SAS 1 Corticosteroids

1. You’re performing an abdominal C.

assessment on Brent who is 52 y.o. In which Antipyretics
order do you proceed? D.
A. Observation, percussion, palpation, Antibiotics
auscultation
A. 7. Which of the following are the possible
Observation, auscultation, percussion, causes of sialadenitis? Select all that apply.
palpation A.
B. Dehydration
Percussion, palpation, auscultation, B.
observation Stress
C. C.
Palpation, percussion, observation, Dental extraction
auscultation D.
Improper oral hygiene
2. While palpating a female client’s right upper E.
quadrant (RUQ), the nurse would expect to Frequent ingestion of cold beverages
find which of the following
structures? 8. A patient asks, “Is surgery always the
A.Sigmoid colon treatment of choice for inflamed salivary
B.Appendix glands?” Your best response would be:
C. Spleen A. Yes, surgery is always the answer.
D. Liver B. Surgery is only recommended for children.
C. Elderly is not a candidate for parotidectomy.
3. A female client being seen in a physician’s D. The procedure is advised for chronic
office has just been scheduled for a barium sialadenitis and uncontrolled pain.
swallow the next day. The nurse
writes down which instruction for the client to 9. Which of the following conditions described
follow before the test? as presence of calculi in the salivary glands?
A. Fast for 8 hours before the test A. Parotitis
B. Eat a regular supper and breakfast B. Sialolithiasis
C. Continue to take all oral medications as C. Sialadenitis
scheduled D. Mumps
D. Monitor own bowel movement pattern for
constipation 10. Which of the following medical
management is recommended for salivary
4. Which diagnostic test would be used first to calculus?
evaluate a client with upper GI bleeding? A. Lithotripsy
A. Endoscopy B. Antibiotic therapy
B. Upper GI series C. Nephrectomy
C. Hemoglobin (Hb) levels and hematocrit D. Endoscopy
(HCT)
D. Arteriography

5. A patient complains about an inflamed

salivary gland below his right ear. The nurse
documents probable inflammation of
which gland/s?
A.
Buccal
B.
Parotid
C.
Sublingual
D.
Submandibular

