430 Adult Health Nursing II
FINAL EXAM 2025: 400+
NCLEX®-Style Q&As (Summer
2025 Curriculum Update:
Professor-Verified Rationales
Covering Complex Cardiac,
Renal & Critical Care Scenarios
+ NGN Clinical Judgment Cases,
Pharmacology Cheat Sheets &
100% Pass Guarantee Blueprint)
NSG 430 Final Exam Study Guide
, Answer> checks, upper neck, shoulders
2. what are complications of liver cirrhosis
Answer> Esophageal varices Ascities
Hepatic encehalopathy
Hepatorenal syndrome
3. what are esophageal varices
Answer> enlarged veins at the lower end of the esophagus
4. what are esophageal varices important to monitor
Answer> fragile, do NOT tolerate HIGH PRESSURE
(risk for bursting.. leading to hemorrhage)
5. Ascities
Answer> Due to the absence of serum albumin
- increased fluid in the interstitial space
- peritoneal edema, peripheral edema
6. how to do we treat peripheral edema
Answer> Tx exogenous albumin
7. why is it important to manage peripheral edema
Answer> leads to increased BP, more importantly increase portal
pressure!
, Decrease in osmotic pressure
dehydration
dry skin, sunken eyes, weakness
9. what is gross ascites at risk for
Answer> spontaneous bacterial peritonitis -- due to alternations in
the fluid space (Ecoli)
10. what is hepatic encephalopathy Answer> Neurotoxic effects of
ammonia
Liver is unable to convert ammonia ( as it crosses the BBB)
11. what is the cause of ammonia
Answer> when the liver is unable to convert ammonia into urea..
leading to toxic levels in the blood stream
12. What are the s/s of hepatic encephalopathy
Answer> A neuropsychiatric disorder
- AMS, impaired consciousness, inappropriate behavior
13. how soon can hepatic encephalopathy occur Answer> can
occur sunddely!