NSG430 Exam 2 Questions with Correct Answers 100% Verified| Guaranteed Success
A nurse is providing discharge teaching to the partner of a client who has a new diagnosis of
Hepatitis A. Which of the following instructions should the nurse include in the teaching?
a) Encourage her to eat foods high in carbs
b) Have her perform moderate exercise to restore her strength more quickly
c) During the illness, she may take Tylenol for fever or discomfort
d) The provider will prescribe medication to help her liver heal faster a) Encourage her to
eat foods high in carbs (diet should be high in carbs and calories with only moderate amounts
of protein and fat, especially if nausea is present)
A nurse is monitoring the lab results of a client who has end-stage liver failure. Which of the
following results should the nurse expect?
a) Decreased lactate dehydrogenase
b) Increased serum albumin
c) Decreased serum ammonia
d) Increased prothrombin time d) Increased prothrombin time (clients who have end-stage
liver failure have an inadequate supply of clotting factors and increased prothrombin time; all
other levels are backwards)
A nurse is caring for a client who has a PEG tube and is receiving intermittent feedings. Prior to
initiating the feeding, which of the following actions should the nurse take first?
a) Flush the tube with water
b) Place the client in semi-fowler's position
c) Cleanse the skin around the tube site
d) Aspirate the tube for residual contents b) Place the client in semi-fowler's position
A nurse is planning care for a client who has cholelithiasis. Which of the following interventions
should the nurse include in the plan?
a) Restrict the client's fluid intake
b) Restrict the client's calcium intake
,c) Decrease the client's fat intake
d) Decrease the client's potassium intake c) Decrease the client's fat intake (to reduce the
occurrence of biliary colic)
A nurse in a provider's office is assessing a client who has GERD. The nurse should expect the
client to report which of the following manifestations? Select all that apply.
a) Regurgitation
b) Nausea
c) Belching
d) Heartburn
e) Weight loss
f) Abdominal pain a) Regurgitation
b) Nausea
c) Belching
d) Heartburn
f) Abdominal pain
(clients with GERD rarely experience unplanned weight loss)
Nurse is administering 1000 mL of LR over 9 hours using macro drip tubing (12 gtt/mL). What is
the drop rate (gtt/min)? Round to the nearest whole number 22 gtt/min
The healthcare provider has prescribed ertapenem 4 mg/kg/day in 2 divided doses. The client
weighs 264 lb. How many mg/dose should the client receive? 240 mg
A nurse is preparing to administer medications to a client who is NPO receiving enteral feedings
through an NG tube. Which of the following prescriptions should the nurse clarify with the
provider?
a) Aspirin EC 325 mg per NG tube daily
b) Atorvastatin 40 mg per NG tube daily
, c) Propranolol 20 mg per NG tube daily
d) Sucralfate 2 g oral suspension per NG tube BID a) Aspirin EC 325 mg per NG tube daily
(enteric-coated tablets should not be crushed so they cannot be administered via NG tube)
A nurse is completing an admission assessment of a client who has pancreatitis. Which of the
following findings should the nurse expect?
a) Pain in the right upper quadrant radiating to the right shoulder
b) Report of pain being worse when sitting upright
c) Pain relieved with defecation
d) Epigastric pain radiating to the left shoulder d) Epigastric pain radiating to the left
shoulder
A nurse is caring for a client with cirrhosis. Which of the following medications can the nurse
expect to administer to this client? Select all that apply
a) Diuretic
b) Beta-blocking agent
c) Opioid analgesic
d) Lactulose
e) Sedative a) Diuretic (liver cirrhosis impacts kidneys and filtration)
b) Beta-blocking agent (for portal hypertension)
d) Lactulose (to get rid of ammonia)
The nurse is caring for a client with hepatic encephalopathy who has an ABG result of: pH 7.53,
pO2 95 mmHg, pCO2 50 mmHg, HCO3 37 mEq/L. The nurse should interpret the ABG as what?
