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Hepatitis NCLEX Exam Preparation
Guide 2026 | Comprehensive Nursing
Review, Practice Questions & Rationales
| A+ Guaranteed
"A patient with hepatitis B is being discharged in 2 days. In the
discharge teching plan the nurse should include instructions to:
a. Avoid alcohol for the first 3 weeks
b. Use a condom during sexual intercourse
c. Have family members get an injection of immunoglobin
d. Follow a low-protein, moderate-carbohydrate, moderate-fat diet
----Solution----Answer B
Hepatitis B virus may be transmitted by mucosal exposure to infectious
blood, blood products, or other body fluids (e.g., semen, vaginal
secretions, saliva). Hepatitis B is a sexually transmitted disease that is
acquired through unprotected sex with an infected person. Condom use
should be taught to patients to prevent transmission of hepatitis B.
Which priority teaching information should the nurse discuss with the
client to help prevent contracting hep. B?
1.Explain the importance of good hand washing.
2.Tell the client to take the hepatitis B vaccine in three (3) doses.
3.Tell the client not to ingest unsanitary food or water.
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4.Discuss how to implement standard precautions.
----Solution----Answer 1 would be appropriate for prevention of
hepatitis A.
A client is suspected of having hepatitis. Which diagnoistic test result
will assist in confirming this diagonis ?
A.Elevate hemoglobin level B. Elevated serum bilirubin level C.
Elevated blood urea nitrogen level D. Decreasd erythrocycte
sedimentation rate
----Solution----Correct Answer B Laboratory indicator of hepatitis
include elevated liver enzyme levels, elevated serum bilirubin
levels.Thinking about the organ that is involved in hepatitis should assist
in directing to choose option B liver function test.
"A client with acute hepatitis is prescribed lactulose. The nurse knows
this medication will:
A. Prevent the absorption of ammonia from the bowel.
B. Prevent hypoglycemia.
C. Remove bilirubin from the blood.
D. Mobilize iron stores from the liver"
----Solution----"Correct Answer: A
Rationale: Lactulose helps prevent the absorption of ammonia from the
bowel because it will cause frequent bowel movements, which facilitates
the removal of ammonia from the intestines."
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"To prevent the spread of hepatitis A virus (HAV) infection the nurse is
especially careful
when
A. Disposing of food trays
B. Emptying bed pans
C. Taking an oral temperature
D. Changing IV
----Solution----B is the correct answer. HAV is transmitted primarily
person-to-person by the fecal-oral route. Food can be a method of
transmission but needs to be fecally contaminated. Since the
transmission of hepatitis A is fecal-oral and not saliva or blood like
hepatitis B, taking a temperature and changing IV tubing would not
spread hepatitis A.
"Which type of hepatitis is transmitted by the fecal-oral route via
contaminated food, water, or direct contact with an infected person?
"1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D"
----Solution----"Correct answer: 1
Rationale:
1. The hepatitis A virus is in the stool of infected people for up to 2
weeks before symptoms develop
2. Hepatitis B is spread through contact with infected blood and body
fluids
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3. Hepatitis C is transmitted through contact with infected blood and
body fluids
4. Hepatitis D infection only causes infection in people who are also
infected with Hepatitis B or C"
The nurse is performing an assessment on a client bein evaluated for
viral hepatitis. Which symptom will the nurse most likely assess on this
client?
1. Arthralgia 2. Excitability 3. Headache 4. Polyphagia
----Solution----"ANSWER: 1
Rationale: arthralgia is common in clients with viral hepatitis. Other
symptoms of viral hepatits include lethargy, flulike symptoms, anorexia,
N/V, abdominal pain, diarrhea, constipation, and fever. The others are
not symptoms of viral hepatitis."