6. Parotitis caused by bacteria is treated with

which of the following drug classifications?
A.
Analgesics
B.
SAS 2 9. Which of the following measures helps
1. Acute gastritis is often caused by: relieve pain to a client with gastritis?
A. Ingestion of strong acids A. Avoid foods and beverages that may be
B. Irritating foods irritating to the gastric mucosa.
C. Overuse of Aspirin B. Monitor fluid intake and output daily to
D. All of the above detect early signs of dehydration.
C. Administer Amoxicillin (Amoxil) twice a day.
2. Which of the following definitions best D. Start intravenous fluid therapy.
describes gastritis?
A. Erosion of the gastric mucosa 10 A patient with gastritis is nauseated and
B. Inflammation of a diverticulum vomited 10 times at home, which of the
C. Inflammation of the gastric mucosa following nursing diagnoses is
D. Reflux of stomach acid into the esophagus appropriate for this patient? Select all that
ANSWER: apply.
RATIO: A. Acute pain related to irritated stomach
3. Which of the following substances is most mucosa
likely to cause gastritis? B. Anxiety related to treatment
A. Milk C. Imbalanced nutrition, less than body
B. Bicarbonate of soda, or baking soda requirements related to inadequate intake of
C. Enteric coated aspirin nutrients
D. Nonsteriodal anti-imflammatory drugs D. Risk for imbalanced fluid volume related to
insufficient fluid intake and excessive fluid loss
4. The nurse is caring for a client with chronic
gastritis. The nurse monitors the client, 11. Michael, a 42 y.o. man is admitted to the
knowing that this client is at risk for med-surg floor with a diagnosis of acute
which of the following vitamin deficiencies? pancreatitis. His BP is 136/76, pulse
A.Vitamin A 96, Resps 22 and temp 101. His past history
B. Vitamin B12 includes hyperlipidemia and alcohol abuse.
C. Vitamin C The doctor prescribes an NG tube.
D. Vitamin E Before inserting the tube, you explain the
purpose to patient.Which of the following is a
5. The nurse is reviewing the medication most accurate explanation?
record of a client with gastritis. Which A. “It empties the stomach of fluids and gas.”
medication, if noted on the client’s record, B. “It prevents spasms at the sphincter of
would the nurse question? Oddi.”
A. Amoxicillin (Amoxil) C. “It prevents air from forming in the small
B. Indomethacin (Indocin) intestine and large intestine.”
C. Lansoprazole (Prevacid) D. “It removes bile from the gallbladder.”
D. Clarithromycin (Biazin)
12. Jason, a 22 y.o. accident victim, requires
6. Which of the following treatments should be an NG tube for feeding. What should you
included in the immediate management of immediately do after inserting an
acute gastritis? NG tube for liquid enteral feedings?
A. Reducing work stress A. Aspirate for gastric secretions with a
B. Completing gastric resection syringe.
C. Treating the underlying cause B. Begin feeding slowly to prevent cramping.
D. Administering enteral tube feedings C. Get an X-ray of the tip of the tube within 24
hours.
7. Which of the following risk factors can lead D. Clamp off the tube until the feedings begin.
to chronic gastritis?
A. Young age 13. Stephanie, a 28 y.o. accident victim,
B. Antibiotic usage requires TPN. The rationale for TPN is to
C. Gallbladder disease provide:
D. Helicobacter pylori infection A. Necessary fluids and electrolytes to the
body.
8. Which of the following factors associates B. Complete nutrition by the I.V. route.
chronic gastritis with pernicious anemia? C. Tube feedings for nutritional
A. Chronic blood loss supplementation.
B. Inability to absorb vitamin B12 D. Dietary supplementation with liquid protein
C. Overproduction of stomach acid given between meals.
D. Overproduction of vitamin B12
14. Your patient has a GI tract that is A.
functioning, but has the inability to swallow cola, coffee and tea
foods. Which is the preferred method of B.
feeding for your patient? high fat, carbonated and caffeinated
A. TPN beverages
B. PPN C.
C. NG feeding beer and green tea
D. Oral liquid supplements D.
All of the above
15. An intubated patient is receiving
continuous enteral feedings through a Salem Situation: Nurse Marishka is the staff nurse
sump tube at a rate of 60ml/hr. Gastric assigned at the Emergency Department.
residuals have been 30-40ml when monitored During her shift, a patient was
Q4H. You check the gastric residual and rushed in the ED complaining of severe
aspirate 220ml. What is your first heartburn, vomiting and pain that radiates to
response to this finding? the flank. The doctor suspects
A. Notify the doctor immediately. gastric ulcer.
B. Stop the feeding, and clamp the NG tube. 5. What other symptoms will validate the
C. Discard the 220ml, and clamp the NG tube. diagnosis of gastric ulcer?
D. Give a prescribed GI stimulant such as A.
