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NSG 4100 (AH111) EXAM 1 NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT C. "A virus that was likely already present in your body has begun to attack your pancreatic cells."
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
D. "The enzymes that your pancreas produces have damaged the pancreas itself." - ANSWER-D. "The
A nurse is caring for a client with severe hemolytic jaundice. Laboratory tests show free bilirubin to be enzymes that your pancreas produces have damaged the pancreas itself."
24 mg/dL (408 mmol/L). For what complication is this client at risk?
A client's abdominal ultrasound indicates cholelithiasis. When the nurse is reviewing the client's
A. Chronic jaundice laboratory studies, what finding is most closely associated with this diagnosis?
B. Pigment stones in portal circulation
C. Central nervous system damage A. Increased bilirubin
D. Hepatomegaly - ANSWER-C. Central nervous system damage B. Decreased serum cholesterol
C. Increased blood urea nitrogen (BUN)
The nurse's review of a client's most recent laboratory results indicates a bilirubin level of 3.0 mg/dL (51 D. Decreased serum alkaline phosphatase level - ANSWER-A. Increased bilirubin
mmol/L). The nurse assesses the client for:
A nurse who provides care in a community clinic assesses a wide range of individuals.
A. jaundice.
The nurse should identify which client as having the highest risk for chronic pancreatitis?
B. bleeding.
C. malnutrition.
A. A 45-year-old obese woman with a high-fat diet
D. hypokalemia. - ANSWER-A. jaundice.
B. An 18-year-old man who is a weekend binge drinker
C. A 39-year-old man with chronic alcoholism
A nurse is assessing a client who has been diagnosed with cholecystitis, and is experiencing localized
D. A 51-year-old woman who smokes one-and-a-half packs of cigarettes per day - ANSWER-C. A 39-year-
abdominal pain. When assessing the characteristics of the client's pain, the nurse should anticipate that
old man with chronic alcoholism
it may radiate to what region?
A 37-year-old client presents at the emergency department (ED) reporting nausea and vomiting and
A. Left upper chest
severe abdominal pain. The client's abdomen is rigid, and there is bruising to the client's flank. The
B. Inguinal region client's spouse states that the client was on a drinking binge for the past 2 days. The ED nurse should
assist in assessing the client for what health problem?
C. Neck or jaw
A. Severe pancreatitis with possible peritonitis
D. Right shoulder - ANSWER-D. Right shoulder
B. Acute cholecystitis
C. Chronic pancreatitis
A client has been newly diagnosed with acute pancreatitis and admitted to the acute medical unit. How
should the nurse explain the pathophysiology of this client's health problem? D. Acute appendicitis with possible perforation - ANSWER-A. Severe pancreatitis with possible peritonitis
A. "Toxins have accumulated and inflamed your pancreas."
B. "Bacteria likely migrated from your intestines and became lodged in your pancreas."
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A client has been scheduled for an ultrasound of the gallbladder the following morning. What should the A nurse is caring for a client who has been scheduled for endoscopic retrograde
nurse do in preparation for this diagnostic study? cholangiopancreatography (ERCP) the following day. When providing anticipatory guidance for this
client, the nurse should describe what aspect of this diagnostic procedure?
A. Have the client refrain from food and fluids after midnight.
A. The need to protect the incision postprocedure
B. Administer the contrast agent orally 10 to 12 hours before the study.
B. The use of moderate sedation
C. Administer the radioactive agent intravenously the evening before the study.
C. The need to infuse 50% dextrose during the procedure
D. Encourage the intake of 64 ounces of water 8 hours before the study. - ANSWER-A. Have the client
refrain from food and fluids after midnight. D. The use of general anesthesia - ANSWER-B. The use of moderate sedation
A client who had surgery for gallbladder disease has just returned to the postsurgical unit from A client has undergone a laparoscopic cholecystectomy and is being prepared for discharge home. When
postanesthetic recovery. The nurse caring for this client knows to immediately report what assessment providing health education, the nurse should prioritize what topic?
finding to the health care provider?
