Hepatobiliary System exam questions and answers fully solved
D. Gray-blue color at the flank
E. Abdominal guarding and tenderness
F. Left upper quadrant pain with radiation to the back. - AnswersA client admitted to the
hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which
assessment findings would be consistent with acute pancreatitis? Select all that apply.
A. Diarrhea
B. Black, tarry stools
C. Hyperactive bowel sounds
D. Gray-blue color at the flank
E. Abdominal guarding and tenderness
F. Left upper quadrant pain with radiation to the back.
A. Fever
C. Complaints of indigestion
E. Pain in the upper right quadrant after a fatty meal - AnswersThe nurse is assessing a client
who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations
support this diagnosis? Select all that apply.
A. Fever
B. Positive Cullen's sign
C. Complaints of indigestion
D. Palpable mass in the upper left quadrant
E. Pain in the upper right quadrant after a fatty meal
,F. Vague lower right quadrant abdominal discomfort
B. Increase intake of fluids, including juice - AnswersA client is diagnosed with viral hepatitis,
complaining of "no appetite" and "losing my taste for food". What instruction should the nurse
give the client to provide adequate nutrition?
A. Select foods high in fat
B. Increase intake of fluids, including juice
C. Eat a good supper when anorexia is not as severe
D. Eat less often, preferably only 3 large meals daily
A. Malaise - AnswersA client has developed hepatitis A after eating contaminated oysters. The
nurse assesses the client for which expected assessment finding?
A. Malaise
B. Dark stools
C. Weight gain
D. Left upper quadrant discomfort
C. "I'm glad I don't have to lie still for this procedure - AnswersThe nurse has taught the client
about an upcoming endoscopic retrograde cholangiopancreatography (ERCP) procedure. The
nurse determines that the client needs further information if the client makes which statement?
A. "I know I must sign the consent form"
B. "I hope the throat spray keeps me from gagging"
C. "I'm glad I don't have to lie still for this procedure
D. "I'm glad some intravenous medication will be given to relax me"
B. "I ate shellfish about 2 weeks ago at a local restaurant - AnswersThe health care provider has
determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice.
Which statement made by the client supports this medical diagnosis?
,A. "I have had unprotected sex with multiple partners"
B. "I ate shellfish about 2 weeks ago at a local restaurant
C. "I was an intravenous drug abuser in the past and shared needles"
D. "I had a blood transfusion 30 years ago after major abdominal surgery"
C. Document the findings - AnswersThe nurse is assessing a client 24 hours following a
cholecystectomy. The nurse notes that the T-tube has drained 750 ml of green-brown drainage
since the surgery. Which nursing intervention is most appropriate?
A. Clamp the T-tube
B. Irrigate the T-tube
C. Document the findings
D. Notify the HCP
A. Maintain NPO (nothing by mouth) status
B. Encourage coughing and deep breathing
E. Give hydromorphone IV as prescribed for pain - AnswersThe nurse is reviewing the
prescription for a client admitted to the hospital with a diagnosis of acute pancreatitis. Which
interventions would the nurse expect to be prescribed for the client? Select all that apply.
A. Maintain NPO (nothing by mouth) status
B. Encourage coughing and deep breathing
C. Give small, frequent high-calorie feedings
D. Maintain the client in a supine and flat position
E. Give hydromorphone IV as prescribed for pain
F. Maintain IV fluids at 10 ml/hour to keep the vein open
C. Ask the client to extend the arms - AnswersThe nurse is reviewing the record of a client with a
diagnosis of cirrhosis and notes that there is documentation of the presence of asterisks. How
should the nurse assess for its presence?
, A. Dorisflex the client's foot
B. Measure the abdominal girth
C. Ask the client to extend the arms
D. Instruct the client to lean forward
C. Pasta with sauce - AnswersThe nurse is reviewing the laboratory results for a client with
cirrhosis and notes that the ammonia level is 85 mcg/dl (51 mcmol/L). Which dietary selection
does the nurse suggest to the client?
A. Roast pork
B. Cheese omelet
C. Pasta with sauce
D. Tuna fish sandwich
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM). - AnswersA 24-year-old female
contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient's
illness, the nurse would expect serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM).
b. anti-HBs. - AnswersAdministration of hepatitis B vaccine to a healthy 18-year-old patient has
been effective when a specimen of the patient's blood reveals
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
d. anti-HBc IgM.
D. Gray-blue color at the flank
E. Abdominal guarding and tenderness
F. Left upper quadrant pain with radiation to the back. - AnswersA client admitted to the
hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which
assessment findings would be consistent with acute pancreatitis? Select all that apply.
