Nclex Liver, Gall Bladder, Pancreas Exam Questions With Correct Verified Answers & Rationales | 100% Pass (A+ Certified)

1. AST is an enzyme that is mainly found in what organs in the body? Choose all that apply: a. heart b. gallbladder c. liver d. lungs: a. heart, c. liver AST is mainly found in the heart and liver. Moderate amounts may also be found in the pancreas, skeletal muscle, and kidneys 2. T/F: Serum ALT is increased more markedly than AST in liver disease: True: Serum ALT is increased more markedly than AST in liver disease, whereas AST is more increased in myocardial necrosis. ALT levels are normal or slightly elevated in myocardial necrosis. ALT levels return more slowly to normal range than AST levels in liver conditions. Normal serum ALT is 10-35 units/L. Normal serum AST is 8-38 units/L 3. Which of the following is a primary classification of colchicine? a. Analgesic b. Antigout c. Antibiotic d. Anti-platelet: b. Antigout Colchicine is primarily used prophylactically for gout and to treat acute attacks. It has an unlabeled use for hepatic cirrhosis. Preliminary studies show increased survival rates for cirrhosis clients 4. T/F: The patient with hepatic cirrhosis should NOT use an electric shaver: False With hepatic cirrhosis there is an increased risk for bleeding. Clients are educated to use an electric razor and soft bristled toothbrush to minimize risk for injury 5. Which of thee following statements made by the client will help the nurse know that education on serum prothrombin time has been effective? a. "Prothrombin time determines if I am anemic" b. "Prothrombin time evaluate clotting ability" c. "Prothrombin time indicates the pretense of an infection" d. "Prothrombin time evaluates liver function": b. "Prothrombin time evaluate clotting ability" The client with hepatic cirrhosis has an increased risk of bleeding because of decreased production of prothrombin and decreased ability of the liver to synthesize the necessary substances for blood coagulation. b. Prothrombin is synthesized by the liver and is an inactive precursor in the clotting process. Prothrombin is converted to thrombin, which is needed to form a blood clot. Prothrombin time measures clotting ability. Normal prothrombin time is 10-13 seconds. 6. The nurse should teach the patient to assess for internal bleeding. What should the patient be monitoring? a. Bleeding gums b. Bruising c. Stools d. Scratches: c. Stools Blood in the stool is a sign of internal bleeding 7. A client is admitted for suspected GI disease. Assessment data reveal muscle wasting, a decrease in chest and axillary hair, and increased bleeding tendency. The nurse suspects the client has: