Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

MS2 Exam 5 - Practice Questions (Liver, Pancreas, & Kidney) with verified solutions, Exams of Medicine

MS2 Exam 5 - Practice Questions (Liver, Pancreas, & Kidney) with verified solutions

Typology: Exams

2024/2025

Available from 07/07/2025

smart-scores
smart-scores 🇺🇸

5

(2)

7.4K documents

1 / 156

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
MS2 |! Exam |! 5 |! - |! Practice |! Questions |! (Liver, |!
Pancreas, |! & |! Kidney) |! with |! verified |!
solutions
1. |! Which |! statement |! by |! a |! client |! with |! cirrhosis |! indicates |! that |! further |!
instruction |! is |! needed |! about |! the |! disease?
A. |! "Cirrhosis |! is |! a |! chronic |! disease |! that |! has |! scarred |! my |! liver." |!
B. |! "The |! scars |! on |! my |! liver |! create |! problems |! with |! blood |! circulation." |!
C. |! "Because |! of |! the |! scars |! on |! my |! liver, |! blood |! clotting |! and |! blood |! pressure |! are |!
affected." |!
D. |! "My |! liver |! is |! scarred, |! but |! the |! cells |! can |! regenerate |! themselves |! and |! repair |!
the |! damage." |! - |! Correct |! answer |! D. |!
Although |! cells |! and |! tissues |! will |! attempt |! to |! regenerate, |! this |! will |! result |! in |!
permanent |! scarring |! and |! irreparable |! damage.
2. |! Which |! problem |! for |! a |! client |! with |! cirrhosis |! takes |! priority?
A. |! Insufficient |! knowledge |! related |! to |! the |! prognosis |! of |! the |! disease |! process |!
B. |! Discomfort |! related |! to |! the |! progression |! of |! the |! disease |! process |!
C. |! Potential |! for |! injury |! related |! to |! hemorrhage
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21
pf22
pf23
pf24
pf25
pf26
pf27
pf28
pf29
pf2a
pf2b
pf2c
pf2d
pf2e
pf2f
pf30
pf31
pf32
pf33
pf34
pf35
pf36
pf37
pf38
pf39
pf3a
pf3b
pf3c
pf3d
pf3e
pf3f
pf40
pf41
pf42
pf43
pf44
pf45
pf46
pf47
pf48
pf49
pf4a
pf4b
pf4c
pf4d
pf4e
pf4f
pf50
pf51
pf52
pf53
pf54
pf55
pf56
pf57
pf58
pf59
pf5a
pf5b
pf5c
pf5d
pf5e
pf5f
pf60
pf61
pf62
pf63
pf64

Partial preview of the text

Download MS2 Exam 5 - Practice Questions (Liver, Pancreas, & Kidney) with verified solutions and more Exams Medicine in PDF only on Docsity!

MS2 |! Exam |! 5 |! - |! Practice |! Questions |! (Liver, |!

Pancreas, |! & |! Kidney) |! with |! verified |!

solutions

  1. |! Which |! statement |! by |! a |! client |! with |! cirrhosis |! indicates |! that |! further |! instruction |! is |! needed |! about |! the |! disease? A. |! "Cirrhosis |! is |! a |! chronic |! disease |! that |! has |! scarred |! my |! liver." |! B. |! "The |! scars |! on |! my |! liver |! create |! problems |! with |! blood |! circulation." |! C. |! "Because |! of |! the |! scars |! on |! my |! liver, |! blood |! clotting |! and |! blood |! pressure |! are |! affected." |! D. |! "My |! liver |! is |! scarred, |! but |! the |! cells |! can |! regenerate |! themselves |! and |! repair |! the |! damage." |! - |! Correct |! answer |! ✔D. |! Although |! cells |! and |! tissues |! will |! attempt |! to |! regenerate, |! this |! will |! result |! in |! permanent |! scarring |! and |! irreparable |! damage.
  2. |! Which |! problem |! for |! a |! client |! with |! cirrhosis |! takes |! priority? A. |! Insufficient |! knowledge |! related |! to |! the |! prognosis |! of |! the |! disease |! process |! B. |! Discomfort |! related |! to |! the |! progression |! of |! the |! disease |! process |! C. |! Potential |! for |! injury |! related |! to |! hemorrhage

D. |! Inadequate |! nutrition |! related |! to |! an |! inability |! to |! tolerate |! usual |! dietary |! intake |! - |! Correct |! answer |! ✔C. This |! is |! the |! priority |! client |! problem |! because |! this |! complication |! could |! be |! life |! threatening.