metoclopramide (Reglan). right epigastric pain
B.
SAS 3 pain occurs when stomach is empty
Situation: Mrs. Dela Cruz was admitted in the C.
Medical Floor due to pyrosis, dyspepsia and pain occurs immediately after meal
difficulty of swallowing. D.
1.Based from the symptoms presented, Nurse pain not relieved by vomiting
Melinda might suspect:
A. 6. What diagnostic test would yield good
Esophagitis visualization of the ulcer crater?
B. A.
Hiatal hernia Endoscopy
C. B.
GERD Gastroscopy
D. C.
Gastric Ulcer Barium Swallow
D.
2. What diagnostic test would confirm the type Histology
of problem Mrs. Cruz have?
A. 7. Peptic ulcer disease particularly gastric ulcer
barium enema is thought to be cause by which of the
B. following microorgamisms?
barium swallow A.
C. E. coli
colonoscopy B.
D. H. pylori
lower GI series C.
S. aureus
3. Mrs. Dela Cruz complained of pain and D.
difficulty in swallowing. The terms are referred K. pnuemoniae
as:
A. 8. She is for occult blood test; what specimen
Odynophagia will you collect?
B. A.
Dysphagia Blood
C. B.
Pyrosis Urine
D. C.
Dyspepsia Stool
D.
4. To avoid acid reflux, Nurse Melinda should Gastric Juice
advice Mrs. Dela Cruz to avoid which type of
diet? 9.What Diagnostic test will confirm Achalasia?
A. A. Hemorrhoids
Barium Swallow B. Fecal impaction
B. C. Hypokalemia
X- ray Studies D. Hypertension
C.
Manometry 6. In a client with diarrhea, which outcome
D. indicates that fluid resuscitation is successful?
Barium Enema A. The client passes formed stools at regular
intervals
10. For Sliding Hiatal Hernia, all are clinical B. The client reports a decrease in stool
manifestations except: frequency and liquidity
A. C. The client exhibits firm skin turgor
Heartburn D. The client no longer experiences perianal
B. burning.
Halitosis
C. 7. The mechanism of action of diphenoxylate
Regurgitation (Lotomil) is:
D. A. An increase in intestinal excretion of water
Dysphagia B. An increase in intestinal motility
C. A decrease in peristalsis in the intestinal
SAS 4 wall
1. You’re performing an abdominal D. A decrease in the reabsorption of water in
assessment on Brent who is 52 y.o. In which the bowel
order do you proceed?
A. Observation, percussion, palpation, 8. Which of the following statements best
auscultation describes fecal incontinence?
B. Observation, auscultation, percussion, A. It is a common disorder that affects the
palpation large intestine characterized by cramping,
C. Percussion, palpation, auscultation, abdominal pain, bloating, gas, and
observation diarrhea or constipation, or both.
D. Palpation, percussion, observation, B. It is the involuntary passage of stool from
auscultation the rectum.
C. It is an infrequent bowel movements or
2. When teaching an elderly client how to difficult passage of stools that persists for
prevent constipation, which of the following several weeks or longer.
instructions should the nurse D. It is condition with loose and watery stools
include? during a bowel movement.
A. “Drink 6 glasses of fluid each day.”
B. “Avoid grain products and nuts.” 9. Which of the following drugs may be
C. “Add at least 4 grams of bran to your cereal administered to patient with diarrhea?
each morning.” A. Loperamide (Imodium)
D. “Be sure to get regular exercise.” B. Bisacodyl (Dulcolax)
C. Senna Concentrate (Senokot)
3. The nurse would monitor for which of the D. Docusate (Colace)
following adverse reactions to aluminum-
containing antacids such as aluminum 10. Which of the following measures helps
hydroxide (Amphojel)?
control fecal incontinence?
A. Diarrhea
A. Increase fiber in the diet during episodes of
B. Constipation
diarrhea.
C. GI upset
B. Initiate a bowel-training program.
D. Fluid retention
C. Encourage use of laxatives 3 times a day.
D. Use incontinence brief/adult diaper.
4. Nursing suggestions to help a person break
the constipation habit include all of the
SAS 5
following except:
1. Which of the following best describes
A. A low-residue, bland diet.
Malabsorption syndrome?
B. A fluid intake of at least 2 L/day.
A. Are open sores that develop on the inside
C. Establishing a regular schedule of exercise.
lining of your stomach and the upper portion of
D. Establishing a regular time for daily
your small intestine.
elimination.
B. It is the inability of the digestive system to
absorb one or more of the major vitamins,
5. All of the following are considered minerals, and nutrients.
complications of constipation except:
C. It is a digestive disorder that occurs when 8. Care for the postoperative client after
acidic stomach juices, or food and fluids back gastric resection should focus on which of the
up from the stomach into the following problems?
esophagus. A. Body image
D. An inflammatory disease which can lead to B. Nutritional needs
abdominal pain, severe diarrhea, fatigue, and C. Skin care
weight loss. D. Spiritual needs

