NURA 1500 PRACTICE TEST 2026 TESTED
QUESTIONS AND SOLUTIONS ACCURATE
▶ The student nurse is teaching the family of a patient with liver failure.
You instruct them to limit which foods in the patient's diet?
A. Meats and beans
B. Butter and gravies
C. Potatoes and pastas
D. Cakes and pastries - Answer: A
Explanation: Meats and beans are high-protein foods. In liver failure, the
liver is unable to metabolize protein adequately, causing protein by-
products to build up in the body rather than be excreted
▶ A patient has an acute upper GI hemorrhage. Your interventions include:
A. Treating hypovolemia
B. Treating hypervolemia
C. Controlling the bleeding source
D. Treating shock and diagnosing the bleeding source - Answer: A
Explanation: A patient with an acute upper GI hemorrhage must be treated
for hypovolemia and hemorrhagic shock. You as a nurse can't diagnose the
problem. Controlling the bleeding may require surgery or intensive medical
treatment
▶ What information is correct about stomach cancer?
A. Stomach pain is often a late symptom
B. Surgery is often a successful treatment
C. Chemotherapy and radiation are often successful treatments
D. The patient can survive for an extended time with TPN - Answer: A
Explanation: Stomach pain is often a late sign of stomach cancer;
outcomes are particularly poor when the cancer reaches that point.
Surgery, chemotherapy, and radiation have minimal positive effects. TPN
may enhance the growth of the cancer
▶ Hepatic encephalopathy develops when the blood level of which
substance increases?
A. Ammonia
B. Amylase
C. Calcium
,D. Potassium - Answer: A
Explanation: Ammonia levels increase d/t improper shunting of blood,
causing ammonia to enter systemic circulation, which carries it to the brain.
▶ You're caring for a 28 y.o. woman with hepatitis B. She's concerned
about the duration of her recovery. Which response isn't appropriate?
A. Encourage her to not worry about the future.
B. Encourage her to express her feelings about the illness.
C. Discuss the effects of hepatitis B on future health problems.
D. Provide avenues for financial counseling if she expresses the need. -
Answer: A
Explanation: Telling her not to worry minimizes her feelings.
▶ Gail is scheduled for a cholecystectomy. After completion of preoperative
teaching, Gail states,"If I lie still and avoid turning after the operation, I'll
avoid pain. Do you think this is a good idea?" What is the best response?
A. "You'll need to turn from side to side every 2 hours."
B. "It's always a good idea to rest quietly after surgery."
C. "The doctor will probably order you to lie flat for 24 hours."
D. "Why don't you decide about activity after you return from the recovery
room? - Answer: A
Explanation: To prevent venous stasis and improve muscle tone,
circulation, and respiratory function, encourage her to move after surgery.
▶ Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of
Hepatitis B. He's jaundiced and reports weakness. Which intervention will
you include in his care?
A. Regular exercise
B. A low-protein diet.
C. Allow patient to select his meals.
D. Rest period after small, frequent meals. - Answer: D
Explanation: Rest periods and small frequent meals is indicated during the
acute phase of hepatitis B.
▶ You're discharging Nathaniel with hepatitis B. Which statement suggests
understanding by the patient?
A. "Now I can never get hepatitis again."
B. "I can safely give blood after 3 months."
C. "I'll never have a problem with my liver again, even if I drink alcohol."
,D. "My family knows that if I get tired and start vomiting, I may be getting
sick again." - Answer: D
Explanation: Hepatitis B can recur. Patients who have had hepatitis are
permanently barred from donating blood. Alcohol is metabolized by the liver
and should be avoided by those who have or had hepatitis B
▶ Ralph has a history of alcohol abuse and has acute pancreatitis. Which
lab value is most likely to be elevated?
A. Calcium
B. Glucose
C. Magnesium
D. Potassium - Answer: B
Explanation: Glucose level increases and diabetes mellitus may result d/t
the pancreatic damage to the islets of Langerhans
▶ Sharon has cirrhosis of the liver and develops ascites. What intervention
is necessary to decrease the excessive accumulation of serous fluid in her
peritoneal cavity?
A. Restrict fluids
B. Encourage ambulation
C. Increase sodium in the diet
D. Give antacids as prescribed - Answer: A
Explanation: Restricting fluids decrease the amount of body fluid and the
accumulation of fluid in the peritoneal space.
▶ Nathaniel has severe pruritus due to having hepatitis B. What is the best
intervention for his comfort?