  1. |! How |! does |! the |! home |! care |! nurse |! best |! modify |! the |! client's |! home |! environment |! to |! manage |! side |! effects |! of |! lactulose |! (Evalose)? A. |! Provides |! small |! frequent |! meals |! for |! the |! client |! B. |! Suggests |! taking |! daily |! potassium |! supplements |! C. |! Elevates |! the |! head |! of |! the |! bed |! in |! high-Fowler's |! position |! D. |! Requests |! a |! bedside |! commode |! for |! the |! client |! - |! Correct |! answer |! ✔D. Lactulose |! therapy |! increases |! the |! frequency |! of |! stools; |! a |! bedside |! commode |! should |! be |! made |! available |! to |! the |! client, |! especially |! if |! he |! or |! she |! has |! difficulty |! reaching |! the |! toilet.
  2. |! In |! caring |! for |! a |! client |! who |! has |! undergone |! paracentesis, |! which |! changes |! in |! the |! client's |! status |! should |! be |! promptly |! reported |! to |! the |! provider? A. |! Increased |! blood |! pressure, |! increased |! respiratory |! rate |! B. |! Decreased |! blood |! pressure, |! increased |! heart |! rate C. |! Increased |! respiratory |! rate, |! increased |! apical |! pulse, |! pallor |! D. |! Tachypnea, |! diaphoresis, |! increased |! blood |! pressure |! - |! Correct |! answer |! ✔B.
  1. |! When |! caring |! for |! a |! client |! with |! hepatic |! encephalopathy, |! in |! which |! situation |! does |! the |! nurse |! question |! the |! use |! of |! neomycin |! (Mycifradin)? A. |! Kidney |! failure B. |! Refractory |! ascites |! C. |! Fetor |! hepaticus |! D. |! Paracentesis |! scheduled |! for |! today |! - |! Correct |! answer |! ✔A. The |! aminoglycoside |! drugs, |! which |! include |! neomycin, |! are |! nephrotoxic |! and |! ototoxic.
  2. |! Which |! activity |! by |! the |! nurse |! will |! best |! relieve |! symptoms |! associated |! with |! ascites? A. |! Administering |! oxygen |! B. |! Elevating |! the |! head |! of |! the |! bed C. |! Monitoring |! serum |! albumin |! levels |! D. |! Administering |! intravenous |! fluids |! - |! Correct |! answer |! ✔B. The |! enlarged |! abdomen |! of |! ascites |! limits |! respiratory |! excursion; |! Fowler's |! position |! will |! increase |! excursion |! and |! reduce |! shortness |! of |! breath.
  3. |! The |! nurse |! is |! caring |! for |! clients |! in |! the |! outpatient |! clinic. |! Which |! of |! these |! phone |! calls |! should |! the |! nurse |! return |! first?

A. |! Client |! with |! hepatitis |! A |! reporting |! severe |! and |! ongoing |! itching |! B. |! Client |! with |! severe |! ascites |! who |! has |! a |! temperature |! of |! 101.4° |! F |! (38° |! C) C. |! Client |! with |! cirrhosis |! who |! has |! had |! a |! 3-pound |! weight |! gain |! over |! 2 |! days |! D. |! Client |! with |! esophageal |! varices |! and |! mild |! right |! upper |! quadrant |! pain |! - |! Correct |! answer |! ✔B. The |! client |! with |! ascites |! and |! an |! elevated |! temperature |! may |! have |! spontaneous |! bacterial |! peritonitis; |! the |! nurse |! should |! call |! this |! client |! first.

