9
Course Name: Nursing Practice - Adult Health II
Exam Name: Exam 4 a
, lamitodine can cause pancreatitis
Exam Questions
1. (26687)
The nurse working at a public health department has been informed of a cook at a local restaurant who
has been diagnosed with hepatitis A virus (HAV). Which of the following instructions should the nurse
give to household members and sexual contacts of the client?
a. “We will administer immunoglobulin injections to all household members and sexual partners.”
b. “Your ill family member needs a class on how to safely prepare and dispense food for the
public.”
c. “You will need to isolate your household members from others for at least 10-14 days.”
d. “An antiviral medication will be prescribed and should be taken until isolation is completed.”
2. (26683)
The nurse is caring for a client who has acute cholecystitis and has received their dinner tray. Which of
the following food selections by the client requires the nurse to follow up?
a. Baked lemon-butter tilapia, brown rice, and green beans.
b. Bacon cheeseburger casserole and chocolate milk. too much fat
c. Baked potato, broiled chicken, and tea.
d. Garden salad, grilled chicken, and a dinner roll.
3. (26686)
The nurse is assessing a client who has a diagnosis of liver disease and has marked hypoalbuminemia
with a serum albumin level of 2.4 mg/dL. Which of the following assessment findings should the nurse
expect to see in this client?
a. Increased thirst and dry skin.
b. Jaundice and fluid retention.
c. Weight loss.
d. Bleeding from previous puncture sites.
4. (28218)
ere
The nurse is teaching a group of nursing students about the risk of contracting the hepatitis virus B
ot
and
(HVB). Which of the following preventive measures should the nurse include in the teaching?
a. Disinfect any needles and lancets with full-strength alcohol before first use.
b. Implement droplet precautions immediately after exposure.
c. Infected linens should be bagged and marked for special handling.
d. All personnel must wear gloves when handling blood or body fluids.
,5. (26685)
The nurse is caring for a client who is scheduled to have an endoscopic retrograde
cholangiopancreatography (ERCP) in the morning. Which of the following client statements indicates
the need for additional teaching?
a. “I will avoid eating or drinking liquids for 1 or 2 days following this procedure.”
b. “I will not be able to eat or drink anything after midnight tonight.”~
c. “I may experience difficulty swallowing due to the anesthetic spray in my throat.” -
d. “I will need to make arrangements to have someone drive me due to the sedation.”~
6. (28215)
The nurse is admitting a client who is suspected of having acute cholecystitis. The nurse should
assess the client for
a. hyperactive bowel sounds in all 4 abdominal quadrants.
b. intermittent diarrhea stools and hematuria.
c. decreased serum sodium and potassium levels.
d. episodic upper abdominal pain with dark or brown-colored urine.
7. (28217)
The nurse is teaching a client who has a diagnosis of hepatitis virus B (HVB) about self-management.
Which of the following instructions should the nurse include in the teaching?
a. Take frequent rest periods throughout the day.
b. Acetaminophen can be taken every 4 hours as needed (PRN) for pain.
c. Take St. John’s wort to promote detoxification of the liver.
d. Blood and plasma donation can resume after completing 6 months of treatment.
8. (28220)
The nurse is teaching a client who is diagnosed with hepatitis virus C (HVC) about managing the
disease at home. Which of the following should the nurse include in the teaching?
a. Take daily vitamin supplements.
b. Avoid any sun exposure throughout the day.
c. Take antiviral medications as prescribed.
d. Eat foods that are high in protein.
, 9. (24561)
The nurse is presenting health education on hepatitis virus E (HVE). Which of the following measures
should the nurse recommend for preventing infection with this virus?
a. Wearing a condom during sexual contact.
b. Using hand hygiene to avoid fecal-oral transmission.
c. Avoiding the use of any illegal injection drugs.
d. Avoiding chemicals that are toxic to the liver.
10. (21319)The nurse is caring for a client who presents with liver dysfunction, a low serum fibrinogen
&
level, and prolonged prothrombin time (PT). Which of the following actions should the nurse take?
a. Provide the client with a soft toothbrush.
b. Weigh the client daily and monitor for trends.
c. Monitor serum potassium levels.
d. Monitor for symptoms of fluid retention.
11. (30266)
The nurse is caring for a client who is diagnosed with cholelithiasis and is now suspected of developing
biliary colic. Twelve hours after admission, the client becomes very restless, pale, diaphoretic, and is
reporting severe exhaustion. Which of the following actions should the nurse take next?
a. Instruct the client to ambulate in the hallway every 2 hours until the gallstone is dislodged.
b. Stay with the client and notify the primary health care provider (PHCP) of worsening symptoms.
c. Ask the client if they have ever been on low-dose estrogen therapy prior to admission.
d. Encourage the client to maintain bedrest with the head of the bed (HOB) elevated 60 degrees.
12. (28219)
The nurse manager is teaching a group of newly hired nurses about preventative measures for
contracting hepatitis virus B (HVB). Which of the following measures should the nurse manager
promote?
a. Consumption of a vitamin-rich diet.
b. Vitamin B₁₂ and vitamin K injections.
c. Implement strict contact precautions
d. Vaccine and hepatitis B immune globulin.
