AH2 final exam study guide
AH2 TEST BANK FINAL EXAM STUDY GUIDE 2024-2025
NEWEST VERSION WITH UPDATED QUESTIONS AND
CORRECT DETAILED ANSWERS \\VERIFIED ANSWERS
\COMPLETE EXAM WITH COMPLETE QUESTIONS AND
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Terms in this set (135)
Match the following Answers:
characteristics of viral
hepatitis with their related a) 3
types (answer may be used b) 5
c) 4
more than once).
d) 2
e) 3
___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)
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Match the following clinical Answers:
manifestations with the
pathophysiologic changes a) 5
that occur in cirrhosis b) 3
c) 6
(answers may be used
d) 3
more than once).
e) 7
f) 8
___a) Jaundice
g) 2
___b) Testicular atrophy
h) 4
___c) Anorexia and dyspepsia
i) 3
___d) Spider angiomas
j) 1
___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
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Laboratory test results that Answer: B
the nurse would expect to
find in a patient with Rationale: Serum bilirubin, both direct and indirect,
cirrhosis include would be expected to be increased in cirrhosis. Serum
albumin and cholesterol are decreased, and liver
a) serum albumin: 7.0 g/dL enzymes, such as AST and ALT, are elevated.
b) bilirubin: total 3.2 mg/dL
c) serum cholesterol: 260
mg/dL
d) aspartate
aminotransferase (AST):
6.0 U/L
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The nurse recognizes early Answer: D
signs of hepatic
encephalopathy in the Rationale: Early signs of this neurologic condition
patient who include euphoria, depression, apathy, irritability,
confusion, agitation, drowsiness, and lethargy. Loss of
a) manifests asterixis consciousness is usually preceded by asterisks,
b) becomes unconscious disorientation, hyperventilation, hypothermia, and
c) has increasing oliguria alterations in reflexes. Increasing oliguria is a sign of
d) is irritable and lethargic hepatorenal syndrome.
During the treatment of the Answer: C
patient with bleeding
esophageal varices, it is most Rationale: Bleeding esophageal varices are a medical
important that the nurse emergency. During an episode of bleeding,
management of the airway and prevention of
a) prepare the patient for aspiration of blood are critical factors. Occult blood
immediate portal shunting as well as fresh blood from the GI tract would be
surgery. expected and is not tested. Vasopressin causes
b) perform guaiac testing vasoconstriction, decreased heart rate, and decreased
on all stools to detect coronary blood flow; nitroglycerin is given with the
occult blood. vasopressin to counter these side effects. Portal
c) maintain the patient's shunting surgery is performed for esophageal varices
airway and prevent but not during an acute hemorrhage.
aspiration of blood.
d) monitor for the cardiac
effects of IV vasopressin
and nitroglycerin
pancreatitis, the nurse would expect to find
When assessing a patient a) hyperactive bowel sounds
with acute pancreatitis, the b) hypertension and tachycardia
nurse would expect to find c) severe midepigastric or left upper quadrant (LUQ) pain
d) a temperature greater
a) hyperactive bowel sounds than 102 F Answer: C
b) hypertension and
tachycardia Rationale: The predominant symptom of acute
c) severe midepigastric pancreatitis is severe, deep abdominal pain that is
or left upper quadrant usually located in the LUQ but may be in the
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