QUESTIONS UPDATED 2026
⫸ A nurse is caring for a client who has acute pancreatitis. Which of
the following serum laboratory values should return to the expected
reference range within 72 hr of treatment beginning?
A.
Aldolase
B.
Lipase
C.
Amylase
D.
Lactic dehydrogenase. Answer: Correct Answer: C.
Amylase
Pancreatitis is the most common diagnosis for marked elevations in
serum amylase. Serum amylase begins to increase about 3 to 6 hours
following the onset of acute pancreatitis. The amylase level peaks in
20 to 30 hours and returns to the expected reference range within 2 to
3 days.
Incorrect Answers:A. Elevated aldolase levels are caused by
inflammation of the muscles, also known as myositis. Aldolase levels
are not affected by pancreatic disorders.
,B. Lipase levels in clients who have pancreatitis increase after a rise
in serum amylase and stay elevated for up to 14 days longer than
amylase levels.
D. Lactic dehydrogenase (LDH) increases are typically seen in clients
who have anemia, leukemia, or liver damage.
⫸ A nurse is assessing a client who has a bleeding duodenal ulcer.
Which of the following findings should the nurse expect?
A.
Emesis with a coffee-ground appearance
B.
Increased blood pressure
C.
Decreased heart rate
D.
Bright green stools. Answer: Correct Answer: A.
Emesis with a coffee-ground appearance
The nurse should expect a client who has a bleeding duodenal ulcer to
have emesis that resembles coffee-grounds or is bright red in color.
Hematemesis indicates upper gastrointestinal bleeding, occurring at or
above the duodenojejunal junction.
Incorrect Answers:B. A client who has a bleeding duodenal ulcer will
have a decreased blood pressure due to bleeding and fluid loss.
C. A client who has a bleeding duodenal ulcer will have a decreased
heart rate due to bleeding and fluid loss.
,D. A client who has a bleeding duodenal ulcer will have melena
stools, which are tarry or dark in color and sticky.
⫸ A nurse is providing teaching to the guardian of a child who has
celiac disease. Which of the following foods should the nurse instruct
the guardian to omit from the child's diet?
A.
Cornflakes
B.
Reduced-fat milk
C.
Canned fruits
D.
Wheat bread. Answer: Correct Answer: D.
Wheat bread
Clients who have celiac disease should eliminate as much gluten as
possible from their diets. Wheat, rye, and barley contain gluten and
should be eliminated from the diet of a child who has celiac disease.
Incorrect Answers:A. Cornflakes do not contain gluten and do not
have to be omitted from the diet of a child who has celiac disease.
B. Milk is gluten-free and does not have to be eliminated from the
diet of a child who has celiac disease.
C. Canned fruits without additives are gluten-free and do not have to
be eliminated from the diet of a child who has celiac disease.
, ⫸ A nurse is planning an in-service training session regarding
nutrition. Which of the following minerals should the nurse identify
as involved in oxygen transportation?
A.
Zinc
B.
Iron
C.
Phosphorus
D.
Magnesium. Answer: Correct Answer: B.
Iron
Iron transports oxygen by means of hemoglobin and myoglobin. It is
also a component of enzyme systems.
Incorrect Answers:A. Zinc plays a role in tissue growth and wound
healing and supports immune function, but it does not affect oxygen
transport.
C. Phosphorus plays a role in bone and teeth formation and energy
metabolism, but it does not affect oxygen transport.
D. Magnesium affects enzyme and neurochemical activities and the
excitability of cardiac and skeletal muscles, but it does not affect
oxygen transport.
⫸ A nurse is presenting an in-service training session about nutrition.
How many of the amino acids must be obtained from dietary intake?