Course Name: Nursing Practice - Adult Health II
Exam Name: Exam 4 a
, lamitodine can cause pancreatitis
Exam Questions
1. (26687)
The nurse working at a public health department has been informed of a cook at a local restaurant who
has been diagnosed with hepatitis A virus (HAV). Which of the following instructions should the nurse
give to household members and sexual contacts of the client?
a. “We will administer immunoglobulin injections to all household members and sexual partners.”
b. “Your ill family member needs a class on how to safely prepare and dispense food for the
public.”
c. “You will need to isolate your household members from others for at least 10-14 days.”
d. “An antiviral medication will be prescribed and should be taken until isolation is completed.”
2. (26683)
The nurse is caring for a client who has acute cholecystitis and has received their dinner tray. Which of
the following food selections by the client requires the nurse to follow up?
a. Baked lemon-butter tilapia, brown rice, and green beans.
b. Bacon cheeseburger casserole and chocolate milk. too much fat
c. Baked potato, broiled chicken, and tea.
d. Garden salad, grilled chicken, and a dinner roll.
3. (26686)
The nurse is assessing a client who has a diagnosis of liver disease and has marked hypoalbuminemia
with a serum albumin level of 2.4 mg/dL. Which of the following assessment findings should the nurse
expect to see in this client?
a. Increased thirst and dry skin.
b. Jaundice and fluid retention.
c. Weight loss.
d. Bleeding from previous puncture sites.
4. (28218)
ere
The nurse is teaching a group of nursing students about the risk of contracting the hepatitis virus B
ot
and
(HVB). Which of the following preventive measures should the nurse include in the teaching?
a. Disinfect any needles and lancets with full-strength alcohol before first use.
b. Implement droplet precautions immediately after exposure.
c. Infected linens should be bagged and marked for special handling.
d. All personnel must wear gloves when handling blood or body fluids.
,5. (26685)
The nurse is caring for a client who is scheduled to have an endoscopic retrograde
cholangiopancreatography (ERCP) in the morning. Which of the following client statements indicates
the need for additional teaching?
a. “I will avoid eating or drinking liquids for 1 or 2 days following this procedure.”
b. “I will not be able to eat or drink anything after midnight tonight.”~
c. “I may experience difficulty swallowing due to the anesthetic spray in my throat.” -
d. “I will need to make arrangements to have someone drive me due to the sedation.”~
6. (28215)
The nurse is admitting a client who is suspected of having acute cholecystitis. The nurse should
assess the client for
a. hyperactive bowel sounds in all 4 abdominal quadrants.
b. intermittent diarrhea stools and hematuria.
c. decreased serum sodium and potassium levels.
d. episodic upper abdominal pain with dark or brown-colored urine.
7. (28217)
The nurse is teaching a client who has a diagnosis of hepatitis virus B (HVB) about self-management.
Which of the following instructions should the nurse include in the teaching?
a. Take frequent rest periods throughout the day.
b. Acetaminophen can be taken every 4 hours as needed (PRN) for pain.
c. Take St. John’s wort to promote detoxification of the liver.
d. Blood and plasma donation can resume after completing 6 months of treatment.
8. (28220)
The nurse is teaching a client who is diagnosed with hepatitis virus C (HVC) about managing the
disease at home. Which of the following should the nurse include in the teaching?
a. Take daily vitamin supplements.
b. Avoid any sun exposure throughout the day.
c. Take antiviral medications as prescribed.
d. Eat foods that are high in protein.
, 9. (24561)
The nurse is presenting health education on hepatitis virus E (HVE). Which of the following measures
should the nurse recommend for preventing infection with this virus?
a. Wearing a condom during sexual contact.
b. Using hand hygiene to avoid fecal-oral transmission.
c. Avoiding the use of any illegal injection drugs.
d. Avoiding chemicals that are toxic to the liver.
10. (21319)The nurse is caring for a client who presents with liver dysfunction, a low serum fibrinogen
&
level, and prolonged prothrombin time (PT). Which of the following actions should the nurse take?
a. Provide the client with a soft toothbrush.
b. Weigh the client daily and monitor for trends.
c. Monitor serum potassium levels.
d. Monitor for symptoms of fluid retention.
11. (30266)
The nurse is caring for a client who is diagnosed with cholelithiasis and is now suspected of developing
biliary colic. Twelve hours after admission, the client becomes very restless, pale, diaphoretic, and is
reporting severe exhaustion. Which of the following actions should the nurse take next?
a. Instruct the client to ambulate in the hallway every 2 hours until the gallstone is dislodged.
b. Stay with the client and notify the primary health care provider (PHCP) of worsening symptoms.
c. Ask the client if they have ever been on low-dose estrogen therapy prior to admission.
d. Encourage the client to maintain bedrest with the head of the bed (HOB) elevated 60 degrees.
12. (28219)
The nurse manager is teaching a group of newly hired nurses about preventative measures for
contracting hepatitis virus B (HVB). Which of the following measures should the nurse manager
promote?
a. Consumption of a vitamin-rich diet.
b. Vitamin B₁₂ and vitamin K injections.
c. Implement strict contact precautions
d. Vaccine and hepatitis B immune globulin.