A. Management of fluid balance in the home setting
A. Decreased breath sounds
B. The need for blood glucose monitoring for the next week
B. Drainage of bile-colored fluid onto the abdominal dressing
C. Signs and symptoms of intra-abdominal complications
C. Rigidity of the abdomen
D. Appropriate use of prescribed pancreatic enzymes - ANSWER-C. Signs and symptoms of intra-
D. Acute pain with movement - ANSWER-C. Rigidity of the abdomen abdominal complications
A client with chronic pancreatitis had a pancreaticojejunostomy created 3 months ago for relief of pain A nurse is preparing a plan of care for a client with pancreatic cysts that have necessitated drainage
and to restore drainage of pancreatic secretions. The client has come to the office for a routine through the abdominal wall. What nursing diagnosis should the nurse prioritize?
postsurgical appointment. The client is frustrated that the pain has not decreased. What is the most
appropriate initial response by the nurse?
A. Disturbed body image
A. "The majority of clients who have a pancreaticojejunostomy have their normal digestion restored but
do not achieve pain relief." B. Impaired skin integrity
B. "Pain relief occurs by 6 months in most clients who undergo this procedure, but some people C. Nausea
experience a recurrence of their pain."
D. Risk for deficient fluid volume - ANSWER-B. Impaired skin integrity
C. "Your health care provider will likely want to discuss the removal of your gallbladder to achieve pain
relief."
D. "You are probably not appropriately taking the medications for your pancreatitis and pain, so we will A home health nurse is caring for a client discharged home after pancreatic surgery.
need to discuss your medication regimen in detail." - ANSWER-B. "Pain relief occurs by 6 months in most The nurse documents the nursing diagnosis Risk for Imbalanced Nutrition: Less than Body Requirements
clients who undergo this procedure, but some people experience a recurrence of their pain." on the care plan based on the potential complications that may occur after surgery. What are the most
likely complications for the client who has had pancreatic surgery?
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A. Proteinuria and hyperkalemia A client is being treated for acute pain from an episode of pancreatitis. The nurse has identified a
nursing diagnosis of Ineffective Breathing Pattern related to pain secondary to effects of surgery. Which
B. Hemorrhage and hypercalcemia
intervention should the nurse perform in order to best address this diagnosis?
C. Weight loss and hypoglycemia
A. Position the client supine to facilitate diaphragm movement.
D. Malabsorption and hyperglycemia - ANSWER-D. Malabsorption and hyperglycemia
B. Administer corticosteroids by nebulizer as prescribed.
C. Perform oral suctioning as needed to remove secretions.
A client has had a laparoscopic cholecystectomy. The client is now reporting right shoulder pain. What
D. Administer analgesic per orders. - ANSWER-D. Administer analgesic per orders.
should the nurse suggest to relieve the pain?
A client with gallstones has been prescribed ursodeoxycholic acid (UDCA). The nurse understands that
A. Aspirin every 4 to 6 hours as prescribed
additional teaching is needed regarding this medication when the client states:
B. Application of heat 15 to 20 minutes each hour
A. "It is important that I see my health care provider for scheduled follow-up appointments while taking
C. Application of an ice pack for no more than 15 minutes this medication."
D. Application of liniment rub to affected area - ANSWER-B. Application of heat 15 to 20 minutes each B. "I will take this medication for 2 weeks and then gradually stop taking it."
hour
C. "If I lose weight, the dose of the medication may need to be changed."
D. "This medication will help dissolve small gallstones made of cholesterol." - ANSWER-B. "I will take this
A client returns to the floor after a laparoscopic cholecystectomy. The nurse should assess the client for medication for 2 weeks and then gradually stop taking it."
signs and symptoms of what serious potential complication of this surgery?
A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client
A. Diabetic coma admitted with acute gallbladder inflammation, the nurse will question which of the following foods on
the tray?
B. Decubitus ulcer
C. Wound evisceration
A. Fried chicken
D. Bile duct injury - ANSWER-D. Bile duct injury
B. Mashed potatoes
C. Dinner roll
A client has been treated in the hospital for an episode of acute pancreatitis. The client has
acknowledged the role that his alcohol use played in the development of his health problem, but has not D. Tapioca pudding - ANSWER-A. Fried chicken
expressed specific plans for lifestyle changes. What is the nurse's most appropriate response?
A. Educate the client about the link between alcohol use and pancreatitis.
A nurse is assessing an older adult client with gallstones. The nurse is aware that the client may not
B. Ensure that the client knows the importance of attending follow-up appointments. exhibit typical symptoms, and that particular symptoms that may be exhibited in the elderly client may
include what examples?
C. Refer the client to social work or spiritual care.
D. Encourage the client to connect with a community-based support group. - ANSWER-D. Encourage the
client to connect with a community-based support group. A. Fever and pain
B. Chills and jaundice
NSG 4100 (AH111) EXAM 1 NEWEST 2025 ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT C. "A virus that was likely already present in your body has begun to attack your pancreatic cells."
