NUR1211 Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
Acute Pancreatitis - CORRECT ANSWER - Severe, boring pain radiating to the back, left
flank, or shoulder; worse when lying down, improved in fetal or upright positions.
Chronic Pancreatitis - CORRECT ANSWER - Progressive inflammation, fibrosis, and
ductal obstruction.
Other signs of Pancreatitis - CORRECT ANSWER - Nausea, vomiting, weight loss,
jaundice, ascites.
Ecchymoses - CORRECT ANSWER - Bluish-gray periumbilical discoloration.
Tetany - CORRECT ANSWER - Hand spasm when blood pressure cuff is inflated
(Trousseau's sign).
Chvostek's sign - CORRECT ANSWER - Facial twitching when facial nerve is tapped.
Biliary Tract Disease - CORRECT ANSWER - Gallstones obstructing ducts.
Alcohol Use - CORRECT ANSWER - Primary cause of chronic pancreatitis cases.
Acute Phase Nutrition Education - CORRECT ANSWER - Rest the pancreas with NPO
status; no food until pain-free.
Post-Acute Phase Nutrition Education - CORRECT ANSWER - Resume a bland, high-
protein, low-fat diet with no caffeine or stimulants; encourage small, frequent meals.
,Chronic Phase Nutrition Education - CORRECT ANSWER - Avoid alcohol and smoking
entirely.
Nursing Management - CORRECT ANSWER - Rest the pancreas: NPO until pain-free,
use enteral or parenteral nutrition if severe.
Gastric Decompression - CORRECT ANSWER - Use NG tube for severe vomiting or
paralytic ileus.
Pancreatic enzyme (pancrelipase) administration - CORRECT ANSWER - Aids digestion
of fats and proteins when taken with meals and snacks.
Cholecystitis - CORRECT ANSWER - Inflammation of the gallbladder wall, which can be
acute or chronic, most caused by gallstones obstructing the cystic and/or common bile ducts.
Cholelithiasis - CORRECT ANSWER - Presence of stones in the gallbladder caused by
the precipitation of bile or cholesterol into stones.
Murphy's sign - CORRECT ANSWER - Pain exacerbated by deep inspiration during right
subcostal palpation.
Increased WBC - CORRECT ANSWER - Indicates inflammation.
Elevated ESR - CORRECT ANSWER - Suggests an inflammatory process.
Bilirubin Levels - CORRECT ANSWER - Direct, indirect, and total bilirubin may increase
if a bile duct is obstructed.
Pancreatic Enzymes - CORRECT ANSWER - Amylase and lipase levels may increase
with pancreatic involvement.
, Liver Function Tests - CORRECT ANSWER - Elevated aspartate aminotransferase
(AST), lactate dehydrogenase (LDH), and alkaline phosphatase (ALP) suggest common bile duct
obstruction or liver dysfunction.
Diet after Gallbladder Issues - CORRECT ANSWER - Begin with clear liquids and
advance to solid foods as peristalsis returns; a low-fat diet is recommended.
Fat-soluble vitamins - CORRECT ANSWER - Take as prescribed to enhance absorption
and aid with digestion.
Type 1 Diabetes - CORRECT ANSWER - Autoimmune destruction of beta cells, leading
to no insulin production.
Insulin resistance - CORRECT ANSWER - Cells don't respond to insulin properly.
Age of Onset (Type 1 Diabetes) - CORRECT ANSWER - Before age 30, often in
childhood or adolescence.
Age of Onset (Type 2 Diabetes) - CORRECT ANSWER - Usually after age 30 but can
occur in younger people due to obesity.
Insulin (Type 1 Diabetes) - CORRECT ANSWER - Insulin-dependent (requires lifelong
insulin therapy).
Insulin (Type 2 Diabetes) - CORRECT ANSWER - Insulin resistance at first; may need
insulin later.
Risk Factors - CORRECT ANSWER - Obesity, lack of exercise, family history, age.
