1. (SATA) A patient is admitted with acute pancreatitis. Which clinical manifestations are likely to
be observed?
A. Cullen’s sign
B. Turner's sign
C. Hypoglycemia
D. Abdominal pain
E. Jaundice
2. (MCQ) What is the primary cause of hypovolemia in acute pancreatitis?
A. Increased insulin secretion
B. Third spacing due to inflammation
C. Diarrhea
D. Renal failure
3. (SATA) Which of the following are common causes of acute pancreatitis?
A. Gallstones
B. Alcohol use
C. Diabetes mellitus
D. Abdominal trauma
E. High-fiber diet
4. (MCQ) Which pancreatic enzyme digests fats?
A. Amylase
B. Lipase
C. Trypsin
D. Chymotrypsin
5. (SATA) A nurse is monitoring a patient for complications of severe pancreatitis. Which
findings indicate a complication?
A. Hypotension
B. Crackles in lungs
C. Pleural effusion
D. Blood glucose of 90 mg/dL
E. Decreased urine output
6. (MCQ) A client has chronic pancreatitis. Which nutritional approach is most appropriate?
A. Three large meals a day
B. Low-protein, high-fat diet
C. Small frequent meals
D. NPO indefinitely
7. (SATA) Which diagnostic tests are useful in evaluating pancreatitis?
A. Serum amylase
B. CT scan with contrast
, C. Troponin levels
D. Abdominal X-ray
E. Serum lipase
8. (MCQ) What is the primary function of the liver in ammonia metabolism?
A. Break down insulin
B. Detoxify bilirubin
C. Convert ammonia to urea
D. Absorb bile salts
9. (SATA) Which signs and symptoms would support a diagnosis of cirrhosis?
A. Jaundice
B. Bruising
C. Bradycardia
D. Ascites
E. Altered mental status
10. (MCQ) A patient has fetor hepaticus. Which condition is most likely present?
A. Pancreatitis
B. Esophageal varices
C. Liver failure
D. Acute cholecystitis
11. (SATA) A nurse is assessing a patient with hepatic encephalopathy. Which findings are
expected?
A. Asterixis
B. Personality changes
C. Bradycardia
D. Confusion
E. Decreased deep tendon reflexes
12. (MCQ) Which medication is commonly used to reduce ammonia levels in hepatic
encephalopathy?
A. Vasopressin
B. Lactulose
C. Pantoprazole
D. Morphine
13. (SATA) Which interventions are appropriate for a patient with hepatic encephalopathy?
A. Administer neomycin
B. Encourage red meat consumption
C. Monitor LOC
D. Provide low-protein diet
E. Administer lactulose
be observed?
A. Cullen’s sign
B. Turner's sign
C. Hypoglycemia
D. Abdominal pain
E. Jaundice
2. (MCQ) What is the primary cause of hypovolemia in acute pancreatitis?
A. Increased insulin secretion
B. Third spacing due to inflammation
C. Diarrhea
D. Renal failure
3. (SATA) Which of the following are common causes of acute pancreatitis?
A. Gallstones
B. Alcohol use
C. Diabetes mellitus
D. Abdominal trauma
E. High-fiber diet
4. (MCQ) Which pancreatic enzyme digests fats?
A. Amylase
B. Lipase
C. Trypsin
D. Chymotrypsin
5. (SATA) A nurse is monitoring a patient for complications of severe pancreatitis. Which
findings indicate a complication?
A. Hypotension
B. Crackles in lungs
C. Pleural effusion
D. Blood glucose of 90 mg/dL
E. Decreased urine output
6. (MCQ) A client has chronic pancreatitis. Which nutritional approach is most appropriate?
A. Three large meals a day
B. Low-protein, high-fat diet
C. Small frequent meals
D. NPO indefinitely
7. (SATA) Which diagnostic tests are useful in evaluating pancreatitis?
A. Serum amylase
B. CT scan with contrast
, C. Troponin levels
D. Abdominal X-ray
E. Serum lipase
8. (MCQ) What is the primary function of the liver in ammonia metabolism?
A. Break down insulin
B. Detoxify bilirubin
C. Convert ammonia to urea
D. Absorb bile salts
9. (SATA) Which signs and symptoms would support a diagnosis of cirrhosis?
A. Jaundice
B. Bruising
C. Bradycardia
D. Ascites
E. Altered mental status
10. (MCQ) A patient has fetor hepaticus. Which condition is most likely present?
A. Pancreatitis
B. Esophageal varices
C. Liver failure
D. Acute cholecystitis
11. (SATA) A nurse is assessing a patient with hepatic encephalopathy. Which findings are
expected?
A. Asterixis
B. Personality changes
C. Bradycardia
D. Confusion
E. Decreased deep tendon reflexes
12. (MCQ) Which medication is commonly used to reduce ammonia levels in hepatic
encephalopathy?
A. Vasopressin
B. Lactulose
C. Pantoprazole
D. Morphine
13. (SATA) Which interventions are appropriate for a patient with hepatic encephalopathy?
A. Administer neomycin
B. Encourage red meat consumption
C. Monitor LOC
D. Provide low-protein diet
E. Administer lactulose
