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NURS 6201 Final Exam 2025/2026 Full Length Questions with Answers Real Exam (Score A)-Marquette University
Typology: Exams
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____ hepatitis can cause both acute and chronic liver disease. viral the type of viral hepatitis are? A, B, C, D, E Hepatitis A virus (HAV) is? an RNA virus that is transmitted through the fecal-oral route by ingestion of food or liquid infected with the virus what are some ways hepatitis A can be transmitted? poor hygiene improper handling of food
crowded situation poor sanitary conditions when is the greatest risk of transmission for hepatitis A before clinical symptoms are apparent hepatitis B virus (HBV) is? a DNA virus that is transmitted perinatally by mothers infected with HBV percutaneously (IV drug use) horizontally by mucosal exposure to infectious blood, blood products, other body fluids (semen, vaginal secretions, saliva) ___ is a complex structure with three distinct antigens: the surface antigen (HBSAG), the core antigen (HBcAg, ) and the e antigen (HBeAg) HBV how is hepatitis B transmitted? perinatally by mothers infected with HBV
Hepatitis E virus (HEV) is? an RNA virus that is transmitted by the fecal-oral route many pts with acute hepatitis have ___ symptoms. no the acute phase of hepatitis may be ___ (no jaundice_ or ___ (jaundice) anicteric, icteric other symptoms include:
physical exam of a pt with hepatitis may reveal? hepatomegaly lymphadenopathy splenomegaly most pts with acute viral hepatitis recover? completely with no complications like acute hepatitis those with chronic hepatitis may be asymptomatic. others, however, may have? intermittent or ongoing malaise fatigue myalgia arthalgias hepatomegaly complications of hepatitis acute liver failure chronic hepatitis
drugs to treat chronic HBV include? nucleoside and nucleotide analogs
what is used for the prevention of hepatitis A hepatitis A vaccine and immunoglubin g what is the most effective method of preventing HBV infection immunization with HBV vaccine for postexpousre prophylaxis the vaccine and hepatitis B immunoglobulin are used is there a vaccine for HCV? no most pts with viral hepatitis will be cared for at home so you must assess? the patient knowledge of nutrition and provide the necessary dietary teaching cirrhosis is? a progressive disease characterized by extensive degeneration and destruction of the liver parenchyma cells
pts without complications of cirrhosis are said to have? compensated cirrhosis pts who have more than one complication of cirrhosis are described as? decompensated cirrhosis major complications of cirrhosis are? portal HTN esophageal and gastric varies peripheral edema and ascites hepatic encephalotphay hepatorenal syndrome portal hypertension a persistent increased in BP in the portal venous system
characterized by increased venous pressure in the portal circulation splenomegaly large collateral veins ascites esophageal varices bleeding esophageal varices enlarged tortuous veins at the lower end of the esophagus the most life threatening complications of cirrhosis ascites accumulations of serous fluid in the peritoneal or abdominal cavity may be accompanied by
fibroscan is a noninvasive test that can be used to identify the degree of liver fibrosis there is no specific therapy for cirrhosis management of ascites is focused on? sodium restriction diuretics fluid removal the main therapeutic goal for esophageal and gastric varices is? avoidance of bleeding and hemorrhage if a pt has esophageal and/or gastric varices observe for any signs of? bleeding from varies (hematemesis, melena) if bleeding occurs with esophageal and/or gastric varices the nurse must be prepared. the management of bleeding varices include? prophylactic, therapeutic, and emergency interventions
a trans jugular intrahepatic portosystemic shunt may be created to redirect portal blood flow pts are mounted for spontaneous bacterial peritonitis which may occurs after vatical hemorrhage management of hepatic encephalopathy is focused on? reducing of ammonia formation and treating precipitating causes the focus on nursing care of the patient with hepatic encephalopathy is? maintaining a safe environment sustaining life assisting with measures to reduce the formation of ammonia the diet for the pts with cirrhosis without complications is? high in calories (3000 cal/day) with high carbohydrate content and moderate to low fat levels sodium restrictions are placed on the patient with ascites and peripheral edema
acute pancreatitis is? an acute inflammatory process of the pancreas the primary etiology of acute pancreatitis? biliary tract disease (most common in women) alcoholism (most common in men) also associated with hypertriglyceridiema smoking is an independent risk factor the patho involvement of acute pancreatitis is classified as either? mild pancreatitis (edematous or interstitial) severe pancreatitis (necrotizing pancreatitis) predominant symptoms of acute pancreatitis abdominal pain usually located in left upper quadrant
other manifestations:
minimization of pancreatic stimulation pts will have an NG tube to suction and may be on total parenteral nutrition (TPN) nursing management of the pt with pancreatitis focuses on? the nursing diagnoses of acute pain fluid volume deficit imbalance nutrition ineffective self health management chronic pancreatitis is? continous, prolonged, inflammatory, and fibrosing process of the pancreas the pancreas becomes progressively destroyed as it is replaced with fibrotic tissue strictures and calcifications may also occur
clinical manifestations of chronic pancreatitis include? abdominal pain symptoms of pancreatic insufficiency
