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13A NRG304 MIDTERM QUIZ 2

Total questions: 30

Worksheet time: 3600secs

Name
Class
Date
1.

You are taking care of patient Mar-mar who is admitted to the hospital due to acute pancreatitis and upon assessing the client's pain. Which type of pain would you expect to be consistent with this diagnosis?

a)

The client complains of severe and unrelenting, located in the epigastric area and radiating to the back.

b)

The client complains of burning and aching pain located in the left lower quadrant and radiating to the hip

c)

The client is complaining of burning and aching pain located in the epigastric area and radiating to the back.

d)

The client complains of severe and unrelenting, located in the left lower quadrant and radiating to the hip

2.

You are assigned in the medical surgical ward, Upon is assessing a client who is experiencing an acute episode of cholecystitis. Which of the following location will you anticipate the pain will be?

a)

Right upper quadrant, radiating to the right scapula and shoulder

b)

Left upper quadrant, radiating to the right scapula and shoulder

c)

Right lower quadrant, radiating to the right scapula and shoulder

d)

Left lower quadrant, radiating to the right scapula and shoulder

3.

You are taking care of Eren who is admitted to the hospital with viral hepatitis, he is complaining of "no appetite" and "losing my taste for food." Which of the following health teachings should you give the Eren to provide adequate nutrition?

a)

Eat foods high in fat.

b)

Increase intake of fluids, including juices.

c)

Eat a good supper when anorexia is not as severe

d)

Eat 3 large meals a day

4.

Patient Hep-hep developed Hepatitis A after eating contaminated oysters. The nurse assesses Hep-hep for which of the following?

a)

Malaise

b)

Dark colored stool

c)

Weight gain

d)

Left upper quadrant pain

5.

You are taking care of George who has Hepatitis, He asks you which of the following hepatitis can be contracted from contaminated food? Which of the following response is correct?

a)

All of the hepatitis virus can be transferred to food

b)

Hepatitis A

c)

Hepatitis B

d)

Hepatitis C

6.

You are assessing patient Den-den, 24 hours following cholecystectomy. You noticed that the T-tube has drained 750ml of green-brown drainage since the surgery. Which of the following intervention is appropriate?

a)

Clamp the T-tube

b)

Irrigate the T-tube

c)

Notify the physician

d)

Document the findings

7.

The nurse is reviewing the record of a client with a diagnosis of liver cirrhosis and notes that there is documentation of the presence of asterixis. Which of the following is the correct way to assess for the presence of asterixis?

a)

Dorsiflex the client's foot

b)

Measure for abdominal girth

c)

Ask the patient to extend his arms

d)

Instruct the client to lean forward

8.

You are reviewing the laboratory results of patient Wat-wat with liver cirrhosis and noticed that the ammonia level is elevated. Which of the following is the appropriate diet for patient Wat-wat?

a)

Low protein diet

b)

High protein diet

c)

High fat diet

d)

High carbohydrate diet

9.

You are taking care of patient Gordon who is diagnosed with liver cirrhosis. Which of the following laboratory results support his diagnosis? Select all that apply

a)

Elevated ALT

b)

Elevated AST

c)

Elevated Serum amylase

d)

Elevated Serum lipase

10.

You are taking of a client who is taking Isoniazid (INH), Which of the following laboratory data needs to be reported to the physician?

a)

Urine output of 30ml/hr

b)

Elevated AST and ALT

c)

Serum Potassium level of 4.5meq/L

d)

Elevated Serum amylase

11.

You are taking care of a patient diagnosed with hypertension having a BP of 180/100mmHg. The clients laboratory results are as follows : Na - 150mEq/L, K+ - 3.2mEq/L; Glucose 185 md/dl, Oxygen saturation of 93%. Which of the following doctors order should the nurse question?

a)

Place patient in Low sodium diet

b)

Give Furosemide in the morning

c)

Monitor Blood sugar twice a day

d)

Place patient on O2 supplementation with nasal canula @ 2lpm

12.

