NUR 315 - Exam 6 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Inside the pancreas are special cells that secrete digestive enzymes and hormones. The cells that
secrete digestive enzymes are known as ______________ cells.
A. Islet of Langerhans
B. Protease
C. Acinar
D. Amylase - CORRECT ANSWER - C
From the pancreas and gallbladder, the common bile duct and pancreatic duct open into the
____________ where digestive enzymes and bile flow into the duodenum via the major
duodenal papilla which is surrounded by a muscular valve that controls the release of digestive
enzymes known as the ______________.
A. ampulla of vater, sphincter of Oddi
B. papilla of vater, sphincter of Oddi
C. minor duodenal papilla, ampulla of vater
D. jejunum, sphincter of pylori - CORRECT ANSWER - A
Select-ALL-that-apply: In the pancreas, the acinar cells release:
A. Amylase
B. Somatostatin
C. Lipase
D. Protease - CORRECT ANSWER - ACD
You're caring for a 45 year old patient who is admitted with suspected acute pancreatitis. The
patient reports having extreme mid-epigastric pain that radiates to the back. The patient states the
,pain started last night after eating fast food. As the nurse, you know the two most common
causes of acute pancreatitis are:
A. High cholesterol and alcohol abuse
B. History of diabetes and smoking
C. Pancreatic cancer and obesity
D. Gallstones and alcohol abuse - CORRECT ANSWER - D
Which patient below is at MOST risk for CHRONIC pancreatitis?
A. A 25 year old female with a family history of gallstones.
B. A 35 year old male who reports social drinking of alcohol.
C. A 15 year old female with cystic fibrosis.
D. A 66 year old female with stomach cancer. - CORRECT ANSWER - C
Your patient with acute pancreatitis is scheduled for a test that will use a scope to assess the
pancreas, bile ducts, and gallbladder. The patient asks you, "What is the name of the test I'm
going for later today?" You tell the patient it is called:
A. MRCP
B. ERCP
C. CT scan of the abdomen
D. EGD - CORRECT ANSWER - B
A patient is admitted to the ER with the following signs and symptoms: very painful mid-
epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head-to-toe
assessment, you notice bluish discoloration around the belly button. As the nurse, you know this
is called?
A. Grey-Turner's Sign
, B. McBurney's Sign
C. Homan's Sign
D. Cullen's Sign - CORRECT ANSWER - D
While assisting a patient with chronic pancreatitis to the bathroom, you note the patient's stool to
be oily/greasy in appearance. In your documentation you note this as:
A. Steatorrhea
B. Melena
C. Currant
D. Hematochezia - CORRECT ANSWER - A
A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred
vision. As the nurse, it is priority you?
A. Reassure the patient this is normal with pancreatitis
B. Check the patient's blood glucose
C. Assist the patient with drinking a simple sugar drink like orange juice
D. Provide a dark and calm environment - CORRECT ANSWER - B
A patient who received treatment for pancreatitis is being discharged home. You're providing
diet teaching to the patient. Which statement by the patient requires immediate re-education
about the diet restrictions?
A. "It will be hard but I will eat a diet low in fat and avoid greasy foods."
B. "It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week."
C. "I will concentrate on eating complex carbohydrates rather than refined carbohydrates."
D. "I will purchase foods that are high in protein." - CORRECT ANSWER - B
Exam Questions and CORRECT Answers
Inside the pancreas are special cells that secrete digestive enzymes and hormones. The cells that
secrete digestive enzymes are known as ______________ cells.
A. Islet of Langerhans
B. Protease
C. Acinar
D. Amylase - CORRECT ANSWER - C
From the pancreas and gallbladder, the common bile duct and pancreatic duct open into the
____________ where digestive enzymes and bile flow into the duodenum via the major
duodenal papilla which is surrounded by a muscular valve that controls the release of digestive
enzymes known as the ______________.
A. ampulla of vater, sphincter of Oddi
B. papilla of vater, sphincter of Oddi
C. minor duodenal papilla, ampulla of vater
D. jejunum, sphincter of pylori - CORRECT ANSWER - A
Select-ALL-that-apply: In the pancreas, the acinar cells release:
A. Amylase
B. Somatostatin
C. Lipase
D. Protease - CORRECT ANSWER - ACD
You're caring for a 45 year old patient who is admitted with suspected acute pancreatitis. The
patient reports having extreme mid-epigastric pain that radiates to the back. The patient states the
,pain started last night after eating fast food. As the nurse, you know the two most common
causes of acute pancreatitis are:
A. High cholesterol and alcohol abuse
B. History of diabetes and smoking
C. Pancreatic cancer and obesity
D. Gallstones and alcohol abuse - CORRECT ANSWER - D
Which patient below is at MOST risk for CHRONIC pancreatitis?
A. A 25 year old female with a family history of gallstones.
B. A 35 year old male who reports social drinking of alcohol.
C. A 15 year old female with cystic fibrosis.
D. A 66 year old female with stomach cancer. - CORRECT ANSWER - C
Your patient with acute pancreatitis is scheduled for a test that will use a scope to assess the
pancreas, bile ducts, and gallbladder. The patient asks you, "What is the name of the test I'm
going for later today?" You tell the patient it is called:
A. MRCP
B. ERCP
C. CT scan of the abdomen
D. EGD - CORRECT ANSWER - B
A patient is admitted to the ER with the following signs and symptoms: very painful mid-
epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head-to-toe
assessment, you notice bluish discoloration around the belly button. As the nurse, you know this
is called?
A. Grey-Turner's Sign
, B. McBurney's Sign
C. Homan's Sign
D. Cullen's Sign - CORRECT ANSWER - D
While assisting a patient with chronic pancreatitis to the bathroom, you note the patient's stool to
be oily/greasy in appearance. In your documentation you note this as:
A. Steatorrhea
B. Melena
C. Currant
D. Hematochezia - CORRECT ANSWER - A
A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred
vision. As the nurse, it is priority you?
A. Reassure the patient this is normal with pancreatitis
B. Check the patient's blood glucose
C. Assist the patient with drinking a simple sugar drink like orange juice
D. Provide a dark and calm environment - CORRECT ANSWER - B
A patient who received treatment for pancreatitis is being discharged home. You're providing
diet teaching to the patient. Which statement by the patient requires immediate re-education
about the diet restrictions?
A. "It will be hard but I will eat a diet low in fat and avoid greasy foods."
B. "It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week."
C. "I will concentrate on eating complex carbohydrates rather than refined carbohydrates."
D. "I will purchase foods that are high in protein." - CORRECT ANSWER - B
