Adult Health 2 Exam 3|Questions with 100%
Correct Answers
As a nurse, why would you use a nasogastric tube to low intermittent wall suction (LIWS) in a
patient with acute pancreatitis? And when is this typically done? - ✔️✔️To reduce stomach
emptying into the duodenum and reduce vomiting, typically done prior to gallstone removal
What is the treatment for gall stone pancreatitis? Pancreatic pseudocyst or abscess? -
✔️✔️Removal of the gall stone (possibly gall bladder
Catheter drainage
What are the 8 labels on the last image in the Pancreas Disorders PowerPoint? - ✔️✔️Abdominal
pain
PPI
Chronic alcohol use
Nausea/Vomiting
NG Tube
Gallstone or biliary obstruction
Imaging for confirmation
What is hepatitis and what is it most commonly caused by? - ✔️✔️Inflammation of the liver most
commonly caused by a virus
Hep A transmission method - ✔️✔️oral-fecal route (food & water)
Hep B transmission method - ✔️✔️Body fluids
Hep C transmission method - ✔️✔️Blood
Hep D transmission method - ✔️✔️blood borne, commonly transmitted with Hep B
Hep E transmission method - ✔️✔️oral-fecal
What are the 3 causes of cirrhosis? (80% of the liver transplant list dx includes these) -
✔️✔️Hepatitis C
Alcohol-associated liver disease
Nonalcohol-associated liver disease
,Jaundice, hepatic encephalopathy, fatigue, spider angiomata, and splenomegaly are symptoms
seen in ________? - ✔️✔️Liver cirrhosis
Elevated serum bilirubin is a poor prognosis in which disease? - ✔️✔️Liver cirrhosis
Ascites and caput medusae is presented in....? - ✔️✔️Liver cirrhosis
Most effective way to diagnosis cirrhosis? - ✔️✔️Liver biopsy but first one used and most
sensitive is abdominal ultrasound
What is the primary goal in managing liver cirrhosis? and why would this be? - ✔️✔️Prevention of
bleeding due to varices, esophageal and gastric
What would you want to teach a patient with liver cirrhosis? - ✔️✔️Avoid NSAIDs & tylenol,
eliminate or limit alcohol intake, and reduce sodium intake
What is the first symptom seen in hepatic encephalopathy and what is this the result of? -
✔️✔️Change in mental status
Result of build up of ammonia
This patient wants to limit protein intake as able.... - ✔️✔️A patient with liver cirrhosis
What are the 4 things that make up the criteria to match donor to recipients? - ✔️✔️1. Matching
blood type
2. HLA typing (goal match as many of 6 as possible)
3. Panel of reactive antibodies (PRA) - used to determine LIKELIHOOD of reactivity to
potential donor
4. Crossmatch - used to determine the EXISTENCE of antibodies in a particular donor
Name two calcineurin inhibitors used as immunosuppressive therapies in recipients of organ
transplants - ✔️✔️Prograf (tracolimus) and Sandimmune (cyclosporine)
Name two purine synthesis antagonists (suppress T & B cell) used as immunosuppressive
therapies in recipients of organ transplants - ✔️✔️CellCept (mycophenolate mofetil) and Imuran
(azathioprine)
Which medication will NEVER be given alone in immunosuppressive therapy? & what will it be
in combination with? - ✔️✔️CellCept (mycophenolate mofetil) in combination with Prograf or
Sandimmune
Explain graft-versus-host disease. - ✔️✔️Occurs when an immunocompetent patient receives
immunocompetent cells/tissue (may begin 7 to 30 days post transplant)
Most common in hematopoietic stem cell transplants
, Skin develop blisters to desquamation (separations and shedding of epidermis), jaundice,
diarrhea, abdominal pain, GI bleeding, and malabsorption
A patient presented to the ED with burning abdominal pain after eating, rebound tenderness, and
stated they vomited coffee-ground-like material at home. What does this patient most likely
have? - ✔️✔️An upper GI bleed
Pain onset as related to eating may indicate location of ulcer
Rebound tenderness or involuntary guarding is indicative of peritoneal irritation
As a nurse, you are taking care of a patient who is NPO (can only have ice chips/sips of water),
has two large bore IVs, on fluid resuscitation, and receiving a transfusion of blood. What does
this patient have, and what are some medications they might be on? - ✔️✔️Upper GI bleed
PPI for acid suppression
Anticoagulants and antiplatelets
Prokinetics (erythromycin or Reglan given prior to endoscopy)
ABCDE primary assessment of abdominal trauma? - ✔️✔️A- airway
B- breathing
C- circulation (are they losing blood??? 40% BV loss is LIFE THREATENING)
D- disability
E- exposure
Increased pressure in the abdominal cavity that can be caused by bleeding or visceral edema is
what? What is the assessment finding? Measurement? - ✔️✔️Abdominal compartment syndrome
Assessment finding - decrease venous return, CO, & perfusion to kidneys
Measurement - normal is 0 to 5 mmHg
affects colon - ✔️✔️ulcerative colitis
affects any area of the GI tract - ✔️✔️chron's disease
What are some manifestations of Ulcerative Colitis? SATA
A. bloody diarrhea
B. LLQ pain that is relieved with emptying bowel
C. RLQ pain that is worse with food
D. colicky abdominal pain
E. nonbloody diarrhea