2. A patient complains of abdominal pain and 9. A 30-year old client experiences weight
distention is suspected of having loss, abdominal distention, crampy abdominal
malabsorption syndrome when he/she has: pain, and intermittent diarrhea after
A. A bulky, foul-smelling stools with birth of her 2nd child. Diagnostic tests reveal
steatorrhea gluten-induced enteropathy. Which foods must
B. Episodes of constipation and diarrhea she eliminate from her diet
C. Chronic constipation permanently?
D. Severe abdominal pain after eating A. Milk and dairy products
B. Protein-containing foods
3. Which of the following diagnostic tests C. Cereal grains (except rice and corn)
confirms malabsorption syndrome? D. Carbohydrates
A. Complete blood count
B. Abdominal ultrasound 10. Which of the following conditions cause/s
C. Panceatic function test malabsorption? Select all that apply.
D. Endoscopy with biopsy A. Celiac disease
B. Lactose intolerance
4. Which of the following recommended to a C. Gastritis
patient with malabsorption syndrome? D. Gastric resection
A. Encourage patient to eat pasta three times E. GERD
a day.
B. Instruct patient to increase milk SAS 6
consumption. 1. During assessment, the nurse is looking for
C. The patient is advised to limit fluid intake. positive indicators of appendicitis, which
D. Vitamin supplementation is prescribed. include all of the following except:
A. vomiting
5. A client with irritable bowel syndrome is B. low-grade fever
being prepared for discharge. Which of the C. Thrombocytopenia
following meal plans should the D. Abdominal tenderness upon palpation
nurse give the client?
A. Low fiber, low-fat 2. On physical examination, the nurse should
B. High fiber, low-fat be looking for tenderness on palpation at
C. Low fiber, high-fat Mcburney’s point, which is located
D. High-fiber, high-fat in the:
A. Right lower quadrant
6. Katrina is diagnosed with lactose B. Right upper quadrant
intolerance. To avoid complications with lack C. Left lower quadrant
of calcium in the diet, which food should D. Left upper quadrant
be included in the diet?
A. Fruit 3. Which of the following complications is
B. Whole grains thought to be the most common cause of
C. Milk and cheese products appendicitis?
D. Dark green, leafy vegetables A. A fecalith
B. Bowel kinking
7. A patient with IBS asks, “How can I manage C. Internal bowel occlusion
abdominal discomfort?” Your best response D. Abdominal bowel swelling
would be:
A. “It is best managed by eating dry crackers.” 4. An enema is prescribed for a client with
B. “Some patients maintain an antidepressant suspected appendicitis. Which of the following
drugs.” actions should the nurse take?
C. “You will be the one to choose what is best A. Prepare 750 ml of irrigating solution
for you.” warmed to 100*F.
D. “Abdominal pain can be reduced by B. Question the physician about the order.
avoiding carbonated beverages.” C. Provide privacy and explain the procedure
to the client.
D. Assist the client to left lateral Sim’s position.
 is most likely the best choice for this
5. A client with acute appendicitis develops patient?
fever, tachycardia, and hypotension. Based on A) Spinach
these assessment findings, the B) Tofu
nurse suspects which of the following
complications? C) Multigrain bagel
A. Peritonitis D) Blueberries
B. Bowel ischemia
C. Intestinal obstruction 2. A nurse is preparing to provide care for a
D. Deficient fluid volume patient whose exacerbation of ulcerative
colitis has required hospital
6. Eleanor, a 62 y.o. woman with diverticulosis admission. During an exacerbation of this
is your patient. Which interventions would you health problem, the nurse would anticipate
expect to include in her care? that the patients stools will have
A. Low-fiber diet and fluid restrictions. what characteristics?
B. Total parenteral nutrition and bed rest.
A) Watery with blood and mucus
C. High-fiber diet and administration of
B) Hard and black or tarry
psyllium.
D. Administration of analgesics and antacids. C) Dry and streaked with blood
D) Loose with visible fatty streaks
7. Which of the following types of diets is
implicated in the development of 3. Annabelle is being discharged with a
diverticulosis? colostomy, and you’re teaching her about
A. Low-fiber diet colostomy care. Which statement correctly
B. High-fiber diet describes a healthy stoma?
C. High-protein diet A. “At first, the stoma may bleed slightly
D. Low-carbohydrate diet when touched.”
B. “The stoma should appear dark and have
8. Donald is a 61 y.o. man with diverticulitis. a bluish hue.”
Diverticulitis is characterized by: C. “A burning sensation under the stoma
A. Periodic rectal hemorrhage. faceplate is normal.”
B. Hypertension and tachycardia. D. “The stoma should remain swollen away
C. Vomiting and elevated temperature. from the abdomen.”
D. Crampy and lower left quadrant pain and
low-grade fever. 4.. You’re advising a 21 y.o. with a
colostomy who reports problems with flatus.
9. Medical management of the client with What food should you recommend? A.
diverticulitis should include which of the Peas
following treatments? B. Cabbage
A. Reduced fluid intake
C. Broccoli
B. Increased fiber in diet
D. Yogurt
C. Administration of antibiotics
D. Exercises to increase intra-abdominal
pressure 5. Claire, a 33 y.o. is on your floor with a
possible bowel obstruction. Which
10. Which of the following mechanisms can intervention is priority for her? A.
facilitate the development of diverticulosis into Obtain daily weights.
diverticulitis? B. Measure abdominal girth.
A. Treating constipation with chronic laxative C. Keep strict intake and output.
use, leading to dependence on laxatives D. Encourage her to increase fluids.
B. Chronic constipation causing an
obstruction, reducing forward flow of intestinal SAS 8
contents 1. A 52-year-old man was referred to the
C. Herniation of the intestinal mucosa, clinic due to increased abdominal girth. He
rupturing the wall of the intestine is diagnosed with ascites by the
D. Undigested food blocking the diverticulum, presence of a fluid thrill and shifting dullness
predisposing the area to bacterial invasion. on percussion. After administering diuretic
therapy, which nursing action would
SAS 7 be most effective in ensuring safe care?
1. A patient admitted with inflammatory A. Measuring serum potassium for
bowel disease asks the nurse for help with hyperkalemia
menu selections. What menu selection B. Assessing the client for hypervolemia
C. Measuring the client’s weight weekly A. “You’ll need to lie on your stomach during
D. Documenting precise intake and output the test.”
B. “You’ll need to lie on your right side after
2. Sharon has cirrhosis of the liver and the test.”
develops ascites. What intervention is C. “During the biopsy you’ll be asked to
necessary to decrease the excessive exhale deeply and hold it.” D. “The biopsy is
accumulation of serous fluid in her performed under general anesthesia.”
peritoneal cavity?
A. Restrict fluids 8. Immediately after a liver biopsy, which of
B. Encourage ambulation the following complications should the client
C. Increase sodium in the diet be closely monitored for? A.
D. Give antacids as prescribed Abdominal cramping
B. Hemorrhage
3. A client with cirrhosis begins to develop C. Nausea and vomiting
ascites. Spironolactone (Aldactone) is D. Potential infection
prescribed to treat the ascites. The nurse
should monitor the client closely for which of 9. Which of the following tests confirms that
the following drug-related side effects? A. the origin of the disorder is in the liver?
Constipation A. Alanine Aminotransferase (ALT)
B. Hyperkalemia B. Aspartate Aminotransferase (AST)
C. Irregular pulse C. Gamma-glutamyl Transferase (GGT)
D. Dysuria D. Serum Alkaline Phosphatase

