NSG 233 MED SURG 1 EXAM 2026 FINAL
PAPER QUESTIONS WITH FULL ANSWERS AND
SOLUTIONS GRADED A+
◉ Alkaline phosphatase. Answer: Enzyme indicating bile duct
obstruction.
◉ Serum proteins. Answer: Proteins indicating liver synthetic
function.
◉ Balloon tamponade. Answer: Temporary control of massive
bleeding.
◉ Esophageal varices. Answer: Enlarged veins in the esophagus
prone to bleeding.
◉ Endoscopic Sclerotherapy. Answer: Injection therapy to treat
bleeding varices.
◉ Sclerosing agent. Answer: Substance promoting thrombosis and
scarring.
,◉ Endoscopic Variceal Ligation. Answer: Banding therapy for
bleeding varices.
◉ Transjugular Intrahepatic Portosystemic Shunt (TIPS). Answer:
Procedure to lower portal pressure and control bleeding.
◉ Antihypertensives. Answer: Medications to lower portal
hypertension.
◉ Propranolol. Answer: Beta-blocker used for portal hypertension
treatment.
◉ Octreotide. Answer: Vasoconstrictor reducing portal hypertension
effects.
◉ Lactulose. Answer: Laxative used to reduce ammonia levels.
◉ Rifaximin. Answer: Antibacterial agent reducing ammonia-
producing gut flora.
◉ Nursing management. Answer: Monitoring and assessing patient
vitals and conditions.
, ◉ Assess airway. Answer: Evaluate patient's breathing passage for
obstruction.
◉ Assess circulation. Answer: Monitor blood flow and heart
function.
◉ Assess for perforation. Answer: Check for tears in the esophagus.
◉ Aspiration pneumonia. Answer: Lung infection from inhaled
substances.
◉ Cimetidine. Answer: Histamine 2 blocker for gastric acid
reduction.
◉ Pantoprazole. Answer: Proton pump inhibitor reducing stomach
acid.
◉ Etiology of hepatic dysfunction. Answer: Causes of liver
dysfunction include alcohol and malnutrition.
◉ Fatty infiltration. Answer: Liver cells replacing glycogen with
lipids.
◉ Cirrhosis. Answer: Chronic liver disease resulting in fibrosis.
PAPER QUESTIONS WITH FULL ANSWERS AND
SOLUTIONS GRADED A+
◉ Alkaline phosphatase. Answer: Enzyme indicating bile duct
obstruction.
◉ Serum proteins. Answer: Proteins indicating liver synthetic
function.
◉ Balloon tamponade. Answer: Temporary control of massive
bleeding.
◉ Esophageal varices. Answer: Enlarged veins in the esophagus
prone to bleeding.
◉ Endoscopic Sclerotherapy. Answer: Injection therapy to treat
bleeding varices.
◉ Sclerosing agent. Answer: Substance promoting thrombosis and
scarring.
,◉ Endoscopic Variceal Ligation. Answer: Banding therapy for
bleeding varices.
◉ Transjugular Intrahepatic Portosystemic Shunt (TIPS). Answer:
Procedure to lower portal pressure and control bleeding.
◉ Antihypertensives. Answer: Medications to lower portal
hypertension.
◉ Propranolol. Answer: Beta-blocker used for portal hypertension
treatment.
◉ Octreotide. Answer: Vasoconstrictor reducing portal hypertension
effects.
◉ Lactulose. Answer: Laxative used to reduce ammonia levels.
◉ Rifaximin. Answer: Antibacterial agent reducing ammonia-
producing gut flora.
◉ Nursing management. Answer: Monitoring and assessing patient
vitals and conditions.
, ◉ Assess airway. Answer: Evaluate patient's breathing passage for
obstruction.
◉ Assess circulation. Answer: Monitor blood flow and heart
function.
◉ Assess for perforation. Answer: Check for tears in the esophagus.
◉ Aspiration pneumonia. Answer: Lung infection from inhaled
substances.
◉ Cimetidine. Answer: Histamine 2 blocker for gastric acid
reduction.
◉ Pantoprazole. Answer: Proton pump inhibitor reducing stomach
acid.
◉ Etiology of hepatic dysfunction. Answer: Causes of liver
dysfunction include alcohol and malnutrition.
◉ Fatty infiltration. Answer: Liver cells replacing glycogen with
lipids.
◉ Cirrhosis. Answer: Chronic liver disease resulting in fibrosis.
