - Answer C
the liver is the primary site of drug metabolism, so alterations in liver function can affect the
metabolism of medications.
when caring for a patient diagnosed with viral hepatitis, the healthcare provider experiences a
needlestick with a contaminated needle. Which of the following actions should the healthcare
provider do first?
a. make an appointment with the infection control department
b. put the needle in a bio-hazard bag for testing
c. wash the area thoroughly w/ soap and water
d. report to the emergency department - Answer C
-the healthcare provider will follow the facility-specific protocol for when a needle stick occurs
-the initial action is aimed at reducing the possibility of infection
-the puncture site and skin should be washed thoroughly with soap and water. Then the
healthcare provider will follow the next steps in the facility protocol.
You're caring for Lewis, a 67 y.o. patient with liver cirrhosis who developed ascites and requires
paracentesis. Relief of which symptom indicated that the paracentesis was effective?
A. Pruritus
B. Dyspnea
C. Jaundice
D. Peripheral Neuropathy - Answer B
Ascites puts pressure on the diaphragm. Paracentesis is done to remove fluid and reducing
pressure on the diaphragm. The goal is to improve the patient's breathing. The others are signs
of cirrhosis that aren't relieved by paracentesis
You're caring for Jane, a 57 y.o. patient with liver cirrhosis who developed ascites and requires
paracentesis. Before her paracentesis, you instruct her to:
A. Empty her bladder
with Guaranteed Pass Solutions 2025-
2026 Updated.
Which goal has the highest priority in the plan of care for a 26-yr-old patient who is homeless
who was admitted with viral hepatitis who has severe anorexia and fatigue?
a.Increase activity level.
b.Maintain adequate nutrition.
c.Establish a stable environment.
d.Identify source of hepatitis exposure - Answer B
The highest priority outcome is to maintain nutrition because adequate nutrition is needed for
hepatocyte regeneration. Finding a home for the patient and identifying the source of the
infection would be appropriate activities, but they do not have as high a priority as ensuring
adequate nutrition. Although the patient's activity level will be gradually increased, rest is
indicated during the acute phase of hepatitis.
After an unimmunized individual is exposed to hepatitis B through a needle-stick injury, which
actions will the nurse plan to take (select all that apply)?
a. Administer hepatitis B vaccine.
b. Test for antibodies to hepatitis B.
c. Teach about a-interferon therapy.
d. Give hepatitis B immune globulin.
e. Teach about choices for oral antiviral therapy. - Answer A,B,D
The recommendations for hepatitis B exposure include both vaccination and immune globulin
administration. In addition, baseline testing for hepatitis B antibodies will be needed. Interferon
and oral antivirals are not used for hepatitis B prophylaxis
a patient is admitted to the medical unit with a diagnosis of hepatitis. when preparing to
administer intravenous medications, the healthcare provider understands that the patient's
diagnosis primary impacts which phase of pharmacokinetics?
, d. excretion - Answer C
the liver is the primary site of drug metabolism, so alterations in liver function can affect the
metabolism of medications.
when caring for a patient diagnosed with viral hepatitis, the healthcare provider experiences a
needlestick with a contaminated needle. Which of the following actions should the healthcare
provider do first?
a. make an appointment with the infection control department
b. put the needle in a bio-hazard bag for testing
c. wash the area thoroughly w/ soap and water
d. report to the emergency department - Answer C
-the healthcare provider will follow the facility-specific protocol for when a needle stick occurs
-the initial action is aimed at reducing the possibility of infection
-the puncture site and skin should be washed thoroughly with soap and water. Then the
healthcare provider will follow the next steps in the facility protocol.
You're caring for Lewis, a 67 y.o. patient with liver cirrhosis who developed ascites and requires
paracentesis. Relief of which symptom indicated that the paracentesis was effective?
A. Pruritus
B. Dyspnea
C. Jaundice
D. Peripheral Neuropathy - Answer B
Ascites puts pressure on the diaphragm. Paracentesis is done to remove fluid and reducing
pressure on the diaphragm. The goal is to improve the patient's breathing. The others are signs
of cirrhosis that aren't relieved by paracentesis
You're caring for Jane, a 57 y.o. patient with liver cirrhosis who developed ascites and requires
paracentesis. Before her paracentesis, you instruct her to:
A. Empty her bladder