  1. |! A |! client |! with |! a |! history |! of |! esophageal |! varices |! has |! just |! been |! admitted |! to |! the |! emergency |! department |! after |! vomiting |! a |! large |! quantity |! of |! blood. |! Which |! action |! does |! the |! nurse |! take |! first? A. |! Obtain |! the |! charts |! from |! the |! previous |! admission. |! B. |! Listen |! for |! bowel |! sounds |! in |! all |! quadrants. |! C. |! Obtain |! pulse |! and |! blood |! pressure. D. |! Ask |! about |! abdominal |! pain. |! - |! Correct |! answer |! ✔C. The |! nurse |! assesses |! vital |! signs |! to |! detect |! hypovolemic |! shock |! caused |! by |! hemorrhage.
  2. |! Following |! paracentesis, |! during |! which |! 2500 |! mL |! of |! fluid |! was |! removed, |! which |! assessment |! finding |! is |! most |! important |! to |! communicate |! to |! the |! heath |! care |! provider?

C. |! Restricting |! fluid |! to |! 1500 |! mL/day |! D. |! Limiting |! alcoholic |! beverages |! to |! once |! weekly |! - |! Correct |! answer |! ✔B. To |! repair |! the |! liver, |! the |! client |! should |! have |! a |! high-carbohydrate |! and |! moderate-protein |! diet; |! fats |! may |! cause |! dyspepsia.

  1. |! When |! assessing |! a |! client |! for |! hepatic |! cancer, |! the |! nurse |! anticipates |! finding |! an |! elevation |! in |! which |! laboratory |! test |! result? A. |! Hemoglobin |! and |! hematocrit |! B. |! Leukocytes |! C. |! Alpha-fetoprotein D. |! Serum |! albumin |! - |! Correct |! answer |! ✔C. Fetal |! hemoglobin |! is |! abnormal |! in |! adults; |! it |! is |! a |! tumor |! marker |! indicative |! of |! cancers.
  2. |! It |! is |! essential |! that |! the |! nurse |! monitor |! the |! client |! returning |! from |! hepatic |! artery |! embolization |! for |! hepatic |! cancer |! for |! which |! potential |! complication? A. |! Right |! shoulder |! pain |! B. |! Polyuria |! C. |! Bone |! marrow |! suppression |! D. |! Bleeding |! - |! Correct |! answer |! ✔D.

An |! arterial |! approach |! is |! taken; |! therefore |! prompt |! detection |! of |! hemorrhage |! is |! the |! priority.

  1. |! When |! caring |! for |! a |! client |! awaiting |! liver |! transplantation, |! the |! nurse |! recognizes |! that |! the |! client |! will |! be |! excluded |! from |! the |! procedure |! if |! which |! of |! these |! is |! present? |! A. |! Colon |! cancer |! with |! metastasis |! to |! the |! liver B. |! Hypertension |! C. |! Hepatic |! encephalopathy |! D. |! Ascites |! and |! shortness |! of |! breath |! - |! Correct |! answer |! ✔A. Transplantation |! is |! performed |! for |! hepatitis |! and |! primary |! liver |! cancers.
  2. |! The |! nurse |! asks |! a |! client |! with |! liver |! disease |! to |! raise |! the |! arms |! to |! shoulder |! level |! and |! dorsiflex |! the |! hands. |! A |! few |! moments |! later, |! the |! hand |! begins |! to |! flap |! upward |! and |! downward. |! How |! does |! the |! nurse |! correctly |! document |! this |! in |! the |! medical |! record? A. |! Positive |! Babinski's |! sign |! B. |! Hyperreflexia |! C. |! Kehr's |! sign |! D. |! Asterixis |! - |! Correct |! answer |! ✔D.

Toothbrushes, |! razors, |! towels, |! and |! items |! that |! may |! spread |! blood |! and |! body |! fluids |! are |! not |! shared.

