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NUR 213 – Test 5 Exam (2025) – Questions and Correct Answers

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This exam document includes the complete question set and correct answers from the 2025 Test 5 of the NUR 213 Nursing course. It comprehensively covers clinical topics related to hepatitis (A, B, C, and D), liver failure, hepatic encephalopathy, septic shock, and post-traumatic stress disorder (PTSD). The content addresses nursing interventions, patient education, medication administration, diagnostic criteria, and critical safety protocols. It is especially useful for test preparation and clinical scenario reviews in medical-surgical and mental health nursing.

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Geüpload op
12 juni 2025
Aantal pagina's
42
Geschreven in
2024/2025
Type
Tentamen (uitwerkingen)
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Voorbeeld van de inhoud

NUR 213 TEST 5 EXAM 2025 QUESTIONS
AND CORRECT ANSWERS




a nurse is caring for a client with acute hepatitis A infection. which of the
following nursing interventions should be implemented?

a. provide a low calorie diet with fluid restriction
b. remind the client to limit alcohol consumption to 1-2 drinks per day
c. administer antipruritic medication only as needed
d. keep the client on strict bedrest - CORRECT ANSWER-c

a nurse is caring for a client with chronic hepatitis C and cirrhosis who was
admitted for hepatic encephalopathy. which of the following does the nurse
expect when assessing the client?
a. hyperactive reflexes
b. agitation and restlessness
c. asterixis
d. enlarged liver - CORRECT ANSWER-c
asterixis is a sign of hepatic encephalopathy in individuals with cirrhosis of
the liver



a nurse is assessing a client with jaundice who has clay colored stool. what
is the most likely cause of these findings?
a. increased cholecystokinin production
b. increased production of bile
c. decreased flow of bile into the intestine
d. increased breakdown of hemoglobin - CORRECT ANSWER-c

,clay colored stools indicate an obstruction of the bile ducts


nurses and other healthcare workers are considered high risk for infection
by bloodborne pathogens. which of the following vaccines is mandated by
OSHA for healthcare workers?
a. influenza
b. TB
c. Hepatitis B
d. Hepatitis C - CORRECT ANSWER-c
nursing is high risk for hep b because it is bloodborne pathogens


an unvaccinated healthcare worker has been exposed to hepatitis B through
a needle stick. which of the following should the nurse anticipate
administering as a post exposure prophylaxis?
a. hepatitis B immune globulin
b. hepatitis b vaccine and hepatitis b immune globulin
c. hepatitis B surface antigen
d. amphotericin B - CORRECT ANSWER-b
the first vaccine should be given within 12 hours of exposure


a nurse is providing teaching about hepatitis A with a client who plans to
travel. which of the following statements should the nurse make?
a. if exposed expect to have manifestations within 10 days
b. avoid donating blood or tissue for one year if you develop the infection
c. practice meticulous skin and hand hygiene
d. expect if you are exposed to have severe joint pain - CORRECT
ANSWER-c
hep A is transmitted from contaminated foods, so good hand and skin
hygiene is key to preventing transmission

,the nurse is charting findings from a client with cirrhosis. which of the
following findings are specifically related to the clients diagnosis? select all
that apply
a. anemia
b. hypoglycemia
c. bruising
d. gynecomastia
e. bradycardia - CORRECT ANSWER-a, c, d

a nurse who is employed in a community outpatient clinic should question
which of the following prescriptions for vaccine administration?
a. a MMR in a client who hopes to become pregnant within the next 6
months
b. DTaP to a client who has a family history of seizures
c. DTaP to a client who develops a rash when exposed to latex
d. Hepatitis B for a client with hypersensitivity to yeast - CORRECT
ANSWER-d
contraindications are conditions in the recipient of a vaccine that increase
the risk of a serious adverse reaction. hypersensitivity to yeast is an
absolute contraindication to the hep B virus


a nurse is caring for a client with a GI bleed who has been diagnosed with
liver failure due to hepatitis B. which of the following blood products will
most likely be prescribed to achieve hemostasis?
a. PRBCs
b. cryoprecipitate
c. platelets
d. whole blood - CORRECT ANSWER-c

, the nurse is preparing to administer on unit of whole blood. which of the
following describes the most life threatening complication associated with
blood transfusions?
a. chill rigor reaction
b. Hep A
c. a febrile non-hemolytic reaction
d. transfusion related circulatory overload - CORRECT ANSWER-d
they may develop s/s heart failure and dyspnea. this reaction is about 20%
of transfusion related deaths



the nurse is assessing a client with hepatitis. which of the following
diagnostic tests will be recommended for this type of client? select all that
apply
a. LDH
b. Potassium
c. sodium
d. HBV surface antigen
e. chloride
f. chest xray
g. ALP
h. AST - CORRECT ANSWER-a, d, g, h


a nurse is reviewing the prescription for a client who is being evaluated for
the presence of hepatitis C. which of the following prescribed lab tests
should the nurse identify as diagnostic for hepatitis C?
a. indirect bilirubin
b. HCV RNA testing
c. AST

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