NUR2392 Final Exam- Multidimensional
Care I MDC 2 Final Exam Review Questions
With Correct Answers
A client with a history of esophageal varices has just been admitted to the
|| || || || || || || || || || || || ||
emergency department after vomiting a large quantity of blood. Which action does
|| || || || || || || || || || || ||
the nurse take first?
|| || || ||
a. Obtain the charts from the previous admission.
|| || || || || ||
b. Listen for bowel sounds in all quadrants.
|| || || || || ||
c. Obtain pulse and blood pressure. || || || ||
d. Ask about abdominal pain.
|| || |
(ANS- C ||
The nurse administers lactulose (Evalose) to a client with cirrhosis for which
|| || || || || || || || || || ||
purpose?
||
a. To aid in digestion of dairy products
|| || || || || ||
b. To reduce portal pressure
|| || ||
c. To promote gastrointestinal (GI) excretion of ammonia
|| || || || || ||
d. To reduce the risk of GI bleeding
|| || || || || ||
(ANS- C ||
,It is essential that the nurse monitor the client returning from hepatic artery
|| || || || || || || || || || || ||
embolization for hepatic cancer for which potential complication?
|| || || || || || || ||
a. Right shoulder pain || ||
b. Polyuria
c. Bone marrow suppression || ||
d. Bleeding
(ANS- D ||
When caring for a client with Laennec's cirrhosis, which of these does the nurse
|| || || || || || || || || || || || ||
expect to find on assessment? Select all that apply.
|| || || || || || || || ||
a. Prolonged partial thromboplastin time | || ||
b. Icterus of skin || ||
c. Swollen abdomen ||
d. Elevated magnesium ||
e. Currant jelly stool || ||
f. Elevated amylase level || ||
(ANS- A, B, C || || ||
The RN has just received the change-of-shift report for the medical unit. Which
|| || || || || || || || || || || ||
client should the RN see first?
|| || || || || ||
,a. Client with ascites who had a paracentesis 2 hours ago and is reporting a
|| || || || || || || || || || || || ||
headache
||
b. Client with portal-systemic encephalopathy (PSE) who has become increasingly
|| || || | || || || ||
difficult to arouse || ||
c. Client with hepatic cirrhosis and jaundice who has hemoglobin of 10.9 g/dL
|| || || || || || || || || || ||
(109 mmol/l) and thrombocytopenia
|| || || ||
d. Client with hepatitis A who has elevated alanine aminotransferase (ALT) and
|| || || || || || || || || ||
aspartate aminotransferase (AST)
|| || ||
(ANS- B ||
How does the home care nurse best modify the client's home environment to manage
|| || || || || || || || || || || || ||
side effects of lactulose (Evalose)?
|| || || || ||
a. Provides small frequent meals for the client || || || || || ||
b. Suggests taking daily potassium supplements || || || |
c. Elevates the head of the bed in high-Fowler's position
|| || || || || || || ||
d. Requests a bedside commode for the client || || || || || ||
(ANS- D ||
Which activity by the nurse will best relieve symptoms associated with ascites?
|| | || || || || || || || || ||
a. Administering oxygen |
, b. Elevating the head of the bed | || || || ||
c. Monitoring serum albumin levels | | ||
d. Administering intravenous fluids | |
(ANS- B ||
When providing dietary teaching to a client with hepatitis, what practice does the
|| || || || || || || || || || || ||
nurse recommend?
|| ||
a. Having a larger meal early in the morning
|| || || || || || ||
b. Consuming increased carbohydrates and moderate protein
| || || | ||
c. Restricting fluids to 1500 mL/day || || || ||
d. Limiting alcoholic beverages to once weekly
|| || || || ||
(ANS- B ||
Which problem for a client with cirrhosis takes priority?
|| || || || || || || ||
a. Insufficient knowledge related to the prognosis of the disease process
| || || || || || || || ||
b. Discomfort related to the progression of the disease process
|| || || || || || || ||
c. Potential for injury related to hemorrhage
|| || || || ||
d. Inadequate nutrition related to an inability to tolerate usual dietary intake
|| || || || || | || || || ||
(ANS- C ||
Care I MDC 2 Final Exam Review Questions
With Correct Answers
A client with a history of esophageal varices has just been admitted to the
|| || || || || || || || || || || || ||
emergency department after vomiting a large quantity of blood. Which action does
|| || || || || || || || || || || ||
the nurse take first?
