MDC FINAL EXAM PRACTICE
QUESTIONS AND ANSWERS16
A client with a history of esophageal varices has just been admitted to the emergency
department after vomiting a large quantity of blood. Which action does the nurse take first? -
ANSWERS-Obtain pulse and blood pressure.
The nurse administers lactulose (Evalose) to a client with cirrhosis for which purpose? -
ANSWERS-To promote gastrointestinal (GI) excretion of ammonia
A client with a history of esophageal varices has just been admitted to the emergency
department after vomiting a large quantity of blood. Which action does the nurse take first? -
ANSWERS-Obtain the charts from the previous admission.
The nurse administers lactulose (Evalose) to a client with cirrhosis for which purpose? -
ANSWERS-To promote gastrointestinal (GI) excretion of ammonia
It is essential that the nurse monitor the client returning from hepatic artery embolization for
hepatic cancer for which potential complication? - ANSWERS-Bleeding
When caring for a client with Laennec's cirrhosis, which of these does the nurse expect to find
on assessment? Select all that apply., - ANSWERS-Prolonged partial thromboplastin time Icterus
of skin Swollen abdomen
The RN has just received the change-of-shift report for the medical unit. Which client should the
RN see first? - ANSWERS-Client with portal-systemic encephalopathy (PSE) who has become
increasingly difficult to arouse
,How does the home care nurse best modify the client's home environment to manage side
effects of lactulose (Evalose)? - ANSWERS-Requests a bedside commode for the client
Which activity by the nurse will best relieve symptoms associated with ascites? - ANSWERS-
Elevating the head of the bed
When providing dietary teaching to a client with hepatitis, what practice does the nurse
recommend? - ANSWERS-Consuming increased carbohydrates and moderate protein
Which problem for a client with cirrhosis takes priority? - ANSWERS-Potential for injury related
to hemorrhage
Which statement by a client with cirrhosis indicates that further instruction is needed about the
disease? - ANSWERS-"My liver is scarred, but the cells can regenerate themselves and repair the
damage."
A client is scheduled to undergo a liver transplantation. Which nursing intervention is most likely
to prevent the complications of bile leakage and abscess formation? - ANSWERS-Keeping the T-
tube in a dependent position
A client who was awaiting liver transplantation is excluded from the procedure after the
presence of which condition is discovered? - ANSWERS-Colon cancer with metastasis to the liver
When caring for a client with hepatic encephalopathy, in which situation does the nurse
question the use of neomycin (Mycifradin)? - ANSWERS-Kidney failure
When providing community education, the nurse emphasizes that which group needs to receive
immunization for hepatitis B? - ANSWERS-Men who engage in sex with men
, When preparing a client to undergo paracentesis, which action is necessary to reduce potential
injury as a result of the procedure? - ANSWERS-Ask the client to void prior to the procedure
A health care worker believes that he may have been exposed to hepatitis A. Which intervention
is the highest priority to prevent him from developing the disease? - ANSWERS-Requesting an
injection of immunoglobulin
What teaching does the home health nurse give the family of a client with hepatitis C to prevent
the spread of the infection? - ANSWERS-Members of the household must not share
toothbrushes.
When assessing a client for hepatic cancer, the nurse anticipates finding an elevation in which
laboratory test result? - ANSWERS-Alpha-fetoprotein
When providing discharge teaching to a client with cirrhosis, it is essential for the nurse to
emphasize avoidance of which of these? - ANSWERS-Nonsteroidal anti-inflammatory drugs
(NSAIDs)
The nurse is caring for clients in the outclient clinic. Which of these phone calls would the nurse
return first? - ANSWERS-Client with severe ascites who has a temperature of 101.4°F (38°C)
The nurse is caring for a client who has cirrhosis of the liver. The client has exhibited hand
flapping and mental confusion for several weeks. Although the mental confusion is worsening,
the client has stopped exhibiting hand flapping movements. How will the nurse interpret these
findings? - ANSWERS-The client's symptoms are progressing and getting worse.
