NUR 504 PQS EXAM 4 | COMPREHENSIVE NURSING PRACTICE QUESTIONS,
STUDY GUIDE & ANSWERS 2026/2027
"This drug is expected to lower your pulse and blood pressure." - ANS ✔✔A client who has esophageal
varices is prescribed propranolol to prevent bleeding. What health teaching about this drug will the
nurse provide for the client?
"Report any signs of blood clots in your legs while on this drug."
"Be aware that this drug may cause nausea and vomiting."
"This drug is expected to lower your pulse and blood pressure."
"This drug should only be taken when you have an exacerbation of cirrhosis."
Hematemesis - ANS ✔✔The nurse is caring for a client who has cirrhosis of the liver. The client's latest
laboratory testing shows a prolonged prothrombin time. For what client finding resulting from this lab
result would the nurse monitor?
Deep vein thrombosis
Hematemesis
Pressure injury
Jaundice
Decreased weight - ANS ✔✔The nurse is caring for a client who just had a paracentesis. Which client
finding indicates that the procedure was effective?
Increased blood pressure
Increased pulse
Decreased weight
Decreased pain
Sodium - ANS ✔✔The nurse collaborates with the registered dietitian nutritionist in providing teaching
for a client who has ascites from cirrhosis. What daily dietary restriction would the nurse include in the
health teaching?
Sodium
Potassium
Magnesium
Calcium
Administering oxygen therapy - ANS ✔✔Which action by the nurse would most likely help to relieve
symptoms associated with ascites?
Lowering the head of the bed
Monitoring serum albumin levels
Administering intravenous fluids
Administering oxygen therapy
Esophageal varices
Hematuria
Ascites
Hemorrhoids - ANS ✔✔When caring for a client with portal hypertension, the nurse assesses for which
of the following potential complications? (Select all that apply.)
, Esophageal varices
Hematuria
Fever
Ascites
Hemorrhoids
Increased serum bilirubin
Increased aspartate aminotransferase
Increased serum alanine aminotransferase
Decreased serum albumin
Increased serum ammonia
Increased lactate dehydrogenase - ANS ✔✔The nurse is caring for a client who has been diagnosed with
cirrhosis. Which of the following laboratory results would the nurse expect for this client? (Select all that
apply.)
Increased serum bilirubin
Increased aspartate aminotransferase
Increased serum alanine aminotransferase
Decreased serum albumin
Increased serum ammonia
Increased lactate dehydrogenase
Alcohol
Acetaminophen
Smoking
Illicit drugs - ANS ✔✔The nurse teaches the client who has cirrhosis about foods and other substances
that should be avoided to prevent worsening of the disease. Which of the following substances will the
nurse include in that health teaching? (Select all that apply.)
Alcohol Correct
Protein
Sodium Incorrect
Acetaminophen Correct
Smoking Correct
Illicit drugs Correct
Prolonged prothrombin time
Dry, jaundiced skin
Swollen abdomen - ANS ✔✔When caring for a client with liver cirrhosis, which of the following findings
does the nurse expect to find on assessment? (Select all that apply.)
Prolonged prothrombin time
Dry, jaundiced skin
Swollen abdomen
Elevated magnesium
Currant jelly stool
Elevated amylase level
Assess the client's abdomen for indications of peritonitis. - ANS ✔✔The nurse is planning care for a client
who had a liver transplant. Which nursing assessment would the nurse include in the plan of care?
Assess the client's abdomen for indications of peritonitis.
STUDY GUIDE & ANSWERS 2026/2027
"This drug is expected to lower your pulse and blood pressure." - ANS ✔✔A client who has esophageal
varices is prescribed propranolol to prevent bleeding. What health teaching about this drug will the
nurse provide for the client?
"Report any signs of blood clots in your legs while on this drug."
"Be aware that this drug may cause nausea and vomiting."
"This drug is expected to lower your pulse and blood pressure."
"This drug should only be taken when you have an exacerbation of cirrhosis."
Hematemesis - ANS ✔✔The nurse is caring for a client who has cirrhosis of the liver. The client's latest
laboratory testing shows a prolonged prothrombin time. For what client finding resulting from this lab
result would the nurse monitor?
Deep vein thrombosis
Hematemesis
Pressure injury
Jaundice
Decreased weight - ANS ✔✔The nurse is caring for a client who just had a paracentesis. Which client
finding indicates that the procedure was effective?
Increased blood pressure
Increased pulse
Decreased weight
Decreased pain
Sodium - ANS ✔✔The nurse collaborates with the registered dietitian nutritionist in providing teaching
for a client who has ascites from cirrhosis. What daily dietary restriction would the nurse include in the
health teaching?
Sodium
Potassium
Magnesium
Calcium
Administering oxygen therapy - ANS ✔✔Which action by the nurse would most likely help to relieve
symptoms associated with ascites?
Lowering the head of the bed
Monitoring serum albumin levels
Administering intravenous fluids
Administering oxygen therapy
Esophageal varices
Hematuria
Ascites
Hemorrhoids - ANS ✔✔When caring for a client with portal hypertension, the nurse assesses for which
of the following potential complications? (Select all that apply.)
, Esophageal varices
Hematuria
Fever
Ascites
Hemorrhoids
Increased serum bilirubin
Increased aspartate aminotransferase
Increased serum alanine aminotransferase
Decreased serum albumin
Increased serum ammonia
Increased lactate dehydrogenase - ANS ✔✔The nurse is caring for a client who has been diagnosed with
cirrhosis. Which of the following laboratory results would the nurse expect for this client? (Select all that
apply.)
Increased serum bilirubin
Increased aspartate aminotransferase
Increased serum alanine aminotransferase
Decreased serum albumin
Increased serum ammonia
Increased lactate dehydrogenase
Alcohol
Acetaminophen
Smoking
Illicit drugs - ANS ✔✔The nurse teaches the client who has cirrhosis about foods and other substances
that should be avoided to prevent worsening of the disease. Which of the following substances will the
nurse include in that health teaching? (Select all that apply.)
Alcohol Correct
Protein
Sodium Incorrect
Acetaminophen Correct
Smoking Correct
Illicit drugs Correct
Prolonged prothrombin time
Dry, jaundiced skin
Swollen abdomen - ANS ✔✔When caring for a client with liver cirrhosis, which of the following findings
does the nurse expect to find on assessment? (Select all that apply.)
Prolonged prothrombin time
Dry, jaundiced skin
Swollen abdomen
Elevated magnesium
Currant jelly stool
Elevated amylase level
Assess the client's abdomen for indications of peritonitis. - ANS ✔✔The nurse is planning care for a client
who had a liver transplant. Which nursing assessment would the nurse include in the plan of care?
Assess the client's abdomen for indications of peritonitis.