A. Diarrhea
B. Black, tarry stools
C. Hyperactive bowel sounds
D. Gray-blue color at the flank
E. Abdominal guarding and tenderness
F. Left upper quadrant pain with radiation to the back.
A. Fever
C. Complaints of indigestion
E. Pain in the upper right quadrant after a fatty meal - AnswersThe nurse is assessing a client
who is experiencing an acute episode of cholecystitis. Which of these clinical manifestations
support this diagnosis? Select all that apply.
A. Fever
B. Positive Cullen's sign
C. Complaints of indigestion
D. Palpable mass in the upper left quadrant
E. Pain in the upper right quadrant after a fatty meal
,F. Vague lower right quadrant abdominal discomfort
B. Increase intake of fluids, including juice - AnswersA client is diagnosed with viral hepatitis,
complaining of "no appetite" and "losing my taste for food". What instruction should the nurse
give the client to provide adequate nutrition?
A. Select foods high in fat
B. Increase intake of fluids, including juice
C. Eat a good supper when anorexia is not as severe
D. Eat less often, preferably only 3 large meals daily
A. Malaise - AnswersA client has developed hepatitis A after eating contaminated oysters. The
nurse assesses the client for which expected assessment finding?
A. Malaise
B. Dark stools
C. Weight gain
D. Left upper quadrant discomfort
C. "I'm glad I don't have to lie still for this procedure - AnswersThe nurse has taught the client
about an upcoming endoscopic retrograde cholangiopancreatography (ERCP) procedure. The
nurse determines that the client needs further information if the client makes which statement?
A. "I know I must sign the consent form"
B. "I hope the throat spray keeps me from gagging"
C. "I'm glad I don't have to lie still for this procedure
D. "I'm glad some intravenous medication will be given to relax me"
B. "I ate shellfish about 2 weeks ago at a local restaurant - AnswersThe health care provider has
determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice.
Which statement made by the client supports this medical diagnosis?
,A. "I have had unprotected sex with multiple partners"
B. "I ate shellfish about 2 weeks ago at a local restaurant
C. "I was an intravenous drug abuser in the past and shared needles"
D. "I had a blood transfusion 30 years ago after major abdominal surgery"
C. Document the findings - AnswersThe nurse is assessing a client 24 hours following a
cholecystectomy. The nurse notes that the T-tube has drained 750 ml of green-brown drainage
since the surgery. Which nursing intervention is most appropriate?
A. Clamp the T-tube
B. Irrigate the T-tube
C. Document the findings
D. Notify the HCP
A. Maintain NPO (nothing by mouth) status
B. Encourage coughing and deep breathing
E. Give hydromorphone IV as prescribed for pain - AnswersThe nurse is reviewing the
prescription for a client admitted to the hospital with a diagnosis of acute pancreatitis. Which
interventions would the nurse expect to be prescribed for the client? Select all that apply.
A. Maintain NPO (nothing by mouth) status
B. Encourage coughing and deep breathing
C. Give small, frequent high-calorie feedings
D. Maintain the client in a supine and flat position
E. Give hydromorphone IV as prescribed for pain
F. Maintain IV fluids at 10 ml/hour to keep the vein open
C. Ask the client to extend the arms - AnswersThe nurse is reviewing the record of a client with a
diagnosis of cirrhosis and notes that there is documentation of the presence of asterisks. How
should the nurse assess for its presence?
, A. Dorisflex the client's foot
B. Measure the abdominal girth
C. Ask the client to extend the arms
D. Instruct the client to lean forward
C. Pasta with sauce - AnswersThe nurse is reviewing the laboratory results for a client with
cirrhosis and notes that the ammonia level is 85 mcg/dl (51 mcmol/L). Which dietary selection
does the nurse suggest to the client?
A. Roast pork
B. Cheese omelet
C. Pasta with sauce
D. Tuna fish sandwich
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM). - AnswersA 24-year-old female
contracts hepatitis from contaminated food. During the acute (icteric) phase of the patient's
illness, the nurse would expect serologic testing to reveal
a. antibody to hepatitis D (anti-HDV).
b. hepatitis B surface antigen (HBsAg).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM).
b. anti-HBs. - AnswersAdministration of hepatitis B vaccine to a healthy 18-year-old patient has
been effective when a specimen of the patient's blood reveals
a. HBsAg.
b. anti-HBs.
c. anti-HBc IgG.
d. anti-HBc IgM.
