NURS 425 EXAM 3 ATI QUESTIONS | NURS 425 EXAM 3 STUDY GUIDE | NCLEX-
STYLE PRACTICE QUESTIONS & ANSWERS 2026/2027
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the
following actions should the nurse include in the POC?
A. initiate contact precautions
B. weigh the client weekly
C. measure abdominal girth 7.5 cm (3 in) above the umbilicus
D. provide a high-calorie, high-carb diet - ANS ✔✔D. provide a high-calorie, high-carb diet
Rationale:
The client who has hepatitis B should have a diet high in calories and carbs
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following lab findings
should the nurse expect?
A. presence of immunoglobulin G antibodies
B. positive EIA test
C. aspartate aminotransferase (AST) 35 units/L
D. alanine aminotransferase (ALT) 15 IU/L - ANS ✔✔B. positive EIA test
Rationale:
a positive EIA test is an expected lab finding in a client who has a new diagnosis of hepatitis C.
A nurse is assessing a client who has advanced cirrhosis. the nurse should identify which of the following
findings as indicators of hepatic encephalopathy? (SATA)
A. anorexia
B. change in orientation
C. asterixis
D. ascites
E. fetor hepaticus - ANS ✔✔B, C, & E
B. change in orientation
C. asterixis
(asterixis, a coarse tremor of the wrists and fingers, is observed as a late complication in a client who has
cirrhosis & hepatic encephalopathy
E. fetor hepaticus
(fruity breath odor)
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect
to administer to this client? (SATA)
,A. diuretic
B. Beta-blocking agent
C. opioid analgesic
D. lactulose
E. sedative - ANS ✔✔A, B, & D
A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions
should the nurse include in the teaching? (SATA)
A. limit physical activity
B. avoid alcohol
C. take acetaminophen for comfort
D. wear a mask in public places
E. eat small frequent meals - ANS ✔✔A, B, & E
1. Which condition is NOT a known cause of cirrhosis?
A. Obesity
B. Alcohol consumption
C. Blockage of the bile duct
D. Hepatitis C
E. All are known causes of Cirrhosis - ANS ✔✔E.
2. The liver receives it blood supply from two sources. One of these sources is called the
_________________, which is a vessel network that delivers blood _____________ in nutrients but
________ in oxygen.
A. hepatic artery, low, high
B. hepatic portal vein, high, low
C. hepatic lobule, high, low
D. hepatic vein, low, high - ANS ✔✔B. Hepatic portal vein, high, low
3. A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below
are complications that can develop from this condition? Select all that apply:
A. Increase albumin levels
B. Ascites
C. Splenomegaly
, D. Fluid volume deficient
E. Esophageal varices - ANS ✔✔B, C, & E
4. Your patient with cirrhosis has severe splenomegaly. As the nurse you will make it priority to monitor
the patient for signs and symptoms of? Select all that apply:
A. Thrombocytopenia
B. Vision changes
C. Increased PT/INR
D. Leukopenia - ANS ✔✔A, C, & D
5. A patient is admitted with hepatic encephalopathy secondary to cirrhosis. Which meal option
selection below should be avoided with this patient?
A. Beef tips and broccoli rabe
B. Pasta noodles and bread
C. Cucumber sandwich with a side of grapes
D. Fresh salad with chopped water chestnuts - ANS ✔✔A. beef tips and broccoli rabe
6. During your morning assessment of a patient with cirrhosis, you note the patient is disoriented to
person and place. In addition while assessing the upper extremities, the patient's hands demonstrate a
flapping motion. What lab result would explain these abnormal assessment findings?
A. Decreased magnesium level
B. Increased calcium level
C. Increased ammonia level
D. Increased creatinine level - ANS ✔✔C. increased ammonia level
7. You are receiving shift report on a patient with cirrhosis. The nurse tells you the patient's bilirubin
levels are very high. Based on this, what assessment findings may you expect to find during your head-
to-toe assessment? Select all that apply:
A. Frothy light-colored urine
B. Dark brown urine
C. Yellowing of the sclera
STYLE PRACTICE QUESTIONS & ANSWERS 2026/2027
A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the
following actions should the nurse include in the POC?