4. For which of the following positions would 10. Mr. Hasakusa is in end-stage liver
be appropriate for a client with severe failure. Which interventions should the nurse
ascites? implement when addressing hepatic
A. Fowler’s encephalopathy? Select all that apply.
B. Side-lying A. Assessing the client’s neurologic status
C. Reverse Trendelenburg every 2 hours
D. Sims’ B. Monitoring the client’s hemoglobin and
hematocrit levels
5. You’re caring for Jane, a 57 y.o. patient C. Evaluating the client’s serum ammonia
with liver cirrhosis who developed ascites level
and requires paracentesis. Before D. Monitoring the client’s handwriting daily
her paracentesis, you instruct her to: A. E. Preparing to insert an esophageal
Empty her bladder. tamponade tube
B. Lie supine in bed. F. Making sure the client’s fingernails are
C. Remain NPO for 4 hours. short
D. Clean her bowels with an enema.
SAS 9
6. Nurse Farrah is providing care for Kristoff 1. When planning home care for a client
who has jaundice. Which statement with hepatitis A, which preventive measure
indicates that the nurse understands the should be emphasized to protect the
rationale for instituting skin care measures client’s family?
for the client? A. Keeping the client in complete isolation.
A. “Jaundice is associated with pressure B. Using good sanitation with dishes and
ulcer formation.” shared bathrooms.
B. “Jaundice impairs urea production, which C. Avoiding contact with blood-soiled
produces pruritus.” clothing or dressing.
C. “Jaundice produces pruritus due to D. Forbidding the sharing of needles or
impaired bile acid excretion.” syringes.
D.
“Jaundice leads to decreased tissue 2. Which of the following will the nurse
perfusion and subsequent breakdown.” include in the care plan for a client
hospitalized with viral hepatitis? A.
7. Develop a teaching care plan for Angie Increase fluid intake to 3000 ml per day
who is about to undergo a liver biopsy. B. Adequate bed rest
Which of the following points do you C. Bland diet
include? D. Administer antibiotics as ordered
3. Nathaniel has severe pruritus due to Malaise
having hepatitis B. What is the best B. Stomatitis
intervention for his comfort? A. C. Hand tremors
Give tepid baths. D. Weight loss
B. Avoid lotions and creams.
C. Use hot water to increase vasodilation. 10. A client diagnosed with chronic cirrhosis
D. Use cold water to decrease the itching. who has ascites and pitting peripheral
edema also has hepatic encephalopathy.
4. You’re discharging Nathaniel with Which of the following nursing interventions
hepatitis B. Which statement suggests are appropriate to prevent skin breakdown?
understanding by the patient? A. Select all that apply. A. Range of
“Now I can never get hepatitis again.” motion every 4 hours
B. “I can safely give blood after 3 months.” B. Turn and reposition every 2 hours
C. “I’ll never have a problem with my liver C. Abdominal and foot massages every 2
again, even if I drink alcohol.” hours
D. “My family knows that if I get tired and D. Alternating air pressure mattress
start vomiting, I may be getting sick again.” E. Sit in chair for 30 minutes each shift

