NURS 497 Exam -3 Questions With Complete Solutions

NURS 497 Exam #3 Questions With Complete
Solutions

In |the |liver, |free |bilirubin |moves |from |the |plasma |in |the |sinusoids |into |the |hepatocytes, |where
|it |is |converted |into:



a.conjugated |bilirubin.

b.unconjugated |bilirubin.

c.urobilinogen.

d.biliverdin. |- |CORRECT |ANSWER✔✔-A



The |autopsy |of |a |55-year-old |revealed |an |inflamed |and |fatty |liver, |with |necrotic |hepatocytes. |
What |is |the |most |likely |cause |of |this |condition?

a.Viral |infection

b.Bacterial |infection

c.Alcoholic |steatohepatitis

d.Drug |overdose |- |CORRECT |ANSWER✔✔-C



The |presence |of |bright |red |stools |is |referred |to |as:

a.hematochezia.

b.hematemesis.

c.melena.

d.occult |bleeding |- |CORRECT |ANSWER✔✔-A



Which |of |the |following |data |obtained |by |the |nurse |during |the |assessment |of |a |client |with |
cirrhosis |is |of |most |concern?

,a.The |client's |hands |flap |back |and |forth |when |the |arms |are |extended.

b.The |client |complains |of |right |upper-quadrant |pain |with |abdominal |palpation.

c.The |client's |skin |has |multiple |spider-shaped |blood |vessels |on |the |abdomen.

d.The |client |has |ascites |and |a |2-kg |weight |gain |from |the |previous |day. |- |CORRECT |
ANSWER✔✔-A



A |54-year-old |reports |vomiting |blood. |Tests |reveal |portal |hypertension. |Which |of |the |following
|is |the |most |likely |cause |of |this |condition?



a.Renal |stenosis

b.Cirrhosis |of |the |liver

c.Left |ventricular |failure

d.Thrombosis |in |the |spleen |- |CORRECT |ANSWER✔✔-B



In |alcoholic |cirrhosis, |hepatocellular |damage |is |caused |by:

a.acidosis.

b.bile |toxicity.

c.fatty |infiltrations.

d.acetaldehyde |accumulation. |- |CORRECT |ANSWER✔✔-D



During |change-of-shift |report, |the |nurse |learns |about |the |following |four |clients. |Which |client |
requires |the |most |rapid |assessment?

a.45-year-old |with |cirrhosis |and |severe |ascites |who |has |an |oral |temperature |of |38.8°C |
(101.8°F)

b.56-year-old |who |is |recovering |from |a |laparoscopic |cholecystectomy |and |has |severe |shoulder |
pain

c.48-year-old |who |has |compensated |cirrhosis |and |is |complaining |of |anorexia

d.50-year-old |with |chronic |pancreatitis |who |has |gnawing |abdominal |pain |- |CORRECT |
ANSWER✔✔-A

, A |52-year-old |female |presents |with |continuous |abdominal |pain |that |intensifies |after |eating. |
She |is |diagnosed |with |chronic |pancreatitis. |Contributing |factors |include |which |of |the |
following? |(Select |all |that |apply.)

a.Smoking

b.History |of |gallstones

c.Bulimia

d.Alcohol |abuse

e.Trauma |- |CORRECT |ANSWER✔✔-A, |B, |D



The |nurse |is |caring |for |a |client |with |severe |cirrhosis |who |has |an |episode |of |bleeding |
esophageal |varices. |Which |of |the |following |laboratory |tests |should |the |nurse |monitor |to |
detect |possible |complications |of |the |bleeding |episode?

a.Potassium

b.Ammonia

c.Bilirubin

d.Prothrombin |time |- |CORRECT |ANSWER✔✔-B



An |increase |in |the |rate |of |red |blood |cell |breakdown |causes |which |form |of |jaundice?

a.Hemolytic

b.Metabolic

c.Hepatocellular

d.Obstructive |- |CORRECT |ANSWER✔✔-A



A |50-year-old |male |reports |episodes |of |frequently |recurring |crampy |abdominal |pain, |diarrhea, |
and |bloody |stools. |What |might |a |possible |diagnosis |be?

a.Hiatal |hernia

b.Ulcerative |colitis