You are talking with patient Ton-ton who has Ascites. Which of the following statement made by Ton-ton indicates effectiveness of Furosemide?

a)

"I've gained much weight in a week"

b)

"I can button my pants again"

c)

"I feel shortness of breath"

d)

"I am sleeping on a recliner at night"

13.

Which of the following medication is the drug of choice in treating patients with Ascites?

a)

Spironolactone

b)

Furosemide

c)

Amlodipine

d)

Propranolol

14.

Which of the following Hepatitis Virus has a severe effect on pregnant women?

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Hepatitis D

e)

Hepatitis E

15.

You are taking care of a patient with diagnosis of Liver cirrhosis. The client asks you if there are any specific medications that he should avoid. Which of the following medications should you specifically tell the client not to take?

a)

Acetaminophen

b)

Cimetidine

c)

Neomycin sulfate

d)

Spironolactone

16.

Which of the following diagnostic test is the confirmatory test for liver cirrhosis?

a)

USD

b)

MRI

c)

CT sacan

d)

Biopsy

17.

You are taking care of a patient with Liver cirrhosis, which of the following are appropriate nursing interventions? Select all that apply

a)

Promote patient rest

b)

Instruct patient to eat small frequent feedings

c)

Provide adequate skin care

d)

Advice to use soft bristle toothbrush

18.

Which of the following is the most common type of primary liver cancer, and is also responsible for 75% of all liver cancers?

a)

hepatocellular carcinoma

b)

fibrolamellar carcinoma

c)

hepatoblastoma

d)

cholangiocellular carcinoma

19.

Which of the following is considered as an early manifestation of liver cancer?

a)

pain

b)

weight lose

c)

jaundice

d)

Ascites

20.

Which of the following is an immediate postoperative complication of liver transplantation? Select all that apply

a)

bleeding

b)

infection

c)

rejection

d)

malfunction

21.

You are taking care of a patient post liver transplantation. It is important that you monitor the patient for signs of sepsis. All of the following are signs of sepsis, Except?

a)

Fever

b)

Shortness of breath

c)

Lethargy

d)

Hypertension

22.

You are taking care of a patient with acute pancreatitis. He is currently complaining of nausea and vomiting. Which of the following diet should you place the patient?

a)

NPO

b)

Clear liquid diet

c)

Low fat diet

d)

Low protein diet

23.

You are talking to the client about signs and symptoms of bile obstructions. Which of the following are signs of bile obstruction? Select all that apply

a)

Abdominal pain

b)

Yellow colored sclera

c)

Dark colored stool

d)

Light colored urine

24.

You expect that which of the following vitamins will be deficient with a patient with Cholelithiasis? Select all that apply

a)

Vitamin C

b)

Vitamin A

c)

Vitamin K

d)

Vitamin B12

25.

Which of the following is the diagnostic procedure of choice and the most useful diagnostic study in the diagnosis of chronic pancreatitis?

a)

USD

b)

ERCP

c)

MRI

d)

CT scan

26.

You are giving a health teaching to patients with pancreatic cancer. Which of the following are classic signs of pancreatic carcinoma? Select all that apply

a)

Pain

b)

Jaundice

c)

Weight lose

d)

Edema

27.

You are giving health teaching to Kokoy, a patient with pancreatic cancer. Which of the following health teaching will help Kokoy to be relieve of pain?

a)

Try to sit up and lean forward

b)

Do deep breathing exercises

c)

Lay down on supine position with one pillow on your head

d)

Sleep with knee chest position

28.

Which of the following diagnostic test helps diagnose Insulinoma?

a)

5hour glucose tolerance test

b)

CBG test

c)

FBS test

d)

HbA1c

29.

You are taking care of a patient with Hyperinsulinism. All of the following are clinical manifestations of this disorder, Except?

a)

nervousness

b)

sweating

c)

headache

d)

lose of appetite

30.

You are taking care of a patient with a tumor on the head of the pancreas. You expect to see all of the following manifestations, EXCEPT?

a)

Jaundice

b)

dark colored stool

c)

dark colored urine

d)

weight lose