Msf Questions and
Answers
A patient was scheduled for a laparoscopic cholecystectomy, but complications
developed and he underwent an open cholecystectomy with a T-tube inserted
into the common bile duct. What is the purpose of the T-tube?
Ans- To keep the duct open and allow drainage of the bile until edema resolves.
The nurse caring for a patient who has had an open cholecystectomy with a T-
Tube will:
Ans- b. position and secure the drainage bag at the chest level.
What should the nurse point out as a significant advantage of the laparoscopic
cholecystectomy?
Ans- d. Less invasive procedure
,The patient with cirrhosis has a rising ammonia level and is becoming
disoriented. The patient waves to the nurse as she enters the room. How should
the nurse interpret this?
Ans- As asterixis
Which of the following is a classic symptom of cholecystitis?
Ans- c. Right upper abdomen, radiating to the back or right scapula
When caring for an extremely jaundiced patient with cirrhosis, what should the
nurse include provisions for in the plan of care?
Ans- b. Skin care to relieve pruritus
The nurse is aware that an elevated serum amylase is diagnostic of pancreatitis
at an early stage as an elevation can be assessed as early as _____ after the
onset of pancreatic disease.
Ans- 2 HOURS
,patient with a T-tube for an open cholecystectomy has resumed oral intake. The
T-tube is clamped 2 hours before meals and unclamped 2 hours after meals to
aid in the digestion of fat. During the time the tube is clamped the patient
complains of abdominal pain and nausea. Which intervention is most appropriate?
Ans- unclamp tube immediately
What are the indications for a liver transplant? (
Ans- a. Congenital biliary abnormalities
b. Hepatic malignancy
c. Chronic hepatitis
Dietary teaching for a patient who is treated conservatively for cholecystitis is
necessary to keep the patient comfortable. Which foods should be avoided?
(Select all that apply.)
Ans- a. Peanut butter
e. Whole milk
f. Glazed chocolate doughnuts
, What should the nurse do as part of the preparation for an endoscopic
retrograde cholangiopancreatography (ERCP)? (Select all that apply.)
Ans- b. Confirm the presence of a consent form
d. Confirm the presence of a prothrombin time/INR
56 -year-old man is admitted to the emergency room with an acute attack of
diverticulitis. The patient has a temperature of 102° F, and has an elevated
white count. Which assessment would alert the nurse to impending septic shock?
Ans- tachycardia
The nurse anticipates that the patient who has had a subtotal gastrectomy will
need supplemental:
Ans- vitamin B12 due to the loss of the intrinsic factor
The home health nurse is caring for a patient who has frequent bouts of
diverticulitis accompanied by increased flatulence, diarrhea, and nausea. Which
of the following is the most appropriate suggestion to lessen these symptoms?
Answers
A patient was scheduled for a laparoscopic cholecystectomy, but complications
developed and he underwent an open cholecystectomy with a T-tube inserted
into the common bile duct. What is the purpose of the T-tube?
Ans- To keep the duct open and allow drainage of the bile until edema resolves.
The nurse caring for a patient who has had an open cholecystectomy with a T-
Tube will:
Ans- b. position and secure the drainage bag at the chest level.
What should the nurse point out as a significant advantage of the laparoscopic
cholecystectomy?
Ans- d. Less invasive procedure
,The patient with cirrhosis has a rising ammonia level and is becoming
disoriented. The patient waves to the nurse as she enters the room. How should
the nurse interpret this?
Ans- As asterixis
Which of the following is a classic symptom of cholecystitis?
Ans- c. Right upper abdomen, radiating to the back or right scapula
When caring for an extremely jaundiced patient with cirrhosis, what should the
nurse include provisions for in the plan of care?
Ans- b. Skin care to relieve pruritus
The nurse is aware that an elevated serum amylase is diagnostic of pancreatitis
at an early stage as an elevation can be assessed as early as _____ after the
onset of pancreatic disease.
Ans- 2 HOURS
,patient with a T-tube for an open cholecystectomy has resumed oral intake. The
T-tube is clamped 2 hours before meals and unclamped 2 hours after meals to
aid in the digestion of fat. During the time the tube is clamped the patient
complains of abdominal pain and nausea. Which intervention is most appropriate?
Ans- unclamp tube immediately
What are the indications for a liver transplant? (
Ans- a. Congenital biliary abnormalities
b. Hepatic malignancy
c. Chronic hepatitis
Dietary teaching for a patient who is treated conservatively for cholecystitis is
necessary to keep the patient comfortable. Which foods should be avoided?
(Select all that apply.)
Ans- a. Peanut butter
e. Whole milk
f. Glazed chocolate doughnuts
, What should the nurse do as part of the preparation for an endoscopic
retrograde cholangiopancreatography (ERCP)? (Select all that apply.)
Ans- b. Confirm the presence of a consent form
d. Confirm the presence of a prothrombin time/INR
56 -year-old man is admitted to the emergency room with an acute attack of
diverticulitis. The patient has a temperature of 102° F, and has an elevated
white count. Which assessment would alert the nurse to impending septic shock?
Ans- tachycardia
The nurse anticipates that the patient who has had a subtotal gastrectomy will
need supplemental:
Ans- vitamin B12 due to the loss of the intrinsic factor
The home health nurse is caring for a patient who has frequent bouts of
diverticulitis accompanied by increased flatulence, diarrhea, and nausea. Which
of the following is the most appropriate suggestion to lessen these symptoms?
