NUR 414 Review Questions and Answers
Graded A+
A nurse reviews a medical record of a client with ascites. What does the nurse
identify that may be causing the ascites?
1.) Portal hypotension
2.) Kidney malfunction
3.) Diminished plasma protein level
4.) Decreased production of potassium - Correct answer-3
A client with ascites has a paracentesis, and 1500 mL of fluid is removed. The
nurse recognizes that it is important to monitor the client for what signs of
complications that may occur immediately after the procedure? Select all that
apply.
1.) Temperature of 100.1
2.) Blood pressure of 90/40
3.) Heart rate of 110
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,4.) Hypoactive bowel sounds
5.) Pulmonary congestion - Correct answer-2,3
A client diagnosed with viral hepatitis develops liver failure and hepatic
encephalopathy. Which of these measures should the nurse healthcare provider
include in this client's plan of care?
1.) weigh once a week
2.) provide high-protein feedings
3.) institute droplet precautions
4.) monitor the blood glucose - Correct answer-4
A school health nurse is teaching a health class of 12-year-olds about hepatitis C.
Which statement by a student indicates an understanding of the origin of the
disease?
1.) "people working at restaurants can give it to you if they don't wash their hands."
2.) "you're more likely to get it in crowded living conditions."
3.) "you can catch it while you're getting a tattoo."
4.) "the disease is passed from person to person by causal contact." - Correct
answer-3
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,The nurse is caring for a client who is scheduled to have a percutaneous liver
biopsy. Which findings warrant the postponement of the procedure? Select all that
apply.
1.) Ecchymosis and purpura
2.) Platelet count of 160,00/mm3
3.) Hepatic cirrhosis
4.) Marked ascites
5.) Hemoglobin less than 9 g/dL - Correct answer-1,4,5
A client with cirrhosis of the liver develops ascites, and the health care provider
prescribes spironolactone. What should the nurse monitor the client for?
1.) Hypoglycemia
2.) Tachycardia
3.) Ecchymosis
4.) Hyperkalemia - Correct answer-4
A client with esophageal varices is admitted with hematemesis and two units of
packed red blood cells are prescribed. The client complains of flank pain halfway
through the first unit of blood. What action should the nurse complete first?
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, 1.) Assess the pain further
2.) Obtain the vital sings
3.) Stop the transfusion
4.) Monitor the hourly urinary output - Correct answer-3
A client with a 20-year history of excessive alcohol use is admitted to the hospital
with jaundice and ascites. What is a priority nursing action during the first 48 hours
after the client's admission?
1.) Determine the client's reasons for drinking
2.) Monitor the client's vital signs
3.) Increase the client's fluid intake
4.) Improve the client's nutritional status - Correct answer-2
A child is diagnosed with hepatitis A. The client's parent expresses concern that the
other members of the family may get hepatitis because they all share the same
bathroom. The nurse's best reply is:
1.) "Your child may use the bathroom, but you need to use disposable toilet
covers."
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Graded A+
A nurse reviews a medical record of a client with ascites. What does the nurse
identify that may be causing the ascites?
1.) Portal hypotension
2.) Kidney malfunction
3.) Diminished plasma protein level
4.) Decreased production of potassium - Correct answer-3
A client with ascites has a paracentesis, and 1500 mL of fluid is removed. The
nurse recognizes that it is important to monitor the client for what signs of
complications that may occur immediately after the procedure? Select all that
apply.
1.) Temperature of 100.1
2.) Blood pressure of 90/40
3.) Heart rate of 110
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,4.) Hypoactive bowel sounds
5.) Pulmonary congestion - Correct answer-2,3
A client diagnosed with viral hepatitis develops liver failure and hepatic
encephalopathy. Which of these measures should the nurse healthcare provider
include in this client's plan of care?
1.) weigh once a week
2.) provide high-protein feedings
3.) institute droplet precautions
4.) monitor the blood glucose - Correct answer-4
A school health nurse is teaching a health class of 12-year-olds about hepatitis C.
Which statement by a student indicates an understanding of the origin of the
disease?
1.) "people working at restaurants can give it to you if they don't wash their hands."
2.) "you're more likely to get it in crowded living conditions."
3.) "you can catch it while you're getting a tattoo."
4.) "the disease is passed from person to person by causal contact." - Correct
answer-3
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,The nurse is caring for a client who is scheduled to have a percutaneous liver
biopsy. Which findings warrant the postponement of the procedure? Select all that
apply.
1.) Ecchymosis and purpura
2.) Platelet count of 160,00/mm3
3.) Hepatic cirrhosis
4.) Marked ascites
5.) Hemoglobin less than 9 g/dL - Correct answer-1,4,5
A client with cirrhosis of the liver develops ascites, and the health care provider
prescribes spironolactone. What should the nurse monitor the client for?
1.) Hypoglycemia
2.) Tachycardia
3.) Ecchymosis
4.) Hyperkalemia - Correct answer-4
A client with esophageal varices is admitted with hematemesis and two units of
packed red blood cells are prescribed. The client complains of flank pain halfway
through the first unit of blood. What action should the nurse complete first?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 1.) Assess the pain further
2.) Obtain the vital sings
3.) Stop the transfusion
4.) Monitor the hourly urinary output - Correct answer-3
A client with a 20-year history of excessive alcohol use is admitted to the hospital
with jaundice and ascites. What is a priority nursing action during the first 48 hours
after the client's admission?
1.) Determine the client's reasons for drinking
2.) Monitor the client's vital signs
3.) Increase the client's fluid intake
4.) Improve the client's nutritional status - Correct answer-2
A child is diagnosed with hepatitis A. The client's parent expresses concern that the
other members of the family may get hepatitis because they all share the same
bathroom. The nurse's best reply is:
1.) "Your child may use the bathroom, but you need to use disposable toilet
covers."
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
