NSG 4100 EXAM 1 STUDY GUIDE 2026
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES ADULT
HEALTH III NURSING EXAM REVIEW A+
PREPARATION
Sign/Symptoms of colon cancer - CORRECT ANSWER-Change in bowel
habits and blood in the stool
Signs/Symptoms of pancreatitis - CORRECT ANSWER-Abdominal pain,
tenderness, back pain, pain after meals, pain after alcohol ingestion
Nursing Intervention/treatments for pancreatitis. - CORRECT ANSWER-
Patient will be NPO and have an NG TUBE, we will need to treat the pain
and give the patient H2-reduce stomach acid (cimetidine)/PPI- reduces the
amount of stomach acid made by glands in the lining (Nexium-
esomeprazole)
Dietary recommendations for pancreatitis - CORRECT ANSWER-Avoid
high fat foods, small meals, avoid alcohol, measure abdominal girth
Risk factors for pancreatic cancer - CORRECT ANSWER-Older males,
obesity, alcohol, smoking, diabetes, environmental exposure
, What labs would you expect to be drawn for pancreatitis? - CORRECT
ANSWER-Serum amylase will be elevated and lipase will be elevated
What medications might you give for pancreatitis? - CORRECT ANSWER-
H2 (cimetidine-Tagamet, famotidine-Pepsid) and PPI (esomeprazole-
Nexium, dexlansoprazole, pantoprazole) but need to avoid OTC antacids.
What medications would you expect to a patient with cirrhosis? -
CORRECT ANSWER-Vitamins and supplments, milk thistle, potassium
sparing diuretics (spirinolactone), antibiotics
Patient teaching with patients with cirrhosis. - CORRECT ANSWER-Their
diet will be high carb, low protein, NO ALCOHOL. Patient will need to try
to avoid constipation and will need to rest. The patient can no longer take
Tylenol and only use electric razors.
What causes ascites in cirrhosis? - CORRECT ANSWER-Portal obstruction
causing backup in the spleen and GI system. The increase amount of
protein accumulates in the peritoneal cavity. Pulling fluid into peritoneal
cavity causing it be hypertonic.
Nursing interventions to reduce ammonia levels in hepatic encephalopathy.
- CORRECT ANSWER-Safety, prevent injury, encourage deep breathing to
blow off ammonia.
PRACTICE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES ADULT
HEALTH III NURSING EXAM REVIEW A+
PREPARATION
Sign/Symptoms of colon cancer - CORRECT ANSWER-Change in bowel
habits and blood in the stool
Signs/Symptoms of pancreatitis - CORRECT ANSWER-Abdominal pain,
tenderness, back pain, pain after meals, pain after alcohol ingestion
Nursing Intervention/treatments for pancreatitis. - CORRECT ANSWER-
Patient will be NPO and have an NG TUBE, we will need to treat the pain
and give the patient H2-reduce stomach acid (cimetidine)/PPI- reduces the
amount of stomach acid made by glands in the lining (Nexium-
esomeprazole)
Dietary recommendations for pancreatitis - CORRECT ANSWER-Avoid
high fat foods, small meals, avoid alcohol, measure abdominal girth
Risk factors for pancreatic cancer - CORRECT ANSWER-Older males,
obesity, alcohol, smoking, diabetes, environmental exposure
, What labs would you expect to be drawn for pancreatitis? - CORRECT
ANSWER-Serum amylase will be elevated and lipase will be elevated
What medications might you give for pancreatitis? - CORRECT ANSWER-
H2 (cimetidine-Tagamet, famotidine-Pepsid) and PPI (esomeprazole-
Nexium, dexlansoprazole, pantoprazole) but need to avoid OTC antacids.
What medications would you expect to a patient with cirrhosis? -
CORRECT ANSWER-Vitamins and supplments, milk thistle, potassium
sparing diuretics (spirinolactone), antibiotics
Patient teaching with patients with cirrhosis. - CORRECT ANSWER-Their
diet will be high carb, low protein, NO ALCOHOL. Patient will need to try
to avoid constipation and will need to rest. The patient can no longer take
Tylenol and only use electric razors.
What causes ascites in cirrhosis? - CORRECT ANSWER-Portal obstruction
causing backup in the spleen and GI system. The increase amount of
protein accumulates in the peritoneal cavity. Pulling fluid into peritoneal
cavity causing it be hypertonic.
Nursing interventions to reduce ammonia levels in hepatic encephalopathy.
- CORRECT ANSWER-Safety, prevent injury, encourage deep breathing to
blow off ammonia.
