Chamberlain University School of Nursing NR 325 - FINAL
EXAM STUDY GUIDE
"PING PONG" EFFECT Correct Answers treatment
re-exposure
reinfection
ACUTE LIVER FAILURE - MOST COMMON CAUSE
Correct Answers drugs and alcohol
i.e. acetaminophen (Tylenol) in combination with alcohol
ACUTE PANCREATITIS - NURSING ACTION Correct
Answers patients with acute pancreatitis have an increased risk
for hypocalcemia
nurse should monitor patient's calcium level
positive Trousseau's/Chvostek's sign should be reported to HCP
immediately
ACUTE PANCREATITIS VS. CHRONIC PANCREATITIS
Correct Answers Chronic damage to the pancreas causes a
deficiency of digestive enzymes and insulin
results in malabsorption and diabetes mellitus
,ADVANTAGE OF FINE-NEEDLE ASPIRATION (FNA)
BIOPSY Correct Answers FNA is performed in outpatient
settings
results are available within 24-48 hours
no incision required
ALANINE AMINOTRANSFERASE (ALT) Correct Answers
*Expected Reference Range*
4-36 U/L
*Interpretation of Findings*
elevation occurs with hepatitis or cirrhosis
ALBUMIN Correct Answers *Expected Reference Range*
3.5 - 5.0 g/dL
*Interpretation of Findings*
decrease can indicate hepatic disease
ALKALINE PHOSPHATASE (ALP) Correct Answers
*Expected Reference Range*
30-120 U/L
*Interpretation of Findings*
elevation indicates liver damage
ALND Correct Answers axillary lymph node dissection
,ALPHA-FETOPROTEIN (AFP) Correct Answers *Expected
Reference Range*
less than 40 mcg/L
*Interpretation of Findings*
elevated in liver cancer, cirrhosis, hepatitis
AMMONIA Correct Answers *Expected Reference Range*
10 - 80 mcg/dL
*Interpretation of Findings*
elevated in liver disease
AMYLASE Correct Answers *Expected Reference Range*
30-220 U/L
*Interpretation of Findings*
elevation occurs with pancreatitis
Anti-HAV immunoglobulin G (IgG) - DIAGNOSTIC TEST
FOR HEP A Correct Answers indicates previous infection or
immunization
not routinely done in clinical practice
Memory tip: "G" = infection gone
Anti-HAV Immunoglobulin M (IgM) - DIAGNOSTIC TEST
for HEP A Correct Answers indicates acute infection
, Anti-HBc (antibody to hepatitis B core antigen) IgM -
DIAGNOSTIC TEST FOR HEP B Correct Answers Indicates
acute infection
Does not appear after vaccination
Anti-HBc IgG - DIAGNOSTIC TEST FOR HEP B Correct
Answers Indicates previous infection or ongoing infection with
hepatitis B
Does not appear after vaccination
Anti-HBe (hepatitis B e antibody) - DIAGNOSTIC TEST FOR
HEP B Correct Answers Indicates previous infection
In chronic hepatitis B, indicates a low viral load and low degree
of infectivity
Anti-HBs (hepatitis B surface antibody) - DIAGNOSTIC TEST
FOR HEP B Correct Answers Indicates previous infection
with HBV or *immunization*
Anti-HCV (antibody to HCV) - DIAGNOSTIC TEST FOR HEP
C Correct Answers marker for acute or chronic infection with
HCV
Anti-HDV - DIAGNOSTIC TEST FOR HEP D Correct
Answers Present in past or current infection with HDV
Anti-HEV IgM and IgG - DIAGNOSTIC TEST FOR HEP E
Correct Answers Present 1 wk-2 mo after illness onset
EXAM STUDY GUIDE
"PING PONG" EFFECT Correct Answers treatment
re-exposure
reinfection
ACUTE LIVER FAILURE - MOST COMMON CAUSE
Correct Answers drugs and alcohol
i.e. acetaminophen (Tylenol) in combination with alcohol
ACUTE PANCREATITIS - NURSING ACTION Correct
Answers patients with acute pancreatitis have an increased risk
for hypocalcemia
nurse should monitor patient's calcium level
positive Trousseau's/Chvostek's sign should be reported to HCP
immediately
ACUTE PANCREATITIS VS. CHRONIC PANCREATITIS
Correct Answers Chronic damage to the pancreas causes a
deficiency of digestive enzymes and insulin
results in malabsorption and diabetes mellitus
,ADVANTAGE OF FINE-NEEDLE ASPIRATION (FNA)
BIOPSY Correct Answers FNA is performed in outpatient
settings
results are available within 24-48 hours
no incision required
ALANINE AMINOTRANSFERASE (ALT) Correct Answers
*Expected Reference Range*
4-36 U/L
*Interpretation of Findings*
elevation occurs with hepatitis or cirrhosis
ALBUMIN Correct Answers *Expected Reference Range*
3.5 - 5.0 g/dL
*Interpretation of Findings*
decrease can indicate hepatic disease
ALKALINE PHOSPHATASE (ALP) Correct Answers
*Expected Reference Range*
30-120 U/L
*Interpretation of Findings*
elevation indicates liver damage
ALND Correct Answers axillary lymph node dissection
,ALPHA-FETOPROTEIN (AFP) Correct Answers *Expected
Reference Range*
less than 40 mcg/L
*Interpretation of Findings*
elevated in liver cancer, cirrhosis, hepatitis
AMMONIA Correct Answers *Expected Reference Range*
10 - 80 mcg/dL
*Interpretation of Findings*
elevated in liver disease
AMYLASE Correct Answers *Expected Reference Range*
30-220 U/L
*Interpretation of Findings*
elevation occurs with pancreatitis
Anti-HAV immunoglobulin G (IgG) - DIAGNOSTIC TEST
FOR HEP A Correct Answers indicates previous infection or
immunization
not routinely done in clinical practice
Memory tip: "G" = infection gone
Anti-HAV Immunoglobulin M (IgM) - DIAGNOSTIC TEST
for HEP A Correct Answers indicates acute infection
, Anti-HBc (antibody to hepatitis B core antigen) IgM -
DIAGNOSTIC TEST FOR HEP B Correct Answers Indicates
acute infection
Does not appear after vaccination
Anti-HBc IgG - DIAGNOSTIC TEST FOR HEP B Correct
Answers Indicates previous infection or ongoing infection with
hepatitis B
Does not appear after vaccination
Anti-HBe (hepatitis B e antibody) - DIAGNOSTIC TEST FOR
HEP B Correct Answers Indicates previous infection
In chronic hepatitis B, indicates a low viral load and low degree
of infectivity
Anti-HBs (hepatitis B surface antibody) - DIAGNOSTIC TEST
FOR HEP B Correct Answers Indicates previous infection
with HBV or *immunization*
Anti-HCV (antibody to HCV) - DIAGNOSTIC TEST FOR HEP
C Correct Answers marker for acute or chronic infection with
HCV
Anti-HDV - DIAGNOSTIC TEST FOR HEP D Correct
Answers Present in past or current infection with HDV
Anti-HEV IgM and IgG - DIAGNOSTIC TEST FOR HEP E
Correct Answers Present 1 wk-2 mo after illness onset