A. Give tepid baths
B. Avoid lotions and creams
C. Use hot water to increase vasodilation
D. Use cold water to decrease the itching - Answer: A
Explanation: For pruritus, care should include tepid sponge baths and use
of emollient creams and lotions
▶ Brenda, a 36 y.o. patient is on your floor with acute pancreatitis.
Treatment for her includes:
A. Continuous peritoneal lavage
B. Regular diet with increased fat
C. Nutritional support with TPN
D. Insertion of a T tube to drain the pancreas - Answer: C
, Explanation: With acute pancreatitis, you need to rest the GI tract by TPN
as nutritional support.
▶ Glenda has cholelithiasis (gallstones). You expect her to complain of:
A. Pain in the right upper quadrant, radiating to the shoulder
B. Pain in the right lower quadrant, with rebound tenderness
C. Pain in the left upper quadrant, with shortness of breath
D. Pain in the left lower quadrant, with mild cramping - Answer: A
Explanation: The gallbladder is located in the RUQ and a frequent sign of
gallstones is pain radiating to the shoulder.
▶ Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis.
Which observation best indicates the treatment is effective?
A. There is no skin breakdown
B. Her appetite improves
C. She loses more than 10 lbs
D. Stools are less fatty and decreased in frequency - Answer: D
Explanation: Pancrelipase provides the exocrine pancreatic enzyme
necessary for proper protein, fat, and carb digestion. With increased fat
digestion and absorption, stools become less frequent and normal in
appearance.
▶ Britney, a 20 y.o. student is admitted with acute pancreatitis. Which
laboratory findings do you expect to be abnormal for this patient?
A. Serum creatinine and BUN
B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
C. Serum amylase and lipase
D. Cardiac enzymes - Answer: C
Explanation: Pancreatitis involves activation of pancreatic enzymes, such
as amylase and lipase. These levels are elevated in a patient with acute
pancreatitis.
▶ Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the
following groups of signs alert you to a possible pneumothorax?
A. Dyspnea and reduced or absent breath sounds over the right lung
B. Tachycardia, hypotension, and cool, clammy skin
C. Fever, rebound tenderness, and abdominal rigidity
D. Redness, warmth, and drainage at the biopsy site - Answer: A
Explanation: Signs and Symptoms of pneumothorax include dyspnea and
decreased or absent breath sounds over the affected lung (right lung).
QUESTIONS AND SOLUTIONS ACCURATE
▶ The student nurse is teaching the family of a patient with liver failure.
You instruct them to limit which foods in the patient's diet?
A. Meats and beans
B. Butter and gravies
C. Potatoes and pastas
D. Cakes and pastries - Answer: A
Explanation: Meats and beans are high-protein foods. In liver failure, the
liver is unable to metabolize protein adequately, causing protein by-
products to build up in the body rather than be excreted
▶ A patient has an acute upper GI hemorrhage. Your interventions include:
A. Treating hypovolemia
B. Treating hypervolemia
C. Controlling the bleeding source
D. Treating shock and diagnosing the bleeding source - Answer: A
Explanation: A patient with an acute upper GI hemorrhage must be treated
for hypovolemia and hemorrhagic shock. You as a nurse can't diagnose the
problem. Controlling the bleeding may require surgery or intensive medical
treatment
▶ What information is correct about stomach cancer?
A. Stomach pain is often a late symptom
B. Surgery is often a successful treatment
C. Chemotherapy and radiation are often successful treatments
D. The patient can survive for an extended time with TPN - Answer: A
Explanation: Stomach pain is often a late sign of stomach cancer;
outcomes are particularly poor when the cancer reaches that point.
Surgery, chemotherapy, and radiation have minimal positive effects. TPN
may enhance the growth of the cancer
▶ Hepatic encephalopathy develops when the blood level of which
substance increases?
A. Ammonia
B. Amylase
C. Calcium
,D. Potassium - Answer: A
Explanation: Ammonia levels increase d/t improper shunting of blood,
causing ammonia to enter systemic circulation, which carries it to the brain.
▶ You're caring for a 28 y.o. woman with hepatitis B. She's concerned
about the duration of her recovery. Which response isn't appropriate?
A. Encourage her to not worry about the future.
B. Encourage her to express her feelings about the illness.
C. Discuss the effects of hepatitis B on future health problems.
D. Provide avenues for financial counseling if she expresses the need. -
Answer: A
Explanation: Telling her not to worry minimizes her feelings.
▶ Gail is scheduled for a cholecystectomy. After completion of preoperative
teaching, Gail states,"If I lie still and avoid turning after the operation, I'll
avoid pain. Do you think this is a good idea?" What is the best response?