5. A client is suspected of having hepatitis. 11. A patient with chronic alcohol abuse is
Which diagnostic test result will assist in admitted with liver failure. You closely
confirming this diagnosis? A. monitor the patient’s blood pressure
Elevated hemoglobin level because of which change that is associated
B. Elevated serum bilirubin level with the liver failure?
C. Elevated blood urea nitrogen level A. Hypoalbuminemia
D. Decreased erythrocyte sedimentation B. Increased capillary permeability
rate C. Abnormal peripheral vasodilation
D. Excess rennin release from the kidneys
6. A female client who has just been
diagnosed with hepatitis A asks, “How could 12. You’re caring for Betty with liver
I have gotten this disease?” What is the cirrhosis. Which of the following assessment
nurse’s best response? findings leads you to suspect hepatic
A. “You may have eaten contaminated encephalopathy in her?
restaurant food.” A. Asterixis
B. “You could have gotten it by using I.V. B. Chvostek’s sign
drugs.” C. Trousseau’s sign
C. “You must have received an infected D. Hepatojugular reflex
blood transfusion.”
D. “You probably got it by engaging in 13. Nurse Juvy is caring for a client with
unprotected sex.” cirrhosis of the liver. To minimize the effects
of the disorder, the nurse teaches the
7. A male client has just been diagnosed client about foods that are high in thiamine.
with hepatitis A. On assessment, the nurse The nurse determines that the client has the
expects to note: A. best understanding of the dietary
Severe abdominal pain radiating to the measures to follow if the client states an
shoulder. intention to increase the intake of: A. Pork
B. Anorexia, nausea, and vomiting. B. Milk
C. Eructation and constipation. C. Chicken
D. Abdominal ascites. D. Broccoli