A. initiate contact precautions
B. weigh the client weekly
C. measure abdominal girth 7.5 cm (3 in) above the umbilicus
D. provide a high-calorie, high-carb diet - ANS ✔✔D. provide a high-calorie, high-carb diet
Rationale:
The client who has hepatitis B should have a diet high in calories and carbs
A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following lab findings
should the nurse expect?
A. presence of immunoglobulin G antibodies
B. positive EIA test
C. aspartate aminotransferase (AST) 35 units/L
D. alanine aminotransferase (ALT) 15 IU/L - ANS ✔✔B. positive EIA test
Rationale:
a positive EIA test is an expected lab finding in a client who has a new diagnosis of hepatitis C.
A nurse is assessing a client who has advanced cirrhosis. the nurse should identify which of the following
findings as indicators of hepatic encephalopathy? (SATA)
A. anorexia
B. change in orientation
C. asterixis
D. ascites
E. fetor hepaticus - ANS ✔✔B, C, & E
B. change in orientation
C. asterixis
(asterixis, a coarse tremor of the wrists and fingers, is observed as a late complication in a client who has
cirrhosis & hepatic encephalopathy
E. fetor hepaticus
(fruity breath odor)
A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect
to administer to this client? (SATA)
,A. diuretic
B. Beta-blocking agent
C. opioid analgesic
D. lactulose
E. sedative - ANS ✔✔A, B, & D
A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions
should the nurse include in the teaching? (SATA)
A. limit physical activity
B. avoid alcohol
C. take acetaminophen for comfort
D. wear a mask in public places
E. eat small frequent meals - ANS ✔✔A, B, & E
1. Which condition is NOT a known cause of cirrhosis?
A. Obesity
B. Alcohol consumption
C. Blockage of the bile duct
D. Hepatitis C
E. All are known causes of Cirrhosis - ANS ✔✔E.
2. The liver receives it blood supply from two sources. One of these sources is called the
_________________, which is a vessel network that delivers blood _____________ in nutrients but
________ in oxygen.
A. hepatic artery, low, high
B. hepatic portal vein, high, low
C. hepatic lobule, high, low
D. hepatic vein, low, high - ANS ✔✔B. Hepatic portal vein, high, low
3. A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below
are complications that can develop from this condition? Select all that apply:
A. Increase albumin levels
B. Ascites
C. Splenomegaly
, D. Fluid volume deficient
E. Esophageal varices - ANS ✔✔B, C, & E
4. Your patient with cirrhosis has severe splenomegaly. As the nurse you will make it priority to monitor
the patient for signs and symptoms of? Select all that apply:
A. Thrombocytopenia
B. Vision changes
C. Increased PT/INR
D. Leukopenia - ANS ✔✔A, C, & D
5. A patient is admitted with hepatic encephalopathy secondary to cirrhosis. Which meal option
selection below should be avoided with this patient?
A. Beef tips and broccoli rabe
B. Pasta noodles and bread
C. Cucumber sandwich with a side of grapes
D. Fresh salad with chopped water chestnuts - ANS ✔✔A. beef tips and broccoli rabe
6. During your morning assessment of a patient with cirrhosis, you note the patient is disoriented to
person and place. In addition while assessing the upper extremities, the patient's hands demonstrate a
flapping motion. What lab result would explain these abnormal assessment findings?
A. Decreased magnesium level
B. Increased calcium level
C. Increased ammonia level
D. Increased creatinine level - ANS ✔✔C. increased ammonia level
7. You are receiving shift report on a patient with cirrhosis. The nurse tells you the patient's bilirubin
levels are very high. Based on this, what assessment findings may you expect to find during your head-
to-toe assessment? Select all that apply:
A. Frothy light-colored urine
B. Dark brown urine
C. Yellowing of the sclera
