AH2 final exam study guide Questions &
ANSWERS 100% RATED CORRECT- SURE PASS!! |
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The family members of a patient with hepatitis A ask if there is anything that will
prevent them from developing the disease. The best response by the nurse is
a) "No immunization is available for hepatitis A, nor are you likely to get the disease."
b) "Only individuals who have had sexual contact with the patient should receive
immunization."
c) "All family members should receive the hepatitis A vaccine to prevent or modify the
infection."
d) "Those who have had household or close contact with the patient should receive
immune globulin." - ✔✔Answer: D
Rationale: Individuals who have been exposed to hepatitis A through household contact
or food borne outbreaks should be given immune globulin within 1 to 2 weeks of
exposure to prevent or modify the illness. Hepatitis A vaccine is used to provide
preexposure immunity to the virus and is indicated for individuals at high risk for
hepatitis A exposure. Although hepatitis A can be spread by sexual contact, the risk is
higher for transmission with the oral-fecal route.
A patient newly diagnosed with acute hepatitis B asks about drug therapy to treat the
disease. The most appropriate response by the nurse is informing the patient that
a) there are no specific drug therapies that are effective for treating acute viral hepatitis
b) only chronic hepatitis C is treatable, primarily with antiviral agents and alpha-
interferon
,c) no drugs can be used for treatment of viral hepatitis because of the risk of additional
liver damage
d) alpha-interferon - ✔✔Answer: A
Rationale: No specific drugs are effective treating acute viral hepatitis, although
supportive drugs, such as antiemetics, sedatives, or antipruritics, may be used for
symptom control. Antiviral agents, such as lamivudine or ribacvarin, and alpha-
interferon may be used for treating chronic hepatitis B or C.
Match the following clinical manifestations with the pathophysiologic changes that
occur in cirrhosis (answers may be used more than once).
___a) Jaundice
___b) Testicular atrophy
___c) Anorexia and dyspepsia
___d) Spider angiomas
___e) Amenorrha
___f) Peripheral neuropathy
___g) Anemia, leukopenia, thrombocytopenia
___h) Dull, heavy, RUQ pain
___i) Male gynecomastia
___j) Petichiae and purpura
1) Decreased prothrombin time
2) Vascular congestion of spleen
3) Decreased estrogen metabolism
4) Stretching of liver capsule
,5) Decreased bilirubin conjugation and excretion
6) Altered carbohydrate, protein, and fat metabolism
7) Decreased testosterone metabolism
8) Vitamin B deficiencies - ✔✔Answers:
a) 5
b) 3
c) 6
d) 3
e) 7
f) 8
g) 2
h) 4
i) 3
j) 1
Laboratory test results that the nurse would expect to find in a patient with cirrhosis
include
a) serum albumin: 7.0 g/dL
b) bilirubin: total 3.2 mg/dL
c) serum cholesterol: 260 mg/dL
d) aspartate aminotransferase (AST): 6.0 U/L - ✔✔Answer: B
, Rationale: Serum bilirubin, both direct and indirect, would be expected to be increased
in cirrhosis. Serum albumin and cholesterol are decreased, and liver enzymes, such as
AST and ALT, are elevated.
Match the following characteristics of viral hepatitis with their related types (answer
may be used more than once).
___a) IV drug use is method of greatest transmission
___b) Uncommon in the United States
___c) Exists only with hepatitis B
___d) Caused by a DNA virus
___e) Most common cause of chronic hepatitis
Types:
1) Hepatitis A (HAV)
2) Hepatitis B (HBV)
3) Hepatitis C (HCV)_
4) Hepatitis D (HDV)
5) Hepatits E (HEV) - ✔✔Answers:
a) 3
b) 5
c) 4
d) 2
e) 3
ANSWERS 100% RATED CORRECT- SURE PASS!! |
Newest 2025
The family members of a patient with hepatitis A ask if there is anything that will
prevent them from developing the disease. The best response by the nurse is
a) "No immunization is available for hepatitis A, nor are you likely to get the disease."
b) "Only individuals who have had sexual contact with the patient should receive
immunization."
c) "All family members should receive the hepatitis A vaccine to prevent or modify the
infection."
d) "Those who have had household or close contact with the patient should receive
immune globulin." - ✔✔Answer: D
Rationale: Individuals who have been exposed to hepatitis A through household contact
or food borne outbreaks should be given immune globulin within 1 to 2 weeks of
exposure to prevent or modify the illness. Hepatitis A vaccine is used to provide
preexposure immunity to the virus and is indicated for individuals at high risk for
hepatitis A exposure. Although hepatitis A can be spread by sexual contact, the risk is
higher for transmission with the oral-fecal route.
A patient newly diagnosed with acute hepatitis B asks about drug therapy to treat the
disease. The most appropriate response by the nurse is informing the patient that
a) there are no specific drug therapies that are effective for treating acute viral hepatitis
b) only chronic hepatitis C is treatable, primarily with antiviral agents and alpha-
interferon
,c) no drugs can be used for treatment of viral hepatitis because of the risk of additional
liver damage
d) alpha-interferon - ✔✔Answer: A
Rationale: No specific drugs are effective treating acute viral hepatitis, although
supportive drugs, such as antiemetics, sedatives, or antipruritics, may be used for
symptom control. Antiviral agents, such as lamivudine or ribacvarin, and alpha-
interferon may be used for treating chronic hepatitis B or C.
Match the following clinical manifestations with the pathophysiologic changes that
occur in cirrhosis (answers may be used more than once).
___a) Jaundice
___b) Testicular atrophy
___c) Anorexia and dyspepsia
___d) Spider angiomas
___e) Amenorrha
___f) Peripheral neuropathy
___g) Anemia, leukopenia, thrombocytopenia
___h) Dull, heavy, RUQ pain
___i) Male gynecomastia
___j) Petichiae and purpura
1) Decreased prothrombin time
2) Vascular congestion of spleen
3) Decreased estrogen metabolism
4) Stretching of liver capsule
,5) Decreased bilirubin conjugation and excretion
6) Altered carbohydrate, protein, and fat metabolism
7) Decreased testosterone metabolism
8) Vitamin B deficiencies - ✔✔Answers:
a) 5
b) 3
c) 6
d) 3
e) 7
f) 8
g) 2
h) 4
i) 3
j) 1
Laboratory test results that the nurse would expect to find in a patient with cirrhosis
include
a) serum albumin: 7.0 g/dL
b) bilirubin: total 3.2 mg/dL
c) serum cholesterol: 260 mg/dL
d) aspartate aminotransferase (AST): 6.0 U/L - ✔✔Answer: B
, Rationale: Serum bilirubin, both direct and indirect, would be expected to be increased
in cirrhosis. Serum albumin and cholesterol are decreased, and liver enzymes, such as
AST and ALT, are elevated.
Match the following characteristics of viral hepatitis with their related types (answer
may be used more than once).
___a) IV drug use is method of greatest transmission
___b) Uncommon in the United States
___c) Exists only with hepatitis B
___d) Caused by a DNA virus
___e) Most common cause of chronic hepatitis
Types:
1) Hepatitis A (HAV)
2) Hepatitis B (HBV)
3) Hepatitis C (HCV)_
4) Hepatitis D (HDV)
5) Hepatits E (HEV) - ✔✔Answers:
a) 3
b) 5
c) 4
d) 2
e) 3
