MSF Exam 2026 Questions and Answers
Once bile is produced by the liver, which duct does it travel through first, exiting
the liver
a. common bile duct
b. cystic duct
c. hepatic duct
d. pancreatic duct - Correct answer-c. hepatic duct
When food (esp. fatty food) enters the duodenum, hormone stimulate the
gallbladder to secrete bile into the ___ and reenter the duodenum. - Correct
answer-cystic duct
___ is the product of the breakdown of old RBC's. - Correct answer-Bilirubin
The nurse is providing teaching to a client with a history of cholelithiasis. The
client demonstrates understanding when which risk factors of choleithiasis are
identified. Select all that apply:
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,a. female gender
b. fasting
c. less than 50 years of age
d. obesity
e. high protein diet - Correct answer-a. female gender
b. fasting
d. obesity
early symptoms of choleithiasis are: - Correct answer-*mild gastric distress after a
meal
____ is severe steady pain in RUQ or epigastric region, may radiate to back or
right shoulder - Correct answer-Biliary colic
The nurse is reviewing the physician's orders written for a client admitted with
biliary colic associated with cholelithiasis. the nurse would question which of the
orders if noted on the client's chart?
a. NPO status
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,b. anticholinergic medication for nausea
c. prepare for NG tube insertion
d. Morphine sulfate prn for pain - Correct answer-d. Morphine sulfate prn for pain
The nurse is reviewing dietary teaching with a client diagnosed with cholecystitis.
Which of the following items would the nurse identify as most likely to trigger
cholecystitis?
a. a bowl of mixed fruit
b. baked potato
c. chocolate brownie with nuts
d. grilled turkey breast - Correct answer-c. chocolate brownie with nuts
The nurse is caring for a client diagnosed with cholecystitis. When developing the
plan of care for this client, the nurse understands the client will likely experience
the most pain at which time?
a. During late evening hours
b. Shortly after eating
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, c.On an empty stomach
d.Upon rising in the morning - Correct answer-b. Shortly after eating
s/s of cholecystitis: - Correct answer-*nausea/vomiting, fever, and abdominal pain
after meals
The nurse is caring for a client that has undergone a HIDA scan. Which measure
should the nurse include in the client's plan of care?
a. enforce a fluid restriction
b. assess for gag reflex
c. maintain NPO status
d. immediately flush the toilet after urinating - Correct answer-d. immediately
flush the toilet after urinating
___ is images taken over course of about 2 hours - Correct answer-HIDA scan
The nurse is admitting a client with suspected hepatitis. Which of the following lab
results would the strongly support this suspicion?
a. Elevated Alanine aminotransferase (ALT)
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Once bile is produced by the liver, which duct does it travel through first, exiting
the liver
a. common bile duct
b. cystic duct
c. hepatic duct
d. pancreatic duct - Correct answer-c. hepatic duct
When food (esp. fatty food) enters the duodenum, hormone stimulate the
gallbladder to secrete bile into the ___ and reenter the duodenum. - Correct
answer-cystic duct
___ is the product of the breakdown of old RBC's. - Correct answer-Bilirubin
The nurse is providing teaching to a client with a history of cholelithiasis. The
client demonstrates understanding when which risk factors of choleithiasis are
identified. Select all that apply:
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,a. female gender
b. fasting
c. less than 50 years of age
d. obesity
e. high protein diet - Correct answer-a. female gender
b. fasting
d. obesity
early symptoms of choleithiasis are: - Correct answer-*mild gastric distress after a
meal
____ is severe steady pain in RUQ or epigastric region, may radiate to back or
right shoulder - Correct answer-Biliary colic
The nurse is reviewing the physician's orders written for a client admitted with
biliary colic associated with cholelithiasis. the nurse would question which of the
orders if noted on the client's chart?
a. NPO status
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,b. anticholinergic medication for nausea
c. prepare for NG tube insertion
d. Morphine sulfate prn for pain - Correct answer-d. Morphine sulfate prn for pain
The nurse is reviewing dietary teaching with a client diagnosed with cholecystitis.
Which of the following items would the nurse identify as most likely to trigger
cholecystitis?
a. a bowl of mixed fruit
b. baked potato
c. chocolate brownie with nuts
d. grilled turkey breast - Correct answer-c. chocolate brownie with nuts
The nurse is caring for a client diagnosed with cholecystitis. When developing the
plan of care for this client, the nurse understands the client will likely experience
the most pain at which time?
a. During late evening hours
b. Shortly after eating
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, c.On an empty stomach
d.Upon rising in the morning - Correct answer-b. Shortly after eating
s/s of cholecystitis: - Correct answer-*nausea/vomiting, fever, and abdominal pain
after meals
The nurse is caring for a client that has undergone a HIDA scan. Which measure
should the nurse include in the client's plan of care?
a. enforce a fluid restriction
b. assess for gag reflex
c. maintain NPO status
d. immediately flush the toilet after urinating - Correct answer-d. immediately
flush the toilet after urinating
___ is images taken over course of about 2 hours - Correct answer-HIDA scan
The nurse is admitting a client with suspected hepatitis. Which of the following lab
results would the strongly support this suspicion?
a. Elevated Alanine aminotransferase (ALT)
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