A. "You'll need to turn from side to side every 2 hours."
B. "It's always a good idea to rest quietly after surgery."
C. "The doctor will probably order you to lie flat for 24 hours."
D. "Why don't you decide about activity after you return from the recovery
room? - Answer: A
Explanation: To prevent venous stasis and improve muscle tone,
circulation, and respiratory function, encourage her to move after surgery.
▶ Rob is a 46 y.o. admitted to the hospital with a suspected diagnosis of
Hepatitis B. He's jaundiced and reports weakness. Which intervention will
you include in his care?
A. Regular exercise
B. A low-protein diet.
C. Allow patient to select his meals.
D. Rest period after small, frequent meals. - Answer: D
Explanation: Rest periods and small frequent meals is indicated during the
acute phase of hepatitis B.
▶ You're discharging Nathaniel with hepatitis B. Which statement suggests
understanding by the patient?
A. "Now I can never get hepatitis again."
B. "I can safely give blood after 3 months."
C. "I'll never have a problem with my liver again, even if I drink alcohol."
,D. "My family knows that if I get tired and start vomiting, I may be getting
sick again." - Answer: D
Explanation: Hepatitis B can recur. Patients who have had hepatitis are
permanently barred from donating blood. Alcohol is metabolized by the liver
and should be avoided by those who have or had hepatitis B
▶ Ralph has a history of alcohol abuse and has acute pancreatitis. Which
lab value is most likely to be elevated?
A. Calcium
B. Glucose
C. Magnesium
D. Potassium - Answer: B
Explanation: Glucose level increases and diabetes mellitus may result d/t
the pancreatic damage to the islets of Langerhans
▶ Sharon has cirrhosis of the liver and develops ascites. What intervention
is necessary to decrease the excessive accumulation of serous fluid in her
peritoneal cavity?
A. Restrict fluids
B. Encourage ambulation
C. Increase sodium in the diet
D. Give antacids as prescribed - Answer: A
Explanation: Restricting fluids decrease the amount of body fluid and the
accumulation of fluid in the peritoneal space.
▶ Nathaniel has severe pruritus due to having hepatitis B. What is the best
intervention for his comfort?
A. Give tepid baths
B. Avoid lotions and creams
C. Use hot water to increase vasodilation
D. Use cold water to decrease the itching - Answer: A
Explanation: For pruritus, care should include tepid sponge baths and use
of emollient creams and lotions
▶ Brenda, a 36 y.o. patient is on your floor with acute pancreatitis.
Treatment for her includes:
A. Continuous peritoneal lavage
B. Regular diet with increased fat
C. Nutritional support with TPN
D. Insertion of a T tube to drain the pancreas - Answer: C
, Explanation: With acute pancreatitis, you need to rest the GI tract by TPN
as nutritional support.
▶ Glenda has cholelithiasis (gallstones). You expect her to complain of:
A. Pain in the right upper quadrant, radiating to the shoulder
B. Pain in the right lower quadrant, with rebound tenderness
C. Pain in the left upper quadrant, with shortness of breath
D. Pain in the left lower quadrant, with mild cramping - Answer: A
Explanation: The gallbladder is located in the RUQ and a frequent sign of
gallstones is pain radiating to the shoulder.
▶ Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis.
Which observation best indicates the treatment is effective?
A. There is no skin breakdown
B. Her appetite improves
C. She loses more than 10 lbs
D. Stools are less fatty and decreased in frequency - Answer: D
Explanation: Pancrelipase provides the exocrine pancreatic enzyme
necessary for proper protein, fat, and carb digestion. With increased fat
digestion and absorption, stools become less frequent and normal in
appearance.
▶ Britney, a 20 y.o. student is admitted with acute pancreatitis. Which
laboratory findings do you expect to be abnormal for this patient?
A. Serum creatinine and BUN
B. Alanine aminotransferase (ALT) and aspartate aminotransferase (AST)
C. Serum amylase and lipase
D. Cardiac enzymes - Answer: C
Explanation: Pancreatitis involves activation of pancreatic enzymes, such
as amylase and lipase. These levels are elevated in a patient with acute
pancreatitis.
▶ Stephen is a 62 y.o. patient that has had a liver biopsy. Which of the
following groups of signs alert you to a possible pneumothorax?
A. Dyspnea and reduced or absent breath sounds over the right lung
B. Tachycardia, hypotension, and cool, clammy skin
C. Fever, rebound tenderness, and abdominal rigidity
D. Redness, warmth, and drainage at the biopsy site - Answer: A
Explanation: Signs and Symptoms of pneumothorax include dyspnea and
decreased or absent breath sounds over the affected lung (right lung).