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
D. "The enzymes that your pancreas produces have damaged the pancreas itself." - ANSWER-D. "The
A nurse is caring for a client with severe hemolytic jaundice. Laboratory tests show free bilirubin to be enzymes that your pancreas produces have damaged the pancreas itself."
24 mg/dL (408 mmol/L). For what complication is this client at risk?
A client's abdominal ultrasound indicates cholelithiasis. When the nurse is reviewing the client's
A. Chronic jaundice laboratory studies, what finding is most closely associated with this diagnosis?
B. Pigment stones in portal circulation
C. Central nervous system damage A. Increased bilirubin
D. Hepatomegaly - ANSWER-C. Central nervous system damage B. Decreased serum cholesterol
C. Increased blood urea nitrogen (BUN)
The nurse's review of a client's most recent laboratory results indicates a bilirubin level of 3.0 mg/dL (51 D. Decreased serum alkaline phosphatase level - ANSWER-A. Increased bilirubin
mmol/L). The nurse assesses the client for:
A nurse who provides care in a community clinic assesses a wide range of individuals.
A. jaundice.
The nurse should identify which client as having the highest risk for chronic pancreatitis?
B. bleeding.
C. malnutrition.
A. A 45-year-old obese woman with a high-fat diet
D. hypokalemia. - ANSWER-A. jaundice.
B. An 18-year-old man who is a weekend binge drinker
C. A 39-year-old man with chronic alcoholism
A nurse is assessing a client who has been diagnosed with cholecystitis, and is experiencing localized
D. A 51-year-old woman who smokes one-and-a-half packs of cigarettes per day - ANSWER-C. A 39-year-
abdominal pain. When assessing the characteristics of the client's pain, the nurse should anticipate that
old man with chronic alcoholism
it may radiate to what region?
A 37-year-old client presents at the emergency department (ED) reporting nausea and vomiting and
A. Left upper chest
severe abdominal pain. The client's abdomen is rigid, and there is bruising to the client's flank. The
B. Inguinal region client's spouse states that the client was on a drinking binge for the past 2 days. The ED nurse should
assist in assessing the client for what health problem?
C. Neck or jaw
A. Severe pancreatitis with possible peritonitis
D. Right shoulder - ANSWER-D. Right shoulder
B. Acute cholecystitis
C. Chronic pancreatitis
A client has been newly diagnosed with acute pancreatitis and admitted to the acute medical unit. How
should the nurse explain the pathophysiology of this client's health problem? D. Acute appendicitis with possible perforation - ANSWER-A. Severe pancreatitis with possible peritonitis
A. "Toxins have accumulated and inflamed your pancreas."
B. "Bacteria likely migrated from your intestines and became lodged in your pancreas."
,3|Page 4|Page
A client has been scheduled for an ultrasound of the gallbladder the following morning. What should the A nurse is caring for a client who has been scheduled for endoscopic retrograde
nurse do in preparation for this diagnostic study? cholangiopancreatography (ERCP) the following day. When providing anticipatory guidance for this
client, the nurse should describe what aspect of this diagnostic procedure?
A. Have the client refrain from food and fluids after midnight.
A. The need to protect the incision postprocedure
B. Administer the contrast agent orally 10 to 12 hours before the study.
B. The use of moderate sedation
C. Administer the radioactive agent intravenously the evening before the study.
C. The need to infuse 50% dextrose during the procedure
D. Encourage the intake of 64 ounces of water 8 hours before the study. - ANSWER-A. Have the client
refrain from food and fluids after midnight. D. The use of general anesthesia - ANSWER-B. The use of moderate sedation
A client who had surgery for gallbladder disease has just returned to the postsurgical unit from A client has undergone a laparoscopic cholecystectomy and is being prepared for discharge home. When
postanesthetic recovery. The nurse caring for this client knows to immediately report what assessment providing health education, the nurse should prioritize what topic?
finding to the health care provider?
A. Management of fluid balance in the home setting
A. Decreased breath sounds
B. The need for blood glucose monitoring for the next week
B. Drainage of bile-colored fluid onto the abdominal dressing
C. Signs and symptoms of intra-abdominal complications
C. Rigidity of the abdomen
D. Appropriate use of prescribed pancreatic enzymes - ANSWER-C. Signs and symptoms of intra-
D. Acute pain with movement - ANSWER-C. Rigidity of the abdomen abdominal complications
A client with chronic pancreatitis had a pancreaticojejunostomy created 3 months ago for relief of pain A nurse is preparing a plan of care for a client with pancreatic cysts that have necessitated drainage
and to restore drainage of pancreatic secretions. The client has come to the office for a routine through the abdominal wall. What nursing diagnosis should the nurse prioritize?
postsurgical appointment. The client is frustrated that the pain has not decreased. What is the most
appropriate initial response by the nurse?