  1. |! A |! health |! care |! worker |! believes |! that |! he |! may |! have |! been |! exposed |! to |! hepatitis |! A. |! Which |! intervention |! is |! the |! highest |! priority |! to |! prevent |! him |! from |! developing |! the |! disease? A. |! Requesting |! vaccination |! for |! hepatitis |! A |! B. |! Using |! a |! needleless |! system |! in |! daily |! work |! C. |! Getting |! the |! three-part |! hepatitis |! B |! vaccine |! D. |! Requesting |! an |! injection |! of |! immunoglobulin |! - |! Correct |! answer |! ✔D. Administration |! of |! immunoglobulin, |! antibodies |! to |! hepatitis |! A, |! may |! prevent |! development |! of |! the |! disease.
  2. |! A |! client |! is |! scheduled |! to |! undergo |! a |! liver |! transplantation. |! Which |! nursing |! intervention |! is |! most |! likely |! to |! prevent |! the |! complications |! of |! bile |! leakage |! and |! abscess |! formation? A. |! Preventing |! hypotension |! B. |! Keeping |! the |! T-tube |! in |! a |! dependent |! position |! C. |! Administering |! antibiotic |! vaccinations |! D. |! Administering |! immune-suppressant |! drugs |! - |! Correct |! answer |! ✔B.

Keeping |! the |! T-tube |! in |! a |! dependent |! position |! and |! secured |! to |! the |! client |! is |! likely |! to |! prevent |! bile |! leakage, |! abscess |! formation, |! and |! hepatic |! thrombosis.

  1. |! The |! nursing |! team |! consists |! of |! an |! RN, |! an |! LPN/LVN, |! and |! a |! nursing |! assistant. |! Which |! client |! should |! be |! assigned |! to |! the |! RN? A. |! Client |! who |! is |! taking |! lactulose |! and |! has |! diarrhea |! B. |! Client |! with |! hepatitis |! C |! who |! requires |! a |! dressing |! change |! C. |! Client |! with |! end-stage |! cirrhosis |! who |! needs |! teaching |! about |! a |! low-sodium |! diet D. |! Obtunded |! client |! with |! alcoholic |! encephalopathy |! who |! needs |! a |! blood |! draw |!
  • |! Correct |! answer |! ✔C. The |! RN |! is |! responsible |! for |! client |! teaching. |! Assisting |! a |! client |! with |! toileting |! and |! recording |! stool |! number |! and |! amount |! can |! be |! accomplished |! by |! nonprofessional |! staff. |! The |! LPN/LVN |! can |! provide |! dressing |! changes. |! Ancillary |! staff |! can |! perform |! venipuncture.
  1. |! The |! RN |! has |! just |! received |! the |! change-of-shift |! report |! for |! the |! medical |! unit. |! Which |! client |! should |! the |! RN |! see |! first? A. |! Client |! with |! ascites |! who |! had |! a |! paracentesis |! 2 |! hours |! ago |! and |! is |! reporting |! a |! headache |! B. |! Client |! with |! portal-systemic |! encephalopathy |! (PSE) |! who |! has |! become |! increasingly |! difficult |! to |! arouse

A. |! Prolonged |! partial |! thromboplastin |! time B. |! Icterus |! of |! skin C. |! Swollen |! abdomen |! D. |! Elevated |! magnesium |! E. |! Currant |! jelly |! stool |! F. |! Elevated |! amylase |! level |! - |! Correct |! answer |! ✔A. |! B. |! C.

  1. |! When |! assessing |! a |! client |! with |! hepatitis |! B, |! the |! nurse |! anticipates |! which |! assessment |! findings? |! (Select |! all |! that |! apply.) A. |! Recent |! influenza |! infection |! B. |! Brown |! stool |! C. |! Tea-colored |! urine D. |! Right |! upper |! quadrant |! tenderness E. |! Itching |! - |! Correct |! answer |! ✔C. |! D. |! E.
  2. |! When |! caring |! for |! a |! client |! with |! portal |! hypertension, |! the |! nurse |! assesses |! for |! which |! potential |! complications? |! (Select |! all |! that |! apply.) A. |! Esophageal |! varices B. |! Hematuria |! C. |! Fever |! D. |! Ascites E. |! Hemorrhoids |! - |! Correct |! answer |! ✔A. |! D. |! E.

