GNRS 558:EXAM 3 PHARMACOLOGY FOR ADV ANCED NURSING
PRACTICE WITH RATIONALES 310 QUESTIONS AND GUARANTEED
ANSWERS ALREADY GRAD ED A+ 2026-2027.
A young adult contracts hepatitis from contaminated food. Which result would
the nurse expect serologic testing to reveal during the acute (icteric) phase of
the patient's illness?
a. Antibody to hepatitis D (anti-HDV)
b. Hepatitis B surface antigen (HBsAg)
c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)
d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - ANSWER-ANS: D
Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV
IgM appears during the acute phase of hepatitis A. The patient would not have
antigen for hepatitis B or antibody for hepatitis D. Anti-HAV IgG would
indicate past infection and lifelong immunity
,The nurse evaluates that administration of hepatitis B vaccine to a healthy
patient was effective when the patient's later blood specimen reveals the
presence of
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
d. anti-HBc IgM. - ANSWER-ANS: B The presence of surface antibody to
hepatitis B (anti-HBs) is a marker of a positive response to the vaccine or
previous illness with hepatitis B. The other laboratory values indicate current
infection with hepatitis B.
A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV)
infection. Which action would the nurse take?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
,c. Teach the patient about direct-acting antiviral treatment.
d. Explain that the infection will resolve over a few months. - ANSWER-ANS: A
Genotyping of HCV has an important role in managing treatment and is done
before drug therapy is initiated. Because most patients with acute HCV
infection convert to the chronic state, the nurse should not teach the patient
that the HCV will resolve in a few months. Immune globulin or vaccine is not
available for HCV. Direct-acting antiviral drugs are used for chronic HCV
infection.
Which topic would the nurse plan to teach the patient diagnosed with acute
hepatitis B?
a. Administering a-interferon
b. Measures for improving appetite
c. Side effects of nucleotide analogs
, d. Ways to increase activity and exercise - ANSWER-ANS: B Maintaining
adequate nutritional intake is important for regeneration of hepatocytes.
Interferon and antivirals may be used for chronic hepatitis B, but they are not
prescribed for acute hepatitis B infection. Rest is recommended
Which information from a 70-yr-old patient during a health history indicates
to the nurse that the patient should be screened for hepatitis C? a. The patient
had a blood transfusion in 2005.
b. The patient used IV drugs about 30 years ago.
c. The patient frequently eats in fast-food restaurants.
d. The patient traveled to a country with poor sanitation. - ANSWER-ANS: B Any
patient with a history of IV drug use should be tested for hepatitis C. Blood
transfusions given after 1992 (when an antibody test for hepatitis C became
available) do not pose a risk for hepatitis C. Hepatitis C is not spread by the
PRACTICE WITH RATIONALES 310 QUESTIONS AND GUARANTEED
ANSWERS ALREADY GRAD ED A+ 2026-2027.
A young adult contracts hepatitis from contaminated food. Which result would
the nurse expect serologic testing to reveal during the acute (icteric) phase of
the patient's illness?
a. Antibody to hepatitis D (anti-HDV)
b. Hepatitis B surface antigen (HBsAg)
c. Anti-hepatitis A virus immunoglobulin G (anti-HAV IgG)
d. Anti-hepatitis A virus immunoglobulin M (anti-HAV IgM) - ANSWER-ANS: D
Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV
IgM appears during the acute phase of hepatitis A. The patient would not have
antigen for hepatitis B or antibody for hepatitis D. Anti-HAV IgG would
indicate past infection and lifelong immunity
,The nurse evaluates that administration of hepatitis B vaccine to a healthy
patient was effective when the patient's later blood specimen reveals the
presence of
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
d. anti-HBc IgM. - ANSWER-ANS: B The presence of surface antibody to
hepatitis B (anti-HBs) is a marker of a positive response to the vaccine or
previous illness with hepatitis B. The other laboratory values indicate current
infection with hepatitis B.
A patient in the outpatient clinic is diagnosed with acute hepatitis C (HCV)
infection. Which action would the nurse take?
a. Schedule the patient for HCV genotype testing.
b. Administer the HCV vaccine and immune globulin.
,c. Teach the patient about direct-acting antiviral treatment.
d. Explain that the infection will resolve over a few months. - ANSWER-ANS: A
Genotyping of HCV has an important role in managing treatment and is done
before drug therapy is initiated. Because most patients with acute HCV
infection convert to the chronic state, the nurse should not teach the patient
that the HCV will resolve in a few months. Immune globulin or vaccine is not
available for HCV. Direct-acting antiviral drugs are used for chronic HCV
infection.
Which topic would the nurse plan to teach the patient diagnosed with acute
hepatitis B?
a. Administering a-interferon
b. Measures for improving appetite
c. Side effects of nucleotide analogs
, d. Ways to increase activity and exercise - ANSWER-ANS: B Maintaining
adequate nutritional intake is important for regeneration of hepatocytes.
Interferon and antivirals may be used for chronic hepatitis B, but they are not
prescribed for acute hepatitis B infection. Rest is recommended
Which information from a 70-yr-old patient during a health history indicates
to the nurse that the patient should be screened for hepatitis C? a. The patient
had a blood transfusion in 2005.
b. The patient used IV drugs about 30 years ago.
c. The patient frequently eats in fast-food restaurants.
d. The patient traveled to a country with poor sanitation. - ANSWER-ANS: B Any
patient with a history of IV drug use should be tested for hepatitis C. Blood
transfusions given after 1992 (when an antibody test for hepatitis C became
available) do not pose a risk for hepatitis C. Hepatitis C is not spread by the
