NSG 4100: Unit 9 One Note Nclex
Questions | Comprehensive Doc | Grade
A | 100% Correct -The Ultimate Guide
for Yr. (2026/2027)
Document Contains
➢ 50 Questions Divided into 5 Sets
➢ Each set Contains 10 Questions
➢ Answer Key at the end of Every Set
➢ Each Answer Key Contains Correct
Answers & Rationales
1. A nurse is assessing a client with suspected acute cholecystitis. Which finding is most
characteristic?
A. Left lower quadrant pain radiating to the groin
B. Right upper quadrant pain radiating to the right shoulder
C. Diffuse abdominal pain relieved by food
D. Periumbilical pain that shifts to the left upper quadrant
2. A client presents with suspected cholecystitis. The nurse knows that which is the most
common cause?
,A. Acalculous inflammation
B. Stasis of pancreatic enzymes
C. Obstruction by gallstones
D. Autoimmune reaction
3. A client with cholecystitis asks about diet. Which response by the nurse is correct?
A. “You should increase fried foods to help with digestion.”
B. “Avoid alcohol and gas-forming foods.”
C. “A high-protein, high-fat diet is best.”
D. “You can eat whatever you want once symptoms improve.”
4. A client with calculous cholecystitis is at greatest risk for which complication?
A. Small bowel obstruction
B. Biliary gangrene with perforation
C. Acute pancreatitis
D. Gastric ulceration
5. A nurse suspects acalculous cholecystitis in a postoperative client. Which factor in the client’s
history most supports this diagnosis?
A. High-protein diet
B. Multiple blood transfusions
C. Hypertension
D. Gallbladder polyp
, 6. The nurse is preparing to assist with diagnostic studies for cholecystitis. Which test involves
radioactive isotope uptake by hepatocytes?
A. Abdominal X-ray
B. HIDA scan
C. ERCP
D. Ultrasound
7. The nurse is teaching a client with gallstones about symptoms to report. Which symptom
suggests obstruction of the common bile duct?
A. Dark-colored urine
B. Steatorrhea
C. Melena
D. Hematuria
8. A client undergoing ERCP must remain NPO prior to the procedure. The nurse explains the
rationale for withholding oral fluids post-procedure until:
A. The gag reflex has returned
B. Bowel sounds are audible
C. Sedation has completely worn off
D. The client has ambulated
9. The nurse is providing discharge teaching after laparoscopic cholecystectomy. Which
instruction is correct?
A. “You can lift up to 25 pounds within 2 days.”
B. “Resume sexual activity in 1 month.”
C. “Walking and light activity should be started immediately.”
Questions | Comprehensive Doc | Grade
A | 100% Correct -The Ultimate Guide
for Yr. (2026/2027)
Document Contains
➢ 50 Questions Divided into 5 Sets
➢ Each set Contains 10 Questions
➢ Answer Key at the end of Every Set
➢ Each Answer Key Contains Correct
Answers & Rationales
1. A nurse is assessing a client with suspected acute cholecystitis. Which finding is most
characteristic?
A. Left lower quadrant pain radiating to the groin
B. Right upper quadrant pain radiating to the right shoulder
C. Diffuse abdominal pain relieved by food
D. Periumbilical pain that shifts to the left upper quadrant
2. A client presents with suspected cholecystitis. The nurse knows that which is the most
common cause?
,A. Acalculous inflammation
B. Stasis of pancreatic enzymes
C. Obstruction by gallstones
D. Autoimmune reaction
3. A client with cholecystitis asks about diet. Which response by the nurse is correct?
A. “You should increase fried foods to help with digestion.”
B. “Avoid alcohol and gas-forming foods.”
C. “A high-protein, high-fat diet is best.”
D. “You can eat whatever you want once symptoms improve.”
4. A client with calculous cholecystitis is at greatest risk for which complication?
A. Small bowel obstruction
B. Biliary gangrene with perforation
C. Acute pancreatitis
D. Gastric ulceration
5. A nurse suspects acalculous cholecystitis in a postoperative client. Which factor in the client’s
history most supports this diagnosis?
A. High-protein diet
B. Multiple blood transfusions
C. Hypertension
D. Gallbladder polyp
, 6. The nurse is preparing to assist with diagnostic studies for cholecystitis. Which test involves
radioactive isotope uptake by hepatocytes?
A. Abdominal X-ray
B. HIDA scan
C. ERCP
D. Ultrasound
7. The nurse is teaching a client with gallstones about symptoms to report. Which symptom
suggests obstruction of the common bile duct?
A. Dark-colored urine
B. Steatorrhea
C. Melena
D. Hematuria
8. A client undergoing ERCP must remain NPO prior to the procedure. The nurse explains the
rationale for withholding oral fluids post-procedure until:
A. The gag reflex has returned
B. Bowel sounds are audible
C. Sedation has completely worn off
D. The client has ambulated
9. The nurse is providing discharge teaching after laparoscopic cholecystectomy. Which
instruction is correct?
A. “You can lift up to 25 pounds within 2 days.”
B. “Resume sexual activity in 1 month.”
C. “Walking and light activity should be started immediately.”
