NUR 265 / NUR265 EXAM 1 ADVANCED
CONCEPTS IN MEDICAL-SURGICAL
NURSING EXAM 1 | QUESTIONS AND
ANSWERS RATED A+ | 2026/2027
Question 1
pts
Skip to question text.
The nurse has provided discharge teaching to a client with chronic pancreatitis
who has been prescribed pancreatic enzyme replacement therapy (PERT). Which
of the following statements by the client would indicate a correct understanding
of the teaching?
A. “I will take this medication with a high-protein snack.”
B. “I will take this medication with a full glass of water.”
C. “I should take this medication one hour before I take my prescribed
antacids.”
D. “I should take this medication first thing in the morning before I eat
breakfast.”
Rationale: take pancreatic enzyme replacement therapy with a full glass of water
and meal/snack. Do not mix with protein containing foods.
,Question 2
The nurse is developing a plan of care for a client who has cirrhosis of the liver
and is prescribed lactulose. Which of the following should the nurse include in the
plan to help prevent the client from developing hepatic encephalopathy?
A. Encourage the client to select foods that are high-protein.
B. Monitor the client’s liver enzymes.
C. Ensure that the client maintains an adequate
hydration status.
D. Assess the client’s bowel sounds every four
hours.
Rationale: hypovolemia leads to hepatic encephalopathy. Other factors that may
lead to hepatic encephalopathy include high protein diet, infections, medications,
and hypokalemia.
Question 3
The nurse is caring for a client who has cirrhosis and has the following laboratory
values: potassium level = 6.1 mEq/L; sodium level = 131 mEq/L; and hemoglobin
level = 10 gm/dL. Which of the following prescribed medications should the nurse
withhold and consult the primary health care provider (PHCP) prior to
administration?
A. Spironolactone.
B. Thiamine.
C. Lactulose.
, D. Epoetin alfa.
Rationale: Potassium level is high, spironolactone is a K sparing diuretic. Hold the
med and notify provider of K level.
Question 4
pts
The nurse is developing a plan of care for a client who has cirrhosis and is
scheduled to have a paracentesis performed. Which of the following should the
nurse include in the plan of care?
A. Insert an IV line to administer sedatives.
B. Measure the client’s abdominal girth before, during, and after the
procedure.
C. Weigh the client before and after the procedure.
D. Encourage the client to drink fluids after the procedure.
Rationale: Per IGGY. Best practice prior to paracentesis is to weight the patient
before and after the procedure.
CONCEPTS IN MEDICAL-SURGICAL
NURSING EXAM 1 | QUESTIONS AND
ANSWERS RATED A+ | 2026/2027
Question 1
pts
Skip to question text.
The nurse has provided discharge teaching to a client with chronic pancreatitis
who has been prescribed pancreatic enzyme replacement therapy (PERT). Which
of the following statements by the client would indicate a correct understanding
of the teaching?
A. “I will take this medication with a high-protein snack.”
B. “I will take this medication with a full glass of water.”
C. “I should take this medication one hour before I take my prescribed
antacids.”
D. “I should take this medication first thing in the morning before I eat
breakfast.”
Rationale: take pancreatic enzyme replacement therapy with a full glass of water
and meal/snack. Do not mix with protein containing foods.
,Question 2
The nurse is developing a plan of care for a client who has cirrhosis of the liver
and is prescribed lactulose. Which of the following should the nurse include in the
plan to help prevent the client from developing hepatic encephalopathy?
A. Encourage the client to select foods that are high-protein.
B. Monitor the client’s liver enzymes.
C. Ensure that the client maintains an adequate
hydration status.
D. Assess the client’s bowel sounds every four
hours.
Rationale: hypovolemia leads to hepatic encephalopathy. Other factors that may
lead to hepatic encephalopathy include high protein diet, infections, medications,
and hypokalemia.
Question 3
The nurse is caring for a client who has cirrhosis and has the following laboratory
values: potassium level = 6.1 mEq/L; sodium level = 131 mEq/L; and hemoglobin
level = 10 gm/dL. Which of the following prescribed medications should the nurse
withhold and consult the primary health care provider (PHCP) prior to
administration?
A. Spironolactone.
B. Thiamine.
C. Lactulose.
, D. Epoetin alfa.
Rationale: Potassium level is high, spironolactone is a K sparing diuretic. Hold the
med and notify provider of K level.
Question 4
pts
The nurse is developing a plan of care for a client who has cirrhosis and is
scheduled to have a paracentesis performed. Which of the following should the
nurse include in the plan of care?
A. Insert an IV line to administer sedatives.
B. Measure the client’s abdominal girth before, during, and after the
procedure.
C. Weigh the client before and after the procedure.
D. Encourage the client to drink fluids after the procedure.
Rationale: Per IGGY. Best practice prior to paracentesis is to weight the patient
before and after the procedure.