Metabolic alkalosis
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
a) Hepatomegaly
A nurse is providing discharge teaching to the partner of a client who has a new diagnosis of
Hepatitis A. Which of the following instructions should the nurse include in the teaching?
a) Encourage her to eat foods high in carbs
b) Have her perform moderate exercise to restore her strength more quickly
c) During the illness, she may take Tylenol for fever or discomfort
d) The provider will prescribe medication to help her liver heal faster a) Encourage her to
eat foods high in carbs (diet should be high in carbs and calories with only moderate amounts
of protein and fat, especially if nausea is present)
A nurse is monitoring the lab results of a client who has end-stage liver failure. Which of the
following results should the nurse expect?
a) Decreased lactate dehydrogenase
b) Increased serum albumin
c) Decreased serum ammonia
d) Increased prothrombin time d) Increased prothrombin time (clients who have end-stage
liver failure have an inadequate supply of clotting factors and increased prothrombin time; all
other levels are backwards)
A nurse is caring for a client who has a PEG tube and is receiving intermittent feedings. Prior to
initiating the feeding, which of the following actions should the nurse take first?
a) Flush the tube with water
b) Place the client in semi-fowler's position
c) Cleanse the skin around the tube site
d) Aspirate the tube for residual contents b) Place the client in semi-fowler's position
A nurse is planning care for a client who has cholelithiasis. Which of the following interventions
should the nurse include in the plan?
a) Restrict the client's fluid intake
b) Restrict the client's calcium intake
,c) Decrease the client's fat intake
d) Decrease the client's potassium intake c) Decrease the client's fat intake (to reduce the
occurrence of biliary colic)
A nurse in a provider's office is assessing a client who has GERD. The nurse should expect the
client to report which of the following manifestations? Select all that apply.
a) Regurgitation
b) Nausea
c) Belching
d) Heartburn
e) Weight loss
f) Abdominal pain a) Regurgitation
b) Nausea
c) Belching
d) Heartburn
f) Abdominal pain
(clients with GERD rarely experience unplanned weight loss)
Nurse is administering 1000 mL of LR over 9 hours using macro drip tubing (12 gtt/mL). What is
the drop rate (gtt/min)? Round to the nearest whole number 22 gtt/min
The healthcare provider has prescribed ertapenem 4 mg/kg/day in 2 divided doses. The client
weighs 264 lb. How many mg/dose should the client receive? 240 mg
A nurse is preparing to administer medications to a client who is NPO receiving enteral feedings
through an NG tube. Which of the following prescriptions should the nurse clarify with the
provider?
a) Aspirin EC 325 mg per NG tube daily
b) Atorvastatin 40 mg per NG tube daily
, c) Propranolol 20 mg per NG tube daily
d) Sucralfate 2 g oral suspension per NG tube BID a) Aspirin EC 325 mg per NG tube daily
(enteric-coated tablets should not be crushed so they cannot be administered via NG tube)
A nurse is completing an admission assessment of a client who has pancreatitis. Which of the
following findings should the nurse expect?
a) Pain in the right upper quadrant radiating to the right shoulder
b) Report of pain being worse when sitting upright
c) Pain relieved with defecation
d) Epigastric pain radiating to the left shoulder d) Epigastric pain radiating to the left
shoulder
A nurse is caring for a client with cirrhosis. Which of the following medications can the nurse
expect to administer to this client? Select all that apply
a) Diuretic
b) Beta-blocking agent
c) Opioid analgesic
d) Lactulose
e) Sedative a) Diuretic (liver cirrhosis impacts kidneys and filtration)
b) Beta-blocking agent (for portal hypertension)
d) Lactulose (to get rid of ammonia)
The nurse is caring for a client with hepatic encephalopathy who has an ABG result of: pH 7.53,
pO2 95 mmHg, pCO2 50 mmHg, HCO3 37 mEq/L. The nurse should interpret the ABG as what?
Metabolic alkalosis
A nurse is assessing a client who has left-sided heart failure. Which of the following findings
should the nurse expect?
a) Hepatomegaly
