NR 325 EXAM 3 (CHAMBERLAIN) NEWEST 2026/ 2027
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH II
EXAM 3 REVIEW WITH COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Which action by nursing assistive personnel (NAP) when caring for a
patient who has just returned to the nursing unit after an
esophagogastroduodenoscopy (EGD) requires that the RN intervene?
a. Offering the patient a glass of water
b. Positioning the patient on the right side
c. Checking the vital signs every 30 minutes
d. Swabbing the patient's mouth with cold water - Correct Answer - A
Immediately after EGD, the patient will have a decreased gag reflex and
is at risk for aspiration. Assessment for return of the gag reflex should be
done by the RN. The other actions by the NAP are appropriate.
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. - Correct Answer - A
pg. 1
,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.
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. - Correct Answer - 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.
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. - Correct Answer - A
Therapy with ribavirin and -interferon may cause leukopenia. The other
problems are not associated with this drug therapy.
A patient with cirrhosis has 4+ pitting edema of the feet and legs. The
data indicate that it is most important for the nurse to monitor the
patient's
a. hemoglobin.
pg. 2
,b. temperature.
c. activity level.
d. albumin level. - Correct Answer - D
The low oncotic pressure caused by hypoalbuminemia is a major
pathophysiologic factor in the development of edema. The other
parameters also should be monitored, but they are not directly associated
with the patient's current symptoms.
A 32-year-old patient is diagnosed with early alcoholic cirrhosis. Which
topic is most important to include in patient teaching?
a. Need to abstain from alcohol
b. Use of vitamin B supplements
c. Maintenance of a nutritious diet
d. Treatment with lactulose (Cephulac) - Correct Answer - A
The disease progression can be stopped or reversed by alcohol
abstinence. The other interventions may be used when cirrhosis becomes
more severe to decrease symptoms or complications, but the priority for
this patient is to stop the progression of the disease.
A patient with cirrhosis who has scheduled doses of spironolactone
(Aldactone) and furosemide (Lasix) has a serum potassium level of 3.2
mEq/L (3.2 mmol/L). Which action should the nurse take?
a. Give both drugs as scheduled.
b. Administer the spironolactone.
c. Administer the furosemide and withhold the spironolactone.
d. Withhold both drugs until talking with the health care provider. -
Correct Answer - B
pg. 3
, Spironolactone is a potassium-sparing diuretic and will help to increase
the patient's potassium level. The nurse does not need to talk with the
doctor before giving the spironolactone, although the health care
provider should be notified about the low potassium value. The
furosemide will further decrease the patient's potassium level and should
be held until the nurse talks with the health care provider.
A patient with severe cirrhosis has an episode of bleeding esophageal
varices. To detect possible complications of the bleeding episode, it is
most important for the nurse to monitor
a. bilirubin levels.
b. ammonia levels.
c. potassium levels.
d. prothrombin time. - Correct Answer - B
The blood in the gastrointestinal (GI) tract will be absorbed as protein
and may result in an increase in ammonia level because the liver cannot
metabolize protein well. The prothrombin time, bilirubin, and potassium
levels also should be monitored, but these will not be affected by the
bleeding episode.
Which nursing action will be included in the plan of care for a patient
with cirrhosis who has ascites and 4+ edema of the feet and legs?
a. Restrict dietary protein intake.
b. Reposition the patient every 4 hours.
c. Use a pressure-relieving mattress.
d. Perform passive range of motion qid. - Correct Answer - C
The pressure-relieving mattress will decrease the risk for skin
breakdown for this patient. Adequate dietary protein intake is necessary
in patients with ascites to improve oncotic pressure. Repositioning the
pg. 4
ACTUAL EXAM TEST BANK| NR325 ADULT HEALTH II
EXAM 3 REVIEW WITH COMPLETE 400 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
Which action by nursing assistive personnel (NAP) when caring for a
patient who has just returned to the nursing unit after an
esophagogastroduodenoscopy (EGD) requires that the RN intervene?
a. Offering the patient a glass of water
b. Positioning the patient on the right side
c. Checking the vital signs every 30 minutes
d. Swabbing the patient's mouth with cold water - Correct Answer - A
Immediately after EGD, the patient will have a decreased gag reflex and
is at risk for aspiration. Assessment for return of the gag reflex should be
done by the RN. The other actions by the NAP are appropriate.
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. - Correct Answer - A
pg. 1
,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.
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. - Correct Answer - 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.
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. - Correct Answer - A
Therapy with ribavirin and -interferon may cause leukopenia. The other
problems are not associated with this drug therapy.
A patient with cirrhosis has 4+ pitting edema of the feet and legs. The
data indicate that it is most important for the nurse to monitor the
patient's
a. hemoglobin.
pg. 2
,b. temperature.
c. activity level.
d. albumin level. - Correct Answer - D
The low oncotic pressure caused by hypoalbuminemia is a major
pathophysiologic factor in the development of edema. The other
parameters also should be monitored, but they are not directly associated
with the patient's current symptoms.
A 32-year-old patient is diagnosed with early alcoholic cirrhosis. Which
topic is most important to include in patient teaching?
a. Need to abstain from alcohol
b. Use of vitamin B supplements
c. Maintenance of a nutritious diet
d. Treatment with lactulose (Cephulac) - Correct Answer - A
The disease progression can be stopped or reversed by alcohol
abstinence. The other interventions may be used when cirrhosis becomes
more severe to decrease symptoms or complications, but the priority for
this patient is to stop the progression of the disease.
A patient with cirrhosis who has scheduled doses of spironolactone
(Aldactone) and furosemide (Lasix) has a serum potassium level of 3.2
mEq/L (3.2 mmol/L). Which action should the nurse take?
a. Give both drugs as scheduled.
b. Administer the spironolactone.
c. Administer the furosemide and withhold the spironolactone.
d. Withhold both drugs until talking with the health care provider. -
Correct Answer - B
pg. 3
, Spironolactone is a potassium-sparing diuretic and will help to increase
the patient's potassium level. The nurse does not need to talk with the
doctor before giving the spironolactone, although the health care
provider should be notified about the low potassium value. The
furosemide will further decrease the patient's potassium level and should
be held until the nurse talks with the health care provider.
A patient with severe cirrhosis has an episode of bleeding esophageal
varices. To detect possible complications of the bleeding episode, it is
most important for the nurse to monitor
a. bilirubin levels.
b. ammonia levels.
c. potassium levels.
d. prothrombin time. - Correct Answer - B
The blood in the gastrointestinal (GI) tract will be absorbed as protein
and may result in an increase in ammonia level because the liver cannot
metabolize protein well. The prothrombin time, bilirubin, and potassium
levels also should be monitored, but these will not be affected by the
bleeding episode.
Which nursing action will be included in the plan of care for a patient
with cirrhosis who has ascites and 4+ edema of the feet and legs?
a. Restrict dietary protein intake.
b. Reposition the patient every 4 hours.
c. Use a pressure-relieving mattress.
d. Perform passive range of motion qid. - Correct Answer - C
The pressure-relieving mattress will decrease the risk for skin
breakdown for this patient. Adequate dietary protein intake is necessary
in patients with ascites to improve oncotic pressure. Repositioning the
pg. 4
