NUR 580 EXAM 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NUR 580 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. Which factor is considered a risk factor in the development of cholelithiasis? Anemia Pregnancy Age
younger than 40 years Low body mass index (BMI)
Answer:
Pregnancy

Question:
2. Which medication would be administered for treatment of cholelithiasis to dissolve gallstones?
Ketorolac Morphine sulfate Bethanechol Ursodiol
Answer:
Ursodiol

Question:
3. A female patient is scheduled for a cholecystectomy by natural orifice transluminal endoscopic surgery.
Which area is used for inserting the endoscope during this procedure? Mouth Vagina Rectum Umbilicus
Answer:
Vagina

Question:
4. The nurse is preparing a patient for a magnetic resonance cholangiopancreatography (MRCP) scan.
Which contrast medium does the nurse tell the patient will be administered before the procedure?
Ketorolac Morphine Meperidine Gadolinium
Answer:
Gadolinium

Question:
5. A patient who has just undergone a laparoscopic cholecystectomy is reporting shoulder pain. The nurse
suspects which finding as being the likely cause of this pain? Lack of mobility Carbon dioxide gas
Positioning during surgery Pain from remaining gallstones
Answer:
Carbon dioxide gas

Question:
6. Which condition is a risk factor for acute cholecystitis? (Select all that apply.) Family history of
gallstones Type 2 diabetes Male sex Sickle cell disease Rapid weight loss
Answer:
Family history of gallstones Type 2 diabetes Sickle cell disease Rapid weight loss

Question:
7. A patient reports fever, yellowing of the skin and eyes, clay-colored stools, and dark urine. The nurse
suspects further testing will reveal which condition? Peritonitis Malnutrition Vitamin deficiency Chronic
cholecystitis

,Answer:
Chronic cholecystitis

Question:
8. Which factor may be associated with the development of cholelithiasis? (Select all that apply.) Smoking
Obesity Nutrition habits Sedentary lifestyle Type 1 diabetes mellitus
Answer:
Obesity Nutrition habits Sedentary lifestyle

Question:
9. Which elevated blood level indicates inflammation in a patient diagnosed with cholecystitis? White
blood cell count Lactate dehydrogenase Serum alkaline phosphatase Aspartate aminotransferase
Answer:
White blood cell count

Question:
10. A patient scheduled for a cholecystectomy because of gallstones causing cholecystitis reports a pain
level of 4 on a 0-10 pain scale. Which analgesic medication does the nurse anticipate will be prescribed for
the patient? Ketorolac Morphine Meperidine Hydromorphone
Answer:
Ketorolac

Question:
11. Which finding is expected in a patient who has a liver function abnormality? Increased white blood cell
count Decreased level of lactate dehydrogenase Decreased level of aspartate aminotransferase Increased
serum alkaline phosphatase
Answer:
Increased serum alkaline phosphatase

Question:
12. The nurse is reviewing laboratory values of a patient diagnosed with cholecystitis. Elevations in which
laboratory values would prompt the nurse to suspect pancreatic involvement? (Select all that apply.) Serum
lipase Serum amylase Alkaline phosphatase White blood cell count Lactate dehydrogenase
Answer:
Serum lipase Serum amylase

Question:
13. A patient suspected of having cholecystitis presents with severe upper epigastric pain radiating to the
right shoulder, vomiting, diaphoresis, and exhaustion. These symptoms indicate which finding? Biliary
colic Liver involvement Chronic cholecystitis Positive Blumberg sign
Answer:
Biliary colic

, Question:
14. A patient receiving chenodiol acid for cholelithiasis has received medication teaching. Which
statement indicates the teaching was effective? "If I have diarrhea, I will call my doctor." "I can take this
medication for up to 5 years." "I should take the medication on an empty stomach." "I will need
gallbladder ultrasounds every 2 months for a year."
Answer:
"If I have diarrhea, I will call my doctor."

Question:
15. The nurse reviews laboratory results of a patient diagnosed with cholecystitis. Elevations in which
results would prompt the nurse to suspect abnormal liver function? (Select all that apply.) Serum amylase
White blood cell count Lactate dehydrogenase Serum alkaline phosphatase Aspartate aminotransferase
Answer:
Lactate dehydrogenase Serum alkaline phosphatase Aspartate aminotransferase

Question:
16. Which laboratory results would the nurse review for a patient suspected of having cholecystitis?
(Select all that apply.) Platelets Hematocrit Liver function tests White blood cell count Alkaline
phosphatase
Answer:
Liver function tests White blood cell count Alkaline phosphatase

Question:
17. Which findings are consistent with a diagnosis of acute cholecystitis? (Select all that apply.) Vomiting
Eructation Dysphagia Blumberg sign Right lower quadrant pain
Answer:
Vomiting Eructation Blumberg sign

Question:
18. Which diagnostic results would lead the nurse to suspect that a patient may have gallbladder disease?
Increased WBC count, visualization of calcified gallstones, edema of the gallbladder wall Increased WBC
count, visualization of noncalcified gallstones, edema of the gallbladder wall Decreased WBC count,
visualization of calcified gallstones, increased alkaline phosphatase Decreased WBC count, visualization
of noncalcified gallstones, increased alkaline phosphatase
Answer:
Increased WBC count, visualization of calcified gallstones, edema of the gallbladder wall

Question:
19. A patient admitted for cholecystitis scheduled for cholecystectomy reports pain of 3/10 and requests
pain medication. Which medication does the nurse anticipate administering? Ketorolac IV Morphine IV
Ibuprofen orally Acetaminophen orally
Answer:
Ketorolac IV