During evaluation of a patient at an outpatient clinic, the nurse
determines that administration of hepatitis B vaccine has been effective
when a specimen of the patient's blood reveals:
a. HBsAg.
b. anti-HBs
c. anti-HBc IgM.
d. anti-HBc IgG" ----Solution----Answer B: The presence of surface
antibody to HBV (anti-HBs) is a marker of a positive response to the
vaccine. The other laboratory values indicate current infection with
HBV
Hepatitis NCLEX Exam Preparation
Guide 2026 | Comprehensive Nursing
Review, Practice Questions & Rationales
| A+ Guaranteed
"A patient with hepatitis B is being discharged in 2 days. In the
discharge teching plan the nurse should include instructions to:
a. Avoid alcohol for the first 3 weeks
b. Use a condom during sexual intercourse
c. Have family members get an injection of immunoglobin
d. Follow a low-protein, moderate-carbohydrate, moderate-fat diet
----Solution----Answer B
Hepatitis B virus may be transmitted by mucosal exposure to infectious
blood, blood products, or other body fluids (e.g., semen, vaginal
secretions, saliva). Hepatitis B is a sexually transmitted disease that is
acquired through unprotected sex with an infected person. Condom use
should be taught to patients to prevent transmission of hepatitis B.
Which priority teaching information should the nurse discuss with the
client to help prevent contracting hep. B?
1.Explain the importance of good hand washing.
2.Tell the client to take the hepatitis B vaccine in three (3) doses.
3.Tell the client not to ingest unsanitary food or water.
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4.Discuss how to implement standard precautions.
----Solution----Answer 1 would be appropriate for prevention of
hepatitis A.
A client is suspected of having hepatitis. Which diagnoistic test result
will assist in confirming this diagonis ?
A.Elevate hemoglobin level B. Elevated serum bilirubin level C.
Elevated blood urea nitrogen level D. Decreasd erythrocycte
sedimentation rate
----Solution----Correct Answer B Laboratory indicator of hepatitis
include elevated liver enzyme levels, elevated serum bilirubin
levels.Thinking about the organ that is involved in hepatitis should assist
in directing to choose option B liver function test.
"A client with acute hepatitis is prescribed lactulose. The nurse knows
this medication will:
A. Prevent the absorption of ammonia from the bowel.
B. Prevent hypoglycemia.
C. Remove bilirubin from the blood.
D. Mobilize iron stores from the liver"
----Solution----"Correct Answer: A
Rationale: Lactulose helps prevent the absorption of ammonia from the
bowel because it will cause frequent bowel movements, which facilitates
the removal of ammonia from the intestines."
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"To prevent the spread of hepatitis A virus (HAV) infection the nurse is
especially careful
when
A. Disposing of food trays
B. Emptying bed pans
C. Taking an oral temperature
D. Changing IV
----Solution----B is the correct answer. HAV is transmitted primarily
person-to-person by the fecal-oral route. Food can be a method of
transmission but needs to be fecally contaminated. Since the
transmission of hepatitis A is fecal-oral and not saliva or blood like
hepatitis B, taking a temperature and changing IV tubing would not
spread hepatitis A.
"Which type of hepatitis is transmitted by the fecal-oral route via
contaminated food, water, or direct contact with an infected person?
"1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D"
----Solution----"Correct answer: 1
Rationale:
1. The hepatitis A virus is in the stool of infected people for up to 2
weeks before symptoms develop
2. Hepatitis B is spread through contact with infected blood and body
fluids
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3. Hepatitis C is transmitted through contact with infected blood and
body fluids
4. Hepatitis D infection only causes infection in people who are also
infected with Hepatitis B or C"
The nurse is performing an assessment on a client bein evaluated for
viral hepatitis. Which symptom will the nurse most likely assess on this
client?
1. Arthralgia 2. Excitability 3. Headache 4. Polyphagia
----Solution----"ANSWER: 1
Rationale: arthralgia is common in clients with viral hepatitis. Other
symptoms of viral hepatits include lethargy, flulike symptoms, anorexia,
N/V, abdominal pain, diarrhea, constipation, and fever. The others are
not symptoms of viral hepatitis."
During evaluation of a patient at an outpatient clinic, the nurse
determines that administration of hepatitis B vaccine has been effective
when a specimen of the patient's blood reveals:
a. HBsAg.
b. anti-HBs
c. anti-HBc IgM.
d. anti-HBc IgG" ----Solution----Answer B: The presence of surface
antibody to HBV (anti-HBs) is a marker of a positive response to the
vaccine. The other laboratory values indicate current infection with
HBV
