NCLEX Urinary/Renal System questions Combination of
sets from all over Real Exams, practice questions and study
cards for NCLEX preparation on the topic of the urinary
system and its related disorders/treatments/nursing care
With Complete Solutions
"1. A health care provider who has not been immunized for
hepatitis B is exposed to the hepatitis B virus (HBV) through a
needle stick from an infected patient. The infection control nurse
informs the individual that treatment for the exposure should
include:
a. baseline hepatitis B antibody testing now and in 2 months.
b. active immunization with hepatitis B vaccine.
c. hepatitis B immune globulin (HBIG) injection.
d. both the hepatitis B vaccine and HBIG injection. Correct
Answer Correct D
The recommended treatment for exposure to hepatitis B in
unvaccinated individuals is to receive both HBIG and the
hepatitis B vaccine, which would provide temporary passive
immunity and promote active immunity. Antibody testing may
also be done, but this would not provide protection from the
exposure.
"A client has developed hepatitis A after eating contaminated
oysters. The nurse assesses the client for which of the
following?
"1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort" Correct Answer Correct
Answer 1: Rationale: Hepatitis causes GI symptoms such as
,anorexia, nausea, right upper quadrant discomfort and weight
loss. Fatigue and malaise are common. Stools will be light or
clay colored if conjugated bilirubin is unable to flow out of the
liver because of inflammation or obstruction of the bile ducts.
"A client is admitted with ongoing symptoms of the flu. There
are no other obvious signs of illness. This client should be tested
for hepatitis because:
"a) She has an allergy to shellfish.
b) She could have anicteric hepatitis, which means no jaundice.
c) She was living with a roommate who had similar symptoms.
d)She has a blood pressure of 90/50. Correct Answer Correct
answer: B"
Only about 25 percent of people with acute hepatitis develop
jaundice. Patients with anicteric hepatitis may have severely
compromised liver function that is overlooked due to lack of
jaundice.
"A client is admitted with ongoing sypmtoms of the flu. There
are no other obvious signs of illness. This client should be tested
for hepatitis because:
"A. She has a blood pressure of 90/50
B. whe has an allergy to shellfish
C. She could have anicteric hepatitis, which means no jaundice
D. She was living with a roommate who had similar symptoms"
Correct Answer Correct C
Rationale: Only about 25 percet of people with acute hepatitis
develop jaundice. Patients with anicteric hepatitis may have
severely compromised liver function that is overlooked due to
lack of jaundice. A roommate with the same symptoms could
mean a communicable disease such as the flu.
,"A client with acute hepatitis is prescribed lactulose. The nurse
knows this medication will:
A. Prevent the absorption of ammonia from the bowel.
B. Prevent hypoglycemia.
C. Remove bilirubin from the blood.
D. Mobilize iron stores from the liver" Correct Answer
"Correct Answer: A
Rationale: Lactulose helps prevent the absorption of ammonia
from the bowel because it will cause frequent bowel movements,
which facilitates the removal of ammonia from the intestines."
"A client with acute hepatitis is prescribed lactulose. The nurse
knows this medication will:
"a. Mobilize iron stores from the liver.
b. Prevent hypoglycemia
c. Remove bilirubin from the blood
d. Prevent the absorption of ammonia from the bowel. Correct
Answer Correct D
Lactulose helps prevent the absorption of ammonia from the
bowel because it will cause frequent bowel movements, which
facilitates the removal of ammonia from the intestines.
"A college student is required to be inoculated for hepatitis
before beginning college. The nurse realizes that this client will
be inoculated to prevent the development of...
A: Hepatitis B
B: Hepatitis C
C: Hepatitis E
D: Hepatitis D" Correct Answer Correct A:
, Hepatitis B is considered a significant sexually transmitted
disease and is seen in all age groups. A vaccine is available for
this type of hepatitis.
"A female client who has just been diagnosed with hepatitis A
asks,
"How could I have gotten this disease?" What is the nurse's best
response?
"a. "You may have eaten contaminated restaurant food."
b. "You could have gotten it by using I.V. drugs."
c. "You must have received an infected blood transfusion."
d. "You probably got it by engaging in unprotected sex.""
Correct Answer Answer A
Hepatitis A virus typically is transmitted by the oral-fecal route
— commonly by consuming food contaminated by infected food
handlers. The virus isn't transmitted by the I.V. route, blood
transfusions, or
unprotected sex. Hepatitis B can be transmitted by I.V. drug use
or
blood transfusion. Hepatitis C can be transmitted by unprotected
sex."
"A female client who has just been diagnosed with hepatitis A
asks,
"How could I have gotten this disease?" What is the nurse's best
response?
a. "You may have eaten contaminated restaurant food."
b. "You could have gotten it by using I.V. drugs."
c. "You must have received an infected blood transfusion."
d. "You probably got it by engaging in unprotected sex.""