The |! nurse |! is |! providing |! teaching |! to |! the |! client |! with |! hepatitis |! C. |! Which |! information |! is |! essential |! to |! include? |! A. |! Pegylated |! interferon |! alpha |! may |! cause |! myalgia. |! B. |! When |! ribavirin |! is |! taken, |! contraception |! must |! be |! used. |! C. |! Immunoglobulin |! B |! should |! be |! received |! upon |! diagnosis. |! D. |! A |! diet |! moderate |! in |! protein, |! fats, |! and |! carbohydrates |! should |! be |! consumed. |! - |! Correct |! answer |! ✔B. Fetal |! abnormalities |! are |! associated |! with |! ribavirin; |! this |! is |! essential |! information. The |! nurse |! is |! providing |! discharge |! teaching |! for |! the |! client |! with |! advanced |! liver |! disease. |! Which |! statement |! by |! the |! client |! indicates |! a |! need |! for |! further |! teaching? |! A. |! "I |! don't |! need |! hospice |! because |! I'm |! only |! 55 |! years |! old." |! B. |! "I'll |! ask |! my |! wife |! to |! contact |! our |! local |! support |! group." |! C. |! "I |! plan |! to |! talk |! with |! the |! pastor |! at |! our |! church." |! D. |! "My |! wife |! and |! I |! plan |! to |! get |! Meals |! on |! Wheels." |! - |! Correct |! answer |! ✔A. No |! age |! range |! is |! attached |! to |! the |! benefits |! of |! hospice |! services. |! The |! nurse |! should |! clarify |! this |! misunderstanding |! because |! a |! client |! with |! advanced |! liver |! disease |! would |! benefit |! from |! hospice |! services |! for |! comfort |! and |! end-of-life |! planning.

D. |! Side-lying |! position, |! with |! knees |! drawn |! up |! to |! the |! chest |! - |! Correct |! answer |! ✔D. The |! side-lying |! position |! with |! the |! knees |! drawn |! up |! has |! been |! found |! to |! relieve |! abdominal |! discomfort |! related |! to |! acute |! pancreatitis.

  1. |! A |! client |! who |! had |! been |! hospitalized |! with |! pancreatitis |! is |! being |! discharged |! with |! home |! health |! services. |! The |! client |! is |! severely |! weakened |! after |! this |! illness. |! Which |! nursing |! intervention |! is |! the |! highest |! priority |! in |! conserving |! the |! client's |! strength? A. |! Limiting |! the |! client's |! activities |! to |! one |! floor |! of |! the |! home B. |! Instructing |! the |! client |! to |! take |! an |! as-needed |! (PRN) |! sleeping |! medication |! at |! night |! C. |! Arranging |! for |! the |! client |! to |! have |! a |! nutritional |! consult |! to |! assess |! the |! client's |! diet |! D. |! Asking |! the |! health |! care |! provider |! for |! a |! request |! for |! PRN |! nasal |! oxygen |! - |! Correct |! answer |! ✔A. Limiting |! the |! client's |! activities |! to |! one |! floor |! of |! the |! home |! will |! prevent |! tiring |! the |! client |! with |! stair |! climbing.
  2. |! A |! client |! has |! been |! discharged |! to |! home |! after |! being |! hospitalized |! with |! an |! acute |! episode |! of |! pancreatitis. |! The |! client, |! who |! is |! an |! alcoholic, |! is |! unwilling |! to |! participate |! in |! Alcoholics |! Anonymous |! (AA), |! and |! the |! client's |! spouse |! expresses |! frustration |! to |! the |! home |! health |! nurse |! regarding |! the |! client's |! refusal. |! What |! is |! the |! nurse's |! best |! response?

A. |! "Your |! spouse |! will |! sign |! up |! for |! the |! meetings |! only |! when |! he |! is |! ready |! to |! deal |! with |! his |! problem." |! B. |! "Keep |! mentioning |! the |! AA |! meetings |! to |! your |! spouse |! on |! a |! regular |! basis." |! C. |! "I'll |! get |! you |! some |! information |! on |! the |! support |! group |! Al-Anon." D. |! "Tell |! me |! more |! about |! your |! frustration |! with |! your |! spouse's |! refusal |! to |! participate |! in |! AA." |! - |! Correct |! answer |! ✔C. This |! response |! assists |! with |! the |! spouse's |! frustration |! by |! putting |! her |! in |! contact |! with |! the |! Al-Anon |! support |! group.