|| || || ||
a. Obtain the charts from the previous admission.
|| || || || || ||
b. Listen for bowel sounds in all quadrants.
|| || || || || ||
c. Obtain pulse and blood pressure. || || || ||
d. Ask about abdominal pain.
|| || |
(ANS- C ||
The nurse administers lactulose (Evalose) to a client with cirrhosis for which
|| || || || || || || || || || ||
purpose?
||
a. To aid in digestion of dairy products
|| || || || || ||
b. To reduce portal pressure
|| || ||
c. To promote gastrointestinal (GI) excretion of ammonia
|| || || || || ||
d. To reduce the risk of GI bleeding
|| || || || || ||
(ANS- C ||
,It is essential that the nurse monitor the client returning from hepatic artery
|| || || || || || || || || || || ||
embolization for hepatic cancer for which potential complication?
|| || || || || || || ||
a. Right shoulder pain || ||
b. Polyuria
c. Bone marrow suppression || ||
d. Bleeding
(ANS- D ||
When caring for a client with Laennec's cirrhosis, which of these does the nurse
|| || || || || || || || || || || || ||
expect to find on assessment? Select all that apply.
|| || || || || || || || ||
a. Prolonged partial thromboplastin time | || ||
b. Icterus of skin || ||
c. Swollen abdomen ||
d. Elevated magnesium ||
e. Currant jelly stool || ||
f. Elevated amylase level || ||
(ANS- A, B, C || || ||
The RN has just received the change-of-shift report for the medical unit. Which
|| || || || || || || || || || || ||
client should the RN see first?
|| || || || || ||
,a. Client with ascites who had a paracentesis 2 hours ago and is reporting a
|| || || || || || || || || || || || ||
headache
||
b. Client with portal-systemic encephalopathy (PSE) who has become increasingly
|| || || | || || || ||
difficult to arouse || ||
c. Client with hepatic cirrhosis and jaundice who has hemoglobin of 10.9 g/dL
|| || || || || || || || || || ||
(109 mmol/l) and thrombocytopenia
|| || || ||
d. Client with hepatitis A who has elevated alanine aminotransferase (ALT) and
|| || || || || || || || || ||
aspartate aminotransferase (AST)
|| || ||
(ANS- B ||
How does the home care nurse best modify the client's home environment to manage
|| || || || || || || || || || || || ||
side effects of lactulose (Evalose)?
|| || || || ||
a. Provides small frequent meals for the client || || || || || ||
b. Suggests taking daily potassium supplements || || || |
c. Elevates the head of the bed in high-Fowler's position
|| || || || || || || ||
d. Requests a bedside commode for the client || || || || || ||
(ANS- D ||
Which activity by the nurse will best relieve symptoms associated with ascites?
|| | || || || || || || || || ||
a. Administering oxygen |
, b. Elevating the head of the bed | || || || ||
c. Monitoring serum albumin levels | | ||
d. Administering intravenous fluids | |
(ANS- B ||
When providing dietary teaching to a client with hepatitis, what practice does the
|| || || || || || || || || || || ||
nurse recommend?
|| ||
a. Having a larger meal early in the morning
|| || || || || || ||
b. Consuming increased carbohydrates and moderate protein
| || || | ||
c. Restricting fluids to 1500 mL/day || || || ||
d. Limiting alcoholic beverages to once weekly
|| || || || ||
(ANS- B ||
Which problem for a client with cirrhosis takes priority?
|| || || || || || || ||
a. Insufficient knowledge related to the prognosis of the disease process
| || || || || || || || ||
b. Discomfort related to the progression of the disease process
|| || || || || || || ||
c. Potential for injury related to hemorrhage
|| || || || ||
d. Inadequate nutrition related to an inability to tolerate usual dietary intake
|| || || || || | || || || ||
(ANS- C ||