Questions and CORRECT Answers
Acute Pancreatitis - CORRECT ANSWER - Severe, boring pain radiating to the back, left
flank, or shoulder; worse when lying down, improved in fetal or upright positions.
Chronic Pancreatitis - CORRECT ANSWER - Progressive inflammation, fibrosis, and
ductal obstruction.
Other signs of Pancreatitis - CORRECT ANSWER - Nausea, vomiting, weight loss,
jaundice, ascites.
Ecchymoses - CORRECT ANSWER - Bluish-gray periumbilical discoloration.
Tetany - CORRECT ANSWER - Hand spasm when blood pressure cuff is inflated
(Trousseau's sign).
Chvostek's sign - CORRECT ANSWER - Facial twitching when facial nerve is tapped.
Biliary Tract Disease - CORRECT ANSWER - Gallstones obstructing ducts.
Alcohol Use - CORRECT ANSWER - Primary cause of chronic pancreatitis cases.
Acute Phase Nutrition Education - CORRECT ANSWER - Rest the pancreas with NPO
status; no food until pain-free.
Post-Acute Phase Nutrition Education - CORRECT ANSWER - Resume a bland, high-
protein, low-fat diet with no caffeine or stimulants; encourage small, frequent meals.
,Chronic Phase Nutrition Education - CORRECT ANSWER - Avoid alcohol and smoking
entirely.
Nursing Management - CORRECT ANSWER - Rest the pancreas: NPO until pain-free,
use enteral or parenteral nutrition if severe.
Gastric Decompression - CORRECT ANSWER - Use NG tube for severe vomiting or
paralytic ileus.
Pancreatic enzyme (pancrelipase) administration - CORRECT ANSWER - Aids digestion
of fats and proteins when taken with meals and snacks.
Cholecystitis - CORRECT ANSWER - Inflammation of the gallbladder wall, which can be
acute or chronic, most caused by gallstones obstructing the cystic and/or common bile ducts.
Cholelithiasis - CORRECT ANSWER - Presence of stones in the gallbladder caused by
the precipitation of bile or cholesterol into stones.
Murphy's sign - CORRECT ANSWER - Pain exacerbated by deep inspiration during right
subcostal palpation.
Increased WBC - CORRECT ANSWER - Indicates inflammation.
Elevated ESR - CORRECT ANSWER - Suggests an inflammatory process.
Bilirubin Levels - CORRECT ANSWER - Direct, indirect, and total bilirubin may increase
if a bile duct is obstructed.
Pancreatic Enzymes - CORRECT ANSWER - Amylase and lipase levels may increase
with pancreatic involvement.
, Liver Function Tests - CORRECT ANSWER - Elevated aspartate aminotransferase
(AST), lactate dehydrogenase (LDH), and alkaline phosphatase (ALP) suggest common bile duct
obstruction or liver dysfunction.
Diet after Gallbladder Issues - CORRECT ANSWER - Begin with clear liquids and
advance to solid foods as peristalsis returns; a low-fat diet is recommended.
Fat-soluble vitamins - CORRECT ANSWER - Take as prescribed to enhance absorption
and aid with digestion.
Type 1 Diabetes - CORRECT ANSWER - Autoimmune destruction of beta cells, leading
to no insulin production.
Insulin resistance - CORRECT ANSWER - Cells don't respond to insulin properly.
Age of Onset (Type 1 Diabetes) - CORRECT ANSWER - Before age 30, often in
childhood or adolescence.
Age of Onset (Type 2 Diabetes) - CORRECT ANSWER - Usually after age 30 but can
occur in younger people due to obesity.
Insulin (Type 1 Diabetes) - CORRECT ANSWER - Insulin-dependent (requires lifelong
insulin therapy).
Insulin (Type 2 Diabetes) - CORRECT ANSWER - Insulin resistance at first; may need
insulin later.
Risk Factors - CORRECT ANSWER - Obesity, lack of exercise, family history, age.
