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Week 6 Group 1 Module 2 Quiz

Total questions: 25

Worksheet time: 50mins

Name
Class
Date
1.

Which condition is NOT a known cause of cirrhosis?

a)

Obesity

b)

Alcohol consumption

c)

Blockage of the bile duct

d)

Hepatitis C

e)

All are known causes of cirrhosis

2.

A patient with late-stage cirrhosis develops portal hypertension. Which of the following options below are complications that can develop from this condition? Select all that apply:

a)

Increase albumin levels

b)

Ascites

c)

Splenomegaly

d)

Fluid volume deficient

e)

Esophageal varices

3.

You are receiving shift report on a patient with cirrhosis. The nurse tells you the patient’s bilirubin levels are very high. Based on this, what assessment findings may you expect to find during your head-to-toe assessment? Select all that apply:

a)

Frothy light-colored urine

b)

Dark brown urine

c)

Yellowing of the sclera

d)

Dark brown stool

e)

Jaundice of the skin

4.

A 45 year old male has cirrhosis. The patient reports concern about the development of enlarged breast tissue. You explain to the patient that this is happening because?

a)

The liver cells are removing too much estrogen from the body which causes the testicles to produce excessive amounts of estrogen, and this leads to gynecomastia.

b)

The liver is producing too much estrogen due to the damage to the liver cells, which causes the level to increase in the body, and this leads to gynecomastia.

c)

The liver cells are failing to recycle estrogen into testosterone, which leads to gynecomastia.

d)

The liver cells are failing to remove the hormone estrogen properly from the body, which causes the level to increase in the body, and this leads to gynecomastia.

5.

It reside in the liver and help remove bacteria, debris, and old red blood cells?

a)

Hepatocytes

b)

Langerhan cells

c)

Enterocytes

d)

Kupffer cells

6.

Which of the following is NOT a role of the liver?

a)

Removing hormones from the body

b)

Producing bile

c)

Absorbing water

d)

Producing albumin

e)

Removing toxins

7.

You are taking care of a patient with liver cirrhosis, he has hypertension and edema. Upon further assessment you found out that his serum electrolytes show K+ - 3.0meq/L and N+ 130meq/L. Which of the following medication is prescribed for his edema?

a)

Amlodipine

b)

Spinorolactone

c)

Furosemide

d)

Kalium durule

e)

NaCL

8.

You are taking care of the patient with hypertension due to liver cirrhosis. Which of the following nursing intervention should you do prior to giving Amlodipine 10mg PO to the patient?

a)

instruct the patient to eat before taking the medication

b)

check the patients blood pressure

c)

advice the patient to drink alot of water with the medication

d)

instruct the patient to put the medication under the tongue for faster absorption

e)

instruct the client to avoid standing up after the medication

9.

Which of the following assessment will warrant you to inform the physician for signs of bleeding with a patient with liver cirrhosis?

a)

presence of ascites

b)

increase in blood pressure

c)

presence of bruising

d)

yellowish discoloration of the sclera

e)

disorientation

10.

You are taking care of JD with liver cirrhosis. Which of hte following is the reason why the patient is experiencing fatigue?

a)

failure to metabolize aldosterone

b)

failure to metabolize bilirubin

c)

failure to metabolize estrogen

d)

Unable to aid in the maturity of RBC

e)

loss of appetite

11.

Which of the following is NOT considered as a precipitating factor for Liver cirrhosis? SELECT all that apply

a)

Alcoholic drinking

b)

Smoking

c)

Male

d)

Age

e)

Race

12.

You are taking care of patient Yuni who is diagnosed with liver cirrhosis. Which of the following laboratory results would you expect?

a)

ECG showing PVC

b)

C-Xray showing atelectasis

c)

CBC showing low platelet

d)

USD of WA showing no abnormalities

e)

UA showing + glucose

13.

Which of the following is a symptom that indicate for hepatic encephalopathy?

a)

difficulty in breathing

b)

increased abdominal girth

c)

hematemesis

d)

confusion

e)

spider angioma

14.

Which of the following nursing interventions are done in monitoring patient with ascites? Select all that apply

a)

Measure I and O

b)

Measure abdominal Girth

c)

Weight patient daily

d)

Assess for mental status

e)

Monitor RR

15.

Which of the following types of hepatitis are blood borne? Select all that apply

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Hepatitis D

e)

Hepatitis E

16.

Which of the following types of hepatitis are transmitted through fecal oral route? Select all that apply

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Hepatitis D

e)

Hepatitis E

17.

What is the most common type of cirrhosis?

a)

Alcoholic cirrhosis

b)

Post necrotic cirrhosis

c)

Biliary cirrhosis

d)

All of them are common

18.

What is the confirmatory test for liver cirrhosis?

a)

Liver biopsy

b)

MRI

c)

CT scan

d)

Physical examination

e)

USD

19.

What diet was patient JD given?

a)

LSLF

b)

DAT

c)

NPO

d)

DD

e)

BRAT

20.

What was the reason why patient JD's IVF of PNSS 1L shifted to heplock?

a)

to prevent infection

b)

to prevent possible fluid volume deficit

c)

to prevent possible fluid volume excess

d)

to facilitate better medication administration

e)

for financial reasons

21.

What was given to patient JD post paracentesis to prevent bleeding?

a)

Vitamin K

b)

Platelet transfusion

c)

Clopidogrel

d)

Furosemide

e)

Heparin

22.

It is a blood test ordered to determine if someone is infected with the hepatitis B virus.

a)

HBsAg

b)

Hba1c

c)

RTPCR

d)

ABG

e)

CBC

23.

It is a procedure done to remove fluid from the abdominal cavity.

a)

Paracentesis

b)

Thoracentesis

c)

Choledoculithiasis

d)

Hemodialysis

e)

Thoracotomy

24.

The bile path follows the bile canaliculi then to the ductules where it is divided into Left and right hepatic ducts then merge to the?

a)

common hepatic duct

b)

cystic duct

c)

common bile duct

d)

pancreatic duct

e)

ampulla of vater

25.

Which of the following are important functions of the liver? SELECT all that apply

a)

Bile production and excretion

b)

Metabolism

of fats, proteins, and carbohydrates

c)

Blood detoxification and purification

d)

Storage of glycogen, vitamins, and minerals

e)

Enzyme activation