NURS 497 FINAL EXAM QUESTIONS WITH
ACCURATE SOLUTIONS
A |50-year-old |male |reports |episodes |of |frequently |recurring |crampy |abdominal |pain, |diarrhea, |
and |bloody |stools. |What |might |a |possible |diagnosis |be?
a. |Ulcerative |colitis
b. |Hiatal |hernia
c. |Pyloric |obstruction
d. |Achalasia |- |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. |Drug |overdose
b. |Bacterial |infection
c. |Viral |infection
d. |Alcoholic |steatohepatitis |- |CORRECT |ANSWER✔✔-D
During |change-of-shift |report, |the |nurse |learns |about |the |following |four |clients. |Which |client |
requires |the |most |rapid |assessment?
a. |56-year-old |who |is |recovering |from |a |laparoscopic |cholecystectomy |and |has |severe |shoulder
|pain
b. |48-year-old |who |has |compensated |cirrhosis |and |is |complaining |of |anorexia
c. |50-year-old |with |chronic |pancreatitis |who |has |gnawing |abdominal |pain
d. |45-year-old |with |cirrhosis |and |severe |ascites |who |has |an |oral |temperature |of |38.8°C |
(101.8°F) |- |CORRECT |ANSWER✔✔-D
, Manifestations |associated |with |hepatic |encephalopathy |from |chronic |liver |disease |are |the |
result |of:
a. |decreased |cerebral |blood |flow.
b. |fluid |and |electrolyte |imbalances.
c. |hyperbilirubinemia |and |jaundice.
d. |impaired |ammonia |metabolism. |- |CORRECT |ANSWER✔✔-D
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. |Alcohol |abuse
b. |Bulimia
c. |History |of |gallstones
d. |Trauma
e. |Smoking |- |CORRECT |ANSWER✔✔-A,C,E
An |increase |in |the |rate |of |red |blood |cell |breakdown |causes |which |form |of |jaundice?
a. |Hemolytic
b. |Hepatocellular
c. |Metabolic
d. |Obstructive |- |CORRECT |ANSWER✔✔-A
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. |Bilirubin
c. |Ammonia
ACCURATE SOLUTIONS
A |50-year-old |male |reports |episodes |of |frequently |recurring |crampy |abdominal |pain, |diarrhea, |
and |bloody |stools. |What |might |a |possible |diagnosis |be?
a. |Ulcerative |colitis
b. |Hiatal |hernia
c. |Pyloric |obstruction
d. |Achalasia |- |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. |Drug |overdose
b. |Bacterial |infection
c. |Viral |infection
d. |Alcoholic |steatohepatitis |- |CORRECT |ANSWER✔✔-D
During |change-of-shift |report, |the |nurse |learns |about |the |following |four |clients. |Which |client |
requires |the |most |rapid |assessment?
a. |56-year-old |who |is |recovering |from |a |laparoscopic |cholecystectomy |and |has |severe |shoulder
|pain
b. |48-year-old |who |has |compensated |cirrhosis |and |is |complaining |of |anorexia
c. |50-year-old |with |chronic |pancreatitis |who |has |gnawing |abdominal |pain
d. |45-year-old |with |cirrhosis |and |severe |ascites |who |has |an |oral |temperature |of |38.8°C |
(101.8°F) |- |CORRECT |ANSWER✔✔-D
, Manifestations |associated |with |hepatic |encephalopathy |from |chronic |liver |disease |are |the |
result |of:
a. |decreased |cerebral |blood |flow.
b. |fluid |and |electrolyte |imbalances.
c. |hyperbilirubinemia |and |jaundice.
d. |impaired |ammonia |metabolism. |- |CORRECT |ANSWER✔✔-D
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. |Alcohol |abuse
b. |Bulimia
c. |History |of |gallstones
d. |Trauma
e. |Smoking |- |CORRECT |ANSWER✔✔-A,C,E
An |increase |in |the |rate |of |red |blood |cell |breakdown |causes |which |form |of |jaundice?
a. |Hemolytic
b. |Hepatocellular
c. |Metabolic
d. |Obstructive |- |CORRECT |ANSWER✔✔-A
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. |Bilirubin
c. |Ammonia