8. For a client with hepatic cirrhosis who has 14. The nurse is caring for a male client with
altered clotting mechanisms, which cirrhosis. Which assessment findings
intervention would be most important? indicate that the client has deficient
A. Allowing complete independence of vitamin K absorption caused by this hepatic
mobility disease?
B. Applying pressure to injection sites A. Dyspnea and fatigue
C. Administering antibiotics as prescribed B. Ascites and orthopnea
D. Increasing nutritional intake C. Purpura and petechiae
9. A client with advanced cirrhosis has been D. Gynecomastia and testicular atrophy
diagnosed with hepatic encephalopathy.
The nurse expects to assess for: A.
15. A patient with severe cirrhosis of the A. Transports fatty acids into the brush
liver develops hepatorenal syndrome. Which border.
of the following nursing assessment B. Breaks down fat into fatty acids and
data would support this? A. Oliguria and glycerol.
azotemia C. Triggers cholecystokinin to contract the
B. Metabolic alkalosis gallbladder.
C. Decreased urinary concentration D. Breaks down protein into dipeptides and
D. Weight gain of less than 1 lb. per week amino acids.
Lipase hydrolyses or breaks down fat into
SAS 10 fatty acids and glycerol. Lipase is not
1. Which of the following tests is the most involved with the transport of fatty acids
accurate for diagnosing liver cancer? into the brush border. Fat itself triggers
A. Abdominal ultrasound cholecystokinin release. Protein breakdown
B. Abdominal flat plate X-ray into dipeptides and amino acids is the
C. Cholangiogram function of trypsin, not lipase.
D. Computed tomography (CT) scan
2. What laboratory finding is the primary
2. Which of the following considerations has diagnostic indicator for pancreatitis?
highest priority when preparing to administer A. Elevated blood urea nitrogen (BUN)
a medication to a client with liver B. Elevated serum lipase
cancer? C. Elevated aspartate aminotransferase
A. Frequency of the medication (AST)
B. Purpose of the medication D. Increased lactate dehydrogenase (LD)
C. Necessity of the medication
D. Metabolism of the medication 3. Pierre who is diagnosed with acute
3. Early manifestation of a patient with liver pancreatitis is under the care of Nurse
cancer includes: Bryan. Which intervention should the nurse
A. Ascites include in the care plan for the client?
B. Hepatomegaly A. Administration of vasopressin and
C. Continuous dull abdominal pain at RUQ insertion of a balloon tamponade
D. Jaundice B. Preparation for a paracentesis and
administration of diuretics
4. Which of the following are considered as C. Maintenance of nothing-by-mouth status
complications of liver transplant? Select all and insertion of nasogastric (NG) tube with
that apply. A. low intermittent suction
Hemorrhage D. Dietary plan of a low-fat diet and
B. Hypertension increased fluid intake to 2,000 ml/day
C. Infection
D. Hyperglycemia 4. Britney, a 20 y.o. student is admitted with
E. Rejection acute pancreatitis. Which laboratory findings
do you expect to be abnormal for
5. Which of the following interventions is this patient?
appropriate after liver transplant? A. Serum creatinine and BUN
A. Place patient in an environment free from B. Alanine aminotransferase (ALT) and
bacteria, viruses, and fungi as possible. aspartate aminotransferase (AST)
B. Antibiotic agents are used as long-term C. Serum amylase and lipase
therapy to prevent rejection of the D. Cardiac enzymes
transplanted liver.
C. Place patient in Trendelenburg position 5. Michael, a 42 y.o. man is admitted to the
to facilitate pulmonary drainage. med-surg floor with a diagnosis of acute
D. Monitor cardiac output, oxygen pancreatitis. His BP is 136/76, pulse
saturation, urine output, heart rate, and 96, Resps 22 and temp 101. His past history
blood pressure every 8 hours to evaluate includes hyperlipidemia and alcohol abuse.
hemodynamic status and intravascular fluid The doctor prescribes an NG tube.
volume. Before inserting the tube, you explain the
purpose to patient. Which of the following is
SAS 11 a most accurate explanation?
1. When teaching a client about pancreatic A. “It empties the stomach of fluids and
function, the nurse understands that gas.”
pancreatic lipase performs which function?
B. “It prevents spasms at the sphincter of
Oddi.”
C. “It prevents air from forming in the small
intestine and large intestine.”
D. “It removes bile from the gallbladder.”

6. Ralph has a history of alcohol abuse and

has acute pancreatitis. Which lab value is
most likely to be elevated? A.
Calcium
B. Glucose
C. Magnesium
D. Potassium

7. For Rico who has chronic pancreatitis,

which nursing intervention would be most
helpful? A.
Allowing liberalized fluid intake.
B. Counseling to stop alcohol consumption.
C. Encouraging daily exercise.
D. Modifying dietary protein.

8. Leigh Ann is receiving pancrelipase

(Viokase) for chronic pancreatitis. Which
observation best indicates the treatment is
effective?
A. There is no skin breakdown.
B. Her appetite improves.
C. She loses more than 10 lbs.
D. Stools are less fatty and decreased in
frequency.

9. To inhibit pancreatic secretions, which

pharmacologic agent would you anticipate
administering to a patient with chronic
pancreatitis?
A. Nitroglycerin
B. Somatostatin
C. Pancrelipase
D. Pepcid

10. A clinical manifestation of chronic

pancreatitis is epigastric pain. Your nursing
intervention to facilitate relief of pain would
place the patient in a: A. Knee-chest
position
B. Semi-Fowler’s position
C. Recumbent position
D. Low-Fowler’s position