PREP U HEPATIC DISORDERS QUESTIONS WITH
ACCURATE ANSWERS
A 33-year-old male patient with a history of IV heroin and cocaine use has been
admitted to the medical unit for the treatment of endocarditis. The nurse should
recognize that this patient is also likely to test positive for which of the following
hepatitis viruses?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D correct answer Hepatitis C
A client has an elevated serum ammonia concentration and is exhibiting changes
in mental status. The nurse should suspect which condition?
Hepatic encephalopathy
Portal hypertension
Asterixis
Cirrhosis correct answer Hepatic encephalopathy
A client has just been diagnosed with hepatitis A. On assessment, the nurse
expects to note:
severe abdominal pain radiating to the shoulder.
anorexia, nausea, and vomiting.
eructation and constipation.
,abdominal ascites. correct answer anorexia, nausea, and vomiting.
A client is actively bleeding from esophageal varices. Which medication would the
nurse most expect to be administered to this client?
Octreotide
Spironolactone
Propranolol
Lactulose correct answer Octreotide
A client is being prepared to undergo laboratory and diagnostic testing to confirm
the diagnosis of cirrhosis. Which test would the nurse expect to be used to
provide definitive confirmation of the disorder?
Coagulation studies
Magnetic resonance imaging
Radioisotope liver scan
Liver biopsy correct answer Liver biopsy
A client is scheduled to have a laparoscopic cholecystectomy as an outpatient.
The client asks the nurse when he will be able to resume normal activities. What
information should the nurse provide?
Normal activities may be resumed the day after surgery.
Normal activities may be resumed in 1 week.
Normal activities may be resumed in 2 weeks.
, Normal activities may be resumed in 1 month. correct answer Normal activities
may be resumed in 1 week.
A client with carcinoma of the head of the pancreas is scheduled for surgery.
Which of the following should a nurse administer to the client before surgery?
Potassium
Vitamin K
Vitamin B
Oral bile acids correct answer Vitamin K
A client with cirrhosis has portal hypertension, which is causing esophageal
varices. What is the goal of the interventions that the nurse will provide?
Cure the cirrhosis.
Treat the esophageal varices.
Reduce fluid accumulation and venous pressure.
Promote optimal neurologic function. correct answer Reduce fluid accumulation
and venous pressure.
A client with severe and chronic liver disease is showing manifestations related to
inadequate vitamin intake and metabolism. He reports difficulty driving at night
because he cannot see well. Which of the following vitamins is most likely
deficient for this client?
Vitamin A
ACCURATE ANSWERS
A 33-year-old male patient with a history of IV heroin and cocaine use has been
admitted to the medical unit for the treatment of endocarditis. The nurse should
recognize that this patient is also likely to test positive for which of the following
hepatitis viruses?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D correct answer Hepatitis C
A client has an elevated serum ammonia concentration and is exhibiting changes
in mental status. The nurse should suspect which condition?
Hepatic encephalopathy
Portal hypertension
Asterixis
Cirrhosis correct answer Hepatic encephalopathy
A client has just been diagnosed with hepatitis A. On assessment, the nurse
expects to note:
severe abdominal pain radiating to the shoulder.
anorexia, nausea, and vomiting.
eructation and constipation.
,abdominal ascites. correct answer anorexia, nausea, and vomiting.
A client is actively bleeding from esophageal varices. Which medication would the
nurse most expect to be administered to this client?
Octreotide
Spironolactone
Propranolol
Lactulose correct answer Octreotide
A client is being prepared to undergo laboratory and diagnostic testing to confirm
the diagnosis of cirrhosis. Which test would the nurse expect to be used to
provide definitive confirmation of the disorder?
Coagulation studies
Magnetic resonance imaging
Radioisotope liver scan
Liver biopsy correct answer Liver biopsy
A client is scheduled to have a laparoscopic cholecystectomy as an outpatient.
The client asks the nurse when he will be able to resume normal activities. What
information should the nurse provide?
Normal activities may be resumed the day after surgery.
Normal activities may be resumed in 1 week.
Normal activities may be resumed in 2 weeks.
, Normal activities may be resumed in 1 month. correct answer Normal activities
may be resumed in 1 week.
A client with carcinoma of the head of the pancreas is scheduled for surgery.
Which of the following should a nurse administer to the client before surgery?
Potassium
Vitamin K
Vitamin B
Oral bile acids correct answer Vitamin K
A client with cirrhosis has portal hypertension, which is causing esophageal
varices. What is the goal of the interventions that the nurse will provide?
Cure the cirrhosis.
Treat the esophageal varices.
Reduce fluid accumulation and venous pressure.
Promote optimal neurologic function. correct answer Reduce fluid accumulation
and venous pressure.
A client with severe and chronic liver disease is showing manifestations related to
inadequate vitamin intake and metabolism. He reports difficulty driving at night
because he cannot see well. Which of the following vitamins is most likely
deficient for this client?
Vitamin A
