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NR 325: Exam 3 Study Questions, exam 3 adult
health Exam (updated 2026) Questions & Answers
15. The health care provider sees a patient at 10 AM and writes an order
for endoscopic
retrograde cholangiopancreatography (ERCP) as soon as possible. Which
of these actions that are included in the agency policy for ERCP should
the nurse take first?
a. Place the patient on NPO status.
b. Administer sedative medications.
c. Ensure the consent form is signed.
d. Explain the procedure to the patient. ......ANSWER......ANS: A
The patient will need to be NPO for 8 hours before the ERCP is done, so
the nurse's initial action should be to place the patient on NPO status.
The other actions can be done after the patient is NPO.
Chapter 44: Liver, Pancreas, and Biliary Tract Problems ......ANSWER......
1. A patient contracts hepatitis from contaminated food. During the
acute (icteric) phase of the patient's illness, the nurse would expect
serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
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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.
2. The nurse determines that administration of hepatitis B vaccine to a
patient has been effective when a specimen of the patient's blood
reveals
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
d. anti-HBc IgM. ......ANSWER......ANS: B
The presence of surface antibody to HBV (anti-HBs) is a marker of a
positive response to the vaccine. The other laboratory values indicate
current infection with HBV.
3. A patient in the outpatient clinic is diagnosed with acute hepatitis C
(HCV) infection. Which action by the nurse is appropriate?
a. Schedule the patient for HCV genotype testing.
b. Administer immune globulin and the HCV vaccine.
c. Instruct the patient on ribavirin (Rebetol) treatment.
d. Teach that the infection will resolve in a few months.
......ANSWER......ANS: A
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Genotyping of HCV has an important role in managing treatment and is
done before drug therapy is initiated. Since 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. Ribavirin is used for chronic HCV
infection.
4. When a patient is diagnosed with acute hepatitis B, the nurse will plan
to teach the patient about
a. ways to increase exercise and activity level.
b. self-administration of α-interferon (Intron A).
c. side effects of nucleoside and nucleotide analogs.
d. measures that will be helpful in improving appetite.
......ANSWER......ANS: D
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.
5. When combination therapy of -interferon and ribavirin (Rebetol) is
being used to treat chronic hepatitis C, the nurse will plan to monitor for
a. leukopenia.
b. hypokalemia.
c. polycythemia.
d. hypoglycemia. ......ANSWER......ANS: A
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Therapy with ribavirin and -interferon may cause leukopenia. The other
problems are not associated with this drug therapy.
6. Which information given by a patient when the nurse is taking a health
history indicates that screening for hepatitis C should be done?
a. The patient eats frequent meals in fast-food restaurants.
b. The patient recently traveled to an undeveloped country.
c. The patient had a blood transfusion after surgery in 1998.
d. The patient reports a one-time use of IV drugs 20 years ago.
......ANSWER......ANS: D
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 oral-fecal route and therefore is not caused by
contaminated food or by traveling in underdeveloped countries.
7. A patient is admitted with an abrupt onset of jaundice, nausea, and
abnormal liver function studies. Serologic testing is negative for viral
causes of hepatitis. Which question by the nurse is most appropriate?
a. "Is there any history of IV drug use?"
b. "Are you taking corticosteroids for any reason?"
c. "Do you use any over-the-counter (OTC) drugs?"
d. "Have you recently traveled to a foreign country?"
......ANSWER......ANS: C
The patient's symptoms, lack of antibodies for hepatitis, and the abrupt
onset of symptoms suggest toxic hepatitis, which can be caused by
pg. 4
NR 325: Exam 3 Study Questions, exam 3 adult
health Exam (updated 2026) Questions & Answers
15. The health care provider sees a patient at 10 AM and writes an order
for endoscopic
retrograde cholangiopancreatography (ERCP) as soon as possible. Which
of these actions that are included in the agency policy for ERCP should
the nurse take first?
a. Place the patient on NPO status.
b. Administer sedative medications.
c. Ensure the consent form is signed.
d. Explain the procedure to the patient. ......ANSWER......ANS: A
The patient will need to be NPO for 8 hours before the ERCP is done, so
the nurse's initial action should be to place the patient on NPO status.
The other actions can be done after the patient is NPO.
Chapter 44: Liver, Pancreas, and Biliary Tract Problems ......ANSWER......
1. A patient contracts hepatitis from contaminated food. During the
acute (icteric) phase of the patient's illness, the nurse would expect
serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
pg. 1
,2|Page
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.
2. The nurse determines that administration of hepatitis B vaccine to a
patient has been effective when a specimen of the patient's blood
reveals
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
d. anti-HBc IgM. ......ANSWER......ANS: B
The presence of surface antibody to HBV (anti-HBs) is a marker of a
positive response to the vaccine. The other laboratory values indicate
current infection with HBV.
3. A patient in the outpatient clinic is diagnosed with acute hepatitis C
(HCV) infection. Which action by the nurse is appropriate?
a. Schedule the patient for HCV genotype testing.
b. Administer immune globulin and the HCV vaccine.
c. Instruct the patient on ribavirin (Rebetol) treatment.
d. Teach that the infection will resolve in a few months.
......ANSWER......ANS: A
pg. 2
,3|Page
Genotyping of HCV has an important role in managing treatment and is
done before drug therapy is initiated. Since 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. Ribavirin is used for chronic HCV
infection.
4. When a patient is diagnosed with acute hepatitis B, the nurse will plan
to teach the patient about
a. ways to increase exercise and activity level.
b. self-administration of α-interferon (Intron A).
c. side effects of nucleoside and nucleotide analogs.
d. measures that will be helpful in improving appetite.
......ANSWER......ANS: D
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.
5. When combination therapy of -interferon and ribavirin (Rebetol) is
being used to treat chronic hepatitis C, the nurse will plan to monitor for
a. leukopenia.
b. hypokalemia.
c. polycythemia.
d. hypoglycemia. ......ANSWER......ANS: A
pg. 3
, 4|Page
Therapy with ribavirin and -interferon may cause leukopenia. The other
problems are not associated with this drug therapy.
6. Which information given by a patient when the nurse is taking a health
history indicates that screening for hepatitis C should be done?
a. The patient eats frequent meals in fast-food restaurants.
b. The patient recently traveled to an undeveloped country.
c. The patient had a blood transfusion after surgery in 1998.
d. The patient reports a one-time use of IV drugs 20 years ago.
......ANSWER......ANS: D
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 oral-fecal route and therefore is not caused by
contaminated food or by traveling in underdeveloped countries.
7. A patient is admitted with an abrupt onset of jaundice, nausea, and
abnormal liver function studies. Serologic testing is negative for viral
causes of hepatitis. Which question by the nurse is most appropriate?
a. "Is there any history of IV drug use?"
b. "Are you taking corticosteroids for any reason?"
c. "Do you use any over-the-counter (OTC) drugs?"
d. "Have you recently traveled to a foreign country?"
......ANSWER......ANS: C
The patient's symptoms, lack of antibodies for hepatitis, and the abrupt
onset of symptoms suggest toxic hepatitis, which can be caused by
pg. 4