F. cramping - ✔️✔️A, B, D, F
Correct Answers
As a nurse, why would you use a nasogastric tube to low intermittent wall suction (LIWS) in a
patient with acute pancreatitis? And when is this typically done? - ✔️✔️To reduce stomach
emptying into the duodenum and reduce vomiting, typically done prior to gallstone removal
What is the treatment for gall stone pancreatitis? Pancreatic pseudocyst or abscess? -
✔️✔️Removal of the gall stone (possibly gall bladder
Catheter drainage
What are the 8 labels on the last image in the Pancreas Disorders PowerPoint? - ✔️✔️Abdominal
pain
PPI
Chronic alcohol use
Nausea/Vomiting
NG Tube
Gallstone or biliary obstruction
Imaging for confirmation
What is hepatitis and what is it most commonly caused by? - ✔️✔️Inflammation of the liver most
commonly caused by a virus
Hep A transmission method - ✔️✔️oral-fecal route (food & water)
Hep B transmission method - ✔️✔️Body fluids
Hep C transmission method - ✔️✔️Blood
Hep D transmission method - ✔️✔️blood borne, commonly transmitted with Hep B
Hep E transmission method - ✔️✔️oral-fecal
What are the 3 causes of cirrhosis? (80% of the liver transplant list dx includes these) -
✔️✔️Hepatitis C
Alcohol-associated liver disease
Nonalcohol-associated liver disease
,Jaundice, hepatic encephalopathy, fatigue, spider angiomata, and splenomegaly are symptoms
seen in ________? - ✔️✔️Liver cirrhosis
Elevated serum bilirubin is a poor prognosis in which disease? - ✔️✔️Liver cirrhosis
Ascites and caput medusae is presented in....? - ✔️✔️Liver cirrhosis
Most effective way to diagnosis cirrhosis? - ✔️✔️Liver biopsy but first one used and most
sensitive is abdominal ultrasound
What is the primary goal in managing liver cirrhosis? and why would this be? - ✔️✔️Prevention of
bleeding due to varices, esophageal and gastric
What would you want to teach a patient with liver cirrhosis? - ✔️✔️Avoid NSAIDs & tylenol,
eliminate or limit alcohol intake, and reduce sodium intake
What is the first symptom seen in hepatic encephalopathy and what is this the result of? -
✔️✔️Change in mental status
Result of build up of ammonia
This patient wants to limit protein intake as able.... - ✔️✔️A patient with liver cirrhosis
What are the 4 things that make up the criteria to match donor to recipients? - ✔️✔️1. Matching
blood type
2. HLA typing (goal match as many of 6 as possible)
3. Panel of reactive antibodies (PRA) - used to determine LIKELIHOOD of reactivity to
potential donor
4. Crossmatch - used to determine the EXISTENCE of antibodies in a particular donor
Name two calcineurin inhibitors used as immunosuppressive therapies in recipients of organ
transplants - ✔️✔️Prograf (tracolimus) and Sandimmune (cyclosporine)
Name two purine synthesis antagonists (suppress T & B cell) used as immunosuppressive
therapies in recipients of organ transplants - ✔️✔️CellCept (mycophenolate mofetil) and Imuran
(azathioprine)
Which medication will NEVER be given alone in immunosuppressive therapy? & what will it be
in combination with? - ✔️✔️CellCept (mycophenolate mofetil) in combination with Prograf or
Sandimmune
Explain graft-versus-host disease. - ✔️✔️Occurs when an immunocompetent patient receives
immunocompetent cells/tissue (may begin 7 to 30 days post transplant)
Most common in hematopoietic stem cell transplants
, Skin develop blisters to desquamation (separations and shedding of epidermis), jaundice,
diarrhea, abdominal pain, GI bleeding, and malabsorption
A patient presented to the ED with burning abdominal pain after eating, rebound tenderness, and
stated they vomited coffee-ground-like material at home. What does this patient most likely
have? - ✔️✔️An upper GI bleed
Pain onset as related to eating may indicate location of ulcer
Rebound tenderness or involuntary guarding is indicative of peritoneal irritation
As a nurse, you are taking care of a patient who is NPO (can only have ice chips/sips of water),
has two large bore IVs, on fluid resuscitation, and receiving a transfusion of blood. What does
this patient have, and what are some medications they might be on? - ✔️✔️Upper GI bleed
PPI for acid suppression
Anticoagulants and antiplatelets
Prokinetics (erythromycin or Reglan given prior to endoscopy)
ABCDE primary assessment of abdominal trauma? - ✔️✔️A- airway
B- breathing
C- circulation (are they losing blood??? 40% BV loss is LIFE THREATENING)
D- disability
E- exposure
Increased pressure in the abdominal cavity that can be caused by bleeding or visceral edema is
what? What is the assessment finding? Measurement? - ✔️✔️Abdominal compartment syndrome
Assessment finding - decrease venous return, CO, & perfusion to kidneys
Measurement - normal is 0 to 5 mmHg
affects colon - ✔️✔️ulcerative colitis
affects any area of the GI tract - ✔️✔️chron's disease
What are some manifestations of Ulcerative Colitis? SATA
A. bloody diarrhea
B. LLQ pain that is relieved with emptying bowel
C. RLQ pain that is worse with food
D. colicky abdominal pain
E. nonbloody diarrhea
F. cramping - ✔️✔️A, B, D, F