  1. |! The |! nurse |! suspects |! that |! which |! client |! is |! at |! highest |! risk |! for |! developing |! gallstones? A. |! Obese |! male |! with |! a |! history |! of |! chronic |! obstructive |! pulmonary |! disease |! B. |! Obese |! female |! on |! hormone |! replacement |! therapy |! C. |! Thin |! male |! with |! a |! history |! of |! coronary |! artery |! bypass |! grafting |! D. |! Thin |! female |! who |! has |! recently |! given |! birth |! - |! Correct |! answer |! ✔B. Both |! obesity |! and |! altered |! hormone |! levels |! increase |! a |! woman's |! risk |! for |! developing |! gallstones.
  2. |! The |! nurse |! is |! teaching |! a |! client |! with |! gallbladder |! disease |! about |! diet |! modification. |! Which |! meal |! does |! the |! nurse |! suggest |! to |! the |! client?

A. |! "Do |! you |! usually |! binge |! drink?" |! B. |! "Do |! you |! tend |! to |! drink |! more |! on |! holidays |! or |! weekends?" |! C. |! "Tell |! me |! more |! about |! your |! alcohol |! intake." |! D. |! "Estimate |! how |! many |! episodes |! of |! binge |! drinking |! you |! do |! in |! a |! week." |! - |! Correct |! answer |! ✔C. This |! response |! is |! the |! only |! one |! that |! will |! allow |! the |! client |! to |! provide |! information |! on |! alcohol |! intake |! in |! the |! client's |! own |! words |! and |! to |! the |! extent |! that |! the |! client |! wishes |! to |! provide |! it.

  1. |! A |! client |! has |! just |! been |! diagnosed |! with |! pancreatic |! cancer. |! The |! client's |! upset |! spouse |! tells |! the |! nurse |! that |! they |! have |! recently |! moved |! to |! the |! area, |! have |! no |! close |! relatives, |! and |! are |! not |! yet |! affiliated |! with |! a |! church. |! What |! is |! the |! nurse's |! best |! response? A. |! "Maybe |! you |! should |! find |! a |! support |! group |! to |! join." |! B. |! "Would |! you |! like |! me |! to |! contact |! the |! hospital |! chaplain |! for |! you?" C. |! "Do |! you |! want |! me |! to |! try |! to |! find |! a |! therapist |! for |! you?" |! D. |! "Do |! you |! have |! any |! friends |! whom |! you |! want |! me |! to |! call?" |! - |! Correct |! answer |! ✔B. It |! is |! appropriate |! for |! the |! nurse |! to |! suggest |! contact |! with |! the |! hospital |! chaplain |! as |! a |! counseling |! option |! for |! the |! client |! and |! family.
  1. |! A |! client |! diagnosed |! with |! acalculous |! cholecystitis |! asks |! the |! nurse |! how |! the |! gallbladder |! inflammation |! developed |! when |! there |! is |! no |! history |! of |! gallstones. |! What |! is |! the |! nurse's |! best |! response? A. |! "This |! may |! be |! an |! indication |! that |! you |! are |! developing |! sepsis." |! B. |! "The |! gallstones |! are |! present, |! but |! have |! become |! fibrotic |! and |! contracted." |! C. |! "This |! type |! of |! gallbladder |! inflammation |! is |! associated |! with |! hypovolemia." D. |! "This |! may |! be |! an |! indication |! of |! pancreatic |! disease." |! - |! Correct |! answer |! ✔C. This |! type |! of |! gallbladder |! inflammation |! is |! associated |! with: |! Hypovolemia Sepsis Severe |! taruma |! or |! burns Long-term |! parental |! nutrition Multi-system |! organ |! failure Major |! surgery
  2. |! Which |! diagnostic |! results |! lead |! the |! nurse |! to |! suspect |! that |! a |! client |! may |! have |! gallbladder |! disease? A. |! Increased |! white |! blood |! cell |! (WBC) |! count, |! visualization |! of |! calcified |! gallstones, |! edema |! of |! the |! gallbladder |! wall |! B. |! Decreased |! WBC |! count, |! visualization |! of |! calcified |! gallstones, |! increased |! alkaline |! phosphatase |!