Correct Answer "Answer A.
sets from all over Real Exams, practice questions and study
cards for NCLEX preparation on the topic of the urinary
system and its related disorders/treatments/nursing care
With Complete Solutions
"1. A health care provider who has not been immunized for
hepatitis B is exposed to the hepatitis B virus (HBV) through a
needle stick from an infected patient. The infection control nurse
informs the individual that treatment for the exposure should
include:
a. baseline hepatitis B antibody testing now and in 2 months.
b. active immunization with hepatitis B vaccine.
c. hepatitis B immune globulin (HBIG) injection.
d. both the hepatitis B vaccine and HBIG injection. Correct
Answer Correct D
The recommended treatment for exposure to hepatitis B in
unvaccinated individuals is to receive both HBIG and the
hepatitis B vaccine, which would provide temporary passive
immunity and promote active immunity. Antibody testing may
also be done, but this would not provide protection from the
exposure.
"A client has developed hepatitis A after eating contaminated
oysters. The nurse assesses the client for which of the
following?
"1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort" Correct Answer Correct
Answer 1: Rationale: Hepatitis causes GI symptoms such as
,anorexia, nausea, right upper quadrant discomfort and weight
loss. Fatigue and malaise are common. Stools will be light or
clay colored if conjugated bilirubin is unable to flow out of the
liver because of inflammation or obstruction of the bile ducts.
"A client is admitted with ongoing symptoms of the flu. There
are no other obvious signs of illness. This client should be tested
for hepatitis because:
"a) She has an allergy to shellfish.
b) She could have anicteric hepatitis, which means no jaundice.
c) She was living with a roommate who had similar symptoms.
d)She has a blood pressure of 90/50. Correct Answer Correct
answer: B"
Only about 25 percent of people with acute hepatitis develop
jaundice. Patients with anicteric hepatitis may have severely
compromised liver function that is overlooked due to lack of
jaundice.
"A client is admitted with ongoing sypmtoms of the flu. There
are no other obvious signs of illness. This client should be tested
for hepatitis because:
"A. She has a blood pressure of 90/50
B. whe has an allergy to shellfish
C. She could have anicteric hepatitis, which means no jaundice
D. She was living with a roommate who had similar symptoms"
Correct Answer Correct C
Rationale: Only about 25 percet of people with acute hepatitis
develop jaundice. Patients with anicteric hepatitis may have
severely compromised liver function that is overlooked due to
lack of jaundice. A roommate with the same symptoms could
mean a communicable disease such as the flu.
,"A client with acute hepatitis is prescribed lactulose. The nurse
knows this medication will:
A. Prevent the absorption of ammonia from the bowel.
B. Prevent hypoglycemia.
C. Remove bilirubin from the blood.
D. Mobilize iron stores from the liver" Correct Answer
"Correct Answer: A
Rationale: Lactulose helps prevent the absorption of ammonia
from the bowel because it will cause frequent bowel movements,
which facilitates the removal of ammonia from the intestines."
"A client with acute hepatitis is prescribed lactulose. The nurse
knows this medication will:
"a. Mobilize iron stores from the liver.
b. Prevent hypoglycemia
c. Remove bilirubin from the blood
d. Prevent the absorption of ammonia from the bowel. Correct
Answer Correct D
Lactulose helps prevent the absorption of ammonia from the
bowel because it will cause frequent bowel movements, which
facilitates the removal of ammonia from the intestines.
"A college student is required to be inoculated for hepatitis
before beginning college. The nurse realizes that this client will
be inoculated to prevent the development of...
A: Hepatitis B
B: Hepatitis C
C: Hepatitis E
D: Hepatitis D" Correct Answer Correct A:
, Hepatitis B is considered a significant sexually transmitted
disease and is seen in all age groups. A vaccine is available for
this type of hepatitis.
"A female client who has just been diagnosed with hepatitis A
asks,
"How could I have gotten this disease?" What is the nurse's best
response?
"a. "You may have eaten contaminated restaurant food."
b. "You could have gotten it by using I.V. drugs."
c. "You must have received an infected blood transfusion."
d. "You probably got it by engaging in unprotected sex.""
Correct Answer Answer A
Hepatitis A virus typically is transmitted by the oral-fecal route
— commonly by consuming food contaminated by infected food
handlers. The virus isn't transmitted by the I.V. route, blood
transfusions, or
unprotected sex. Hepatitis B can be transmitted by I.V. drug use
or
blood transfusion. Hepatitis C can be transmitted by unprotected
sex."
"A female client who has just been diagnosed with hepatitis A
asks,
"How could I have gotten this disease?" What is the nurse's best
response?
a. "You may have eaten contaminated restaurant food."
b. "You could have gotten it by using I.V. drugs."
c. "You must have received an infected blood transfusion."
d. "You probably got it by engaging in unprotected sex.""
Correct Answer "Answer A.