A. Disturbed body image
A. "The majority of clients who have a pancreaticojejunostomy have their normal digestion restored but
do not achieve pain relief." B. Impaired skin integrity
B. "Pain relief occurs by 6 months in most clients who undergo this procedure, but some people C. Nausea
experience a recurrence of their pain."
D. Risk for deficient fluid volume - ANSWER-B. Impaired skin integrity
C. "Your health care provider will likely want to discuss the removal of your gallbladder to achieve pain
relief."
D. "You are probably not appropriately taking the medications for your pancreatitis and pain, so we will A home health nurse is caring for a client discharged home after pancreatic surgery.
need to discuss your medication regimen in detail." - ANSWER-B. "Pain relief occurs by 6 months in most The nurse documents the nursing diagnosis Risk for Imbalanced Nutrition: Less than Body Requirements
clients who undergo this procedure, but some people experience a recurrence of their pain." on the care plan based on the potential complications that may occur after surgery. What are the most
likely complications for the client who has had pancreatic surgery?
, 5|Page 6|Page
A. Proteinuria and hyperkalemia A client is being treated for acute pain from an episode of pancreatitis. The nurse has identified a
nursing diagnosis of Ineffective Breathing Pattern related to pain secondary to effects of surgery. Which
B. Hemorrhage and hypercalcemia
intervention should the nurse perform in order to best address this diagnosis?
C. Weight loss and hypoglycemia
A. Position the client supine to facilitate diaphragm movement.
D. Malabsorption and hyperglycemia - ANSWER-D. Malabsorption and hyperglycemia
B. Administer corticosteroids by nebulizer as prescribed.
C. Perform oral suctioning as needed to remove secretions.
A client has had a laparoscopic cholecystectomy. The client is now reporting right shoulder pain. What
D. Administer analgesic per orders. - ANSWER-D. Administer analgesic per orders.
should the nurse suggest to relieve the pain?
A client with gallstones has been prescribed ursodeoxycholic acid (UDCA). The nurse understands that
A. Aspirin every 4 to 6 hours as prescribed
additional teaching is needed regarding this medication when the client states:
B. Application of heat 15 to 20 minutes each hour
A. "It is important that I see my health care provider for scheduled follow-up appointments while taking
C. Application of an ice pack for no more than 15 minutes this medication."
D. Application of liniment rub to affected area - ANSWER-B. Application of heat 15 to 20 minutes each B. "I will take this medication for 2 weeks and then gradually stop taking it."
hour
C. "If I lose weight, the dose of the medication may need to be changed."
D. "This medication will help dissolve small gallstones made of cholesterol." - ANSWER-B. "I will take this
A client returns to the floor after a laparoscopic cholecystectomy. The nurse should assess the client for medication for 2 weeks and then gradually stop taking it."
signs and symptoms of what serious potential complication of this surgery?
A nurse is assisting with serving dinner trays on the unit. Upon receiving the dinner tray for a client
A. Diabetic coma admitted with acute gallbladder inflammation, the nurse will question which of the following foods on
the tray?
B. Decubitus ulcer
C. Wound evisceration
A. Fried chicken
D. Bile duct injury - ANSWER-D. Bile duct injury
B. Mashed potatoes
C. Dinner roll
A client has been treated in the hospital for an episode of acute pancreatitis. The client has
acknowledged the role that his alcohol use played in the development of his health problem, but has not D. Tapioca pudding - ANSWER-A. Fried chicken
expressed specific plans for lifestyle changes. What is the nurse's most appropriate response?
A. Educate the client about the link between alcohol use and pancreatitis.
A nurse is assessing an older adult client with gallstones. The nurse is aware that the client may not
B. Ensure that the client knows the importance of attending follow-up appointments. exhibit typical symptoms, and that particular symptoms that may be exhibited in the elderly client may
include what examples?
C. Refer the client to social work or spiritual care.
D. Encourage the client to connect with a community-based support group. - ANSWER-D. Encourage the
client to connect with a community-based support group. A. Fever and pain
B. Chills and jaundice