The client's symptoms are progressing and getting worse. When caring for a client with portal
hypertension, the nurse assesses for which potential complications? Select all that apply. -
ANSWERS-Hemorrhoids Esophageal varices
QUESTIONS AND ANSWERS16
A client with a history of esophageal varices has just been admitted to the emergency
department after vomiting a large quantity of blood. Which action does the nurse take first? -
ANSWERS-Obtain pulse and blood pressure.
The nurse administers lactulose (Evalose) to a client with cirrhosis for which purpose? -
ANSWERS-To promote gastrointestinal (GI) excretion of ammonia
A client with a history of esophageal varices has just been admitted to the emergency
department after vomiting a large quantity of blood. Which action does the nurse take first? -
ANSWERS-Obtain the charts from the previous admission.
The nurse administers lactulose (Evalose) to a client with cirrhosis for which purpose? -
ANSWERS-To promote gastrointestinal (GI) excretion of ammonia
It is essential that the nurse monitor the client returning from hepatic artery embolization for
hepatic cancer for which potential complication? - ANSWERS-Bleeding
When caring for a client with Laennec's cirrhosis, which of these does the nurse expect to find
on assessment? Select all that apply., - ANSWERS-Prolonged partial thromboplastin time Icterus
of skin Swollen abdomen
The RN has just received the change-of-shift report for the medical unit. Which client should the
RN see first? - ANSWERS-Client with portal-systemic encephalopathy (PSE) who has become
increasingly difficult to arouse
,How does the home care nurse best modify the client's home environment to manage side
effects of lactulose (Evalose)? - ANSWERS-Requests a bedside commode for the client
Which activity by the nurse will best relieve symptoms associated with ascites? - ANSWERS-
Elevating the head of the bed
When providing dietary teaching to a client with hepatitis, what practice does the nurse
recommend? - ANSWERS-Consuming increased carbohydrates and moderate protein
Which problem for a client with cirrhosis takes priority? - ANSWERS-Potential for injury related
to hemorrhage
Which statement by a client with cirrhosis indicates that further instruction is needed about the
disease? - ANSWERS-"My liver is scarred, but the cells can regenerate themselves and repair the
damage."
A client is scheduled to undergo a liver transplantation. Which nursing intervention is most likely
to prevent the complications of bile leakage and abscess formation? - ANSWERS-Keeping the T-
tube in a dependent position
A client who was awaiting liver transplantation is excluded from the procedure after the
presence of which condition is discovered? - ANSWERS-Colon cancer with metastasis to the liver
When caring for a client with hepatic encephalopathy, in which situation does the nurse
question the use of neomycin (Mycifradin)? - ANSWERS-Kidney failure
When providing community education, the nurse emphasizes that which group needs to receive
immunization for hepatitis B? - ANSWERS-Men who engage in sex with men
, When preparing a client to undergo paracentesis, which action is necessary to reduce potential
injury as a result of the procedure? - ANSWERS-Ask the client to void prior to the procedure
A health care worker believes that he may have been exposed to hepatitis A. Which intervention
is the highest priority to prevent him from developing the disease? - ANSWERS-Requesting an
injection of immunoglobulin
What teaching does the home health nurse give the family of a client with hepatitis C to prevent
the spread of the infection? - ANSWERS-Members of the household must not share
toothbrushes.
When assessing a client for hepatic cancer, the nurse anticipates finding an elevation in which
laboratory test result? - ANSWERS-Alpha-fetoprotein
When providing discharge teaching to a client with cirrhosis, it is essential for the nurse to
emphasize avoidance of which of these? - ANSWERS-Nonsteroidal anti-inflammatory drugs
(NSAIDs)
The nurse is caring for clients in the outclient clinic. Which of these phone calls would the nurse
return first? - ANSWERS-Client with severe ascites who has a temperature of 101.4°F (38°C)
The nurse is caring for a client who has cirrhosis of the liver. The client has exhibited hand
flapping and mental confusion for several weeks. Although the mental confusion is worsening,
the client has stopped exhibiting hand flapping movements. How will the nurse interpret these
findings? - ANSWERS-The client's symptoms are progressing and getting worse.
The client's symptoms are progressing and getting worse. When caring for a client with portal
hypertension, the nurse assesses for which potential complications? Select all that apply. -
ANSWERS-Hemorrhoids Esophageal varices
