NSG 4100
NSG 4100 Exam 1: Chapter 43, 44, 67(TB)
Questions with Correct Answers UPDATED 2025
A nurse is caring for a client with liver failure and is performing an assessment of the
client's increased risk of bleeding. The nurse recognizes that this risk is related to the
client's inability to synthesize prothrombin in the liver. What factor most likely contributes
to this loss of function?
A. Alterations in glucose metabolism
B. Retention of bile salts
C. Inadequate production of albumin by hepatocytes
D. Inability of the liver to use vitamin K -Correct Answer ✔D. Inability of the liver to use
vitamin K.
A nurse is performing an admission assessment of a client with a diagnosis of cirrhosis.
What technique should the nurse use to palpate the client's liver?
A. Place hand under the right lower abdominal quadrant and press down lightly with the
other hand.
B. Place the left hand over the abdomen and behind the left side at the 11th rib.
C. Place hand under right lower rib cage and press down lightly with the other hand.
D. Hold hand 90 degrees to right side of the abdomen and push down firmly. -Correct
Answer ✔C. Place hand under right lower rib cage and press down lightly with the other
hand.
A client with portal hypertension has been admitted to the medical floor. The nurse
should prioritize what assessments?
A. Assessment of blood pressure and assessment for headaches and visual changes
B. Assessments for signs and symptoms of venous thromboembolism
C. Daily weights and abdominal girth measurement
D. Blood glucose monitoring q4h -Correct Answer ✔C. Daily weights and abdominal
girth measurement
A nurse educator is teaching a group of recent nursing graduates about their
occupational risks for contracting hepatitis B. What preventative measures should the
educator promote? Select all that apply.
A. Immunization
B. Use of standard precautions
C. Consumption of a vitamin-rich diet
D. Annual vitamin K injections
E. Annual vitamin B12 injections -Correct Answer ✔A) Immunization
B) Use of standard precautions
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A client who has undergone liver transplantation is ready to be discharged home. Which
outcome of health education should the nurse prioritize?
A. The client will obtain measurement of drainage from the T-tube.
B. The client will exercise three times a week.
C. The client will take immunosuppressive agents as required.
D. The client will monitor for signs of liver dysfunction. -Correct Answer ✔C. The client
will take immunosuppressive agents as required.
A triage nurse in the emergency department is assessing a client who presented with
reports of general malaise. Assessment reveals the presence of jaundice and increased
abdominal girth. What assessment question best addresses the possible etiology of this
client's presentation?
A. "How many alcoholic drinks do you typically consume in a week?"
B. "To the best of your knowledge, are your immunizations up to date?"
C. "Have you ever worked in an occupation where you might have been exposed to
toxins?"
D. "Has anyone in your family ever experienced symptoms similar to yours?" -Correct
Answer ✔A. How many alcoholic drinks do you typically consume in a week?
A nurse is participating in the emergency care of a client who has just developed
variceal bleeding. What intervention should the nurse anticipate?
A. Infusion of intravenous heparin
B. IV administration of albumin
C. STAT administration of vitamin K by the intramuscular route
D. IV administration of octreotide -Correct Answer ✔D. IV administration of octreotide
A nurse is caring for a client with hepatic encephalopathy. While making the initial shift
assessment, the nurse notes that the client has a flapping tremor of the hands. The
nurse should document the presence of what sign of liver disease?
A. Asterixis
B. Constructional apraxia
C. Fetor hepaticus
D. Palmar erythema -Correct Answer ✔A. Asterixis
A local public health nurse is informed that a cook in a local restaurant has been
diagnosed with hepatitis A. What should the nurse advise individuals to obtain who ate
at this restaurant and have never received the hepatitis A vaccine?
A. The hepatitis A vaccine
B. Albumin infusion
C. The hepatitis A and B vaccines
D. An immune globulin injection -Correct Answer ✔D. An immune globulin injection
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What health promotion teaching should the nurse prioritize to prevent drug-induced
hepatitis?
A. Finish all prescribed courses of antibiotics, regardless of symptom resolution.
B. Adhere to dosing recommendations of over-the-counter analgesics.
C. Ensure that expired medications are disposed of safely.
D. Ensure that pharmacists regularly review drug regimens for potential interactions. -
Correct Answer ✔B. Adhere to dosing recommendations of over-the-counter analgesics.
Diagnostic testing has revealed that a client's hepatocellular carcinoma (HCC) is limited
to one lobe. The nurse should anticipate that this client's plan of care will focus on what
intervention?
A. Cryosurgery
B. Liver transplantation
C. Lobectomy
D. Laser hyperthermia -Correct Answer ✔C. Lobectomy
A client has been diagnosed with advanced stage breast cancer and will soon begin
aggressive treatment. What assessment findings would most strongly suggest that the
client may have developed liver metastases?
A. Persistent fever and cognitive changes
B. Abdominal pain and hepatomegaly
C. Peripheral edema unresponsive to diuresis
D. Spontaneous bleeding and jaundice -Correct Answer ✔B. Abdominal pain and
hepatomegaly
A client is being discharged after a liver transplant and the nurse is performing
discharge education. When planning this client's continuing care, the nurse should
prioritize what risk diagnosis?
A. Risk for infection related to immunosuppressant use
B. Risk for injury related to decreased hemostasis
C. Risk for unstable blood glucose related to impaired gluconeogenesis
D. Risk for contamination related to accumulation of ammonia -Correct Answer ✔A.
Risk for Infection Related to Immunosuppressant Use
A nurse is caring for a client with hepatic encephalopathy. The nurse's assessment
reveals that the client exhibits episodes of confusion, is difficult to arouse from sleep
and has rigid extremities. Based on these clinical findings, the nurse should document
what stage of hepatic encephalopathy?
A. Stage 1
B. Stage 2
NSG 4100
NSG 4100 Exam 1: Chapter 43, 44, 67(TB)
Questions with Correct Answers UPDATED 2025
A nurse is caring for a client with liver failure and is performing an assessment of the
client's increased risk of bleeding. The nurse recognizes that this risk is related to the
client's inability to synthesize prothrombin in the liver. What factor most likely contributes
to this loss of function?
A. Alterations in glucose metabolism
B. Retention of bile salts
C. Inadequate production of albumin by hepatocytes
D. Inability of the liver to use vitamin K -Correct Answer ✔D. Inability of the liver to use
vitamin K.
A nurse is performing an admission assessment of a client with a diagnosis of cirrhosis.
What technique should the nurse use to palpate the client's liver?
A. Place hand under the right lower abdominal quadrant and press down lightly with the
other hand.
B. Place the left hand over the abdomen and behind the left side at the 11th rib.
C. Place hand under right lower rib cage and press down lightly with the other hand.
D. Hold hand 90 degrees to right side of the abdomen and push down firmly. -Correct
Answer ✔C. Place hand under right lower rib cage and press down lightly with the other
hand.
A client with portal hypertension has been admitted to the medical floor. The nurse
should prioritize what assessments?
A. Assessment of blood pressure and assessment for headaches and visual changes
B. Assessments for signs and symptoms of venous thromboembolism
C. Daily weights and abdominal girth measurement
D. Blood glucose monitoring q4h -Correct Answer ✔C. Daily weights and abdominal
girth measurement
A nurse educator is teaching a group of recent nursing graduates about their
occupational risks for contracting hepatitis B. What preventative measures should the
educator promote? Select all that apply.
A. Immunization
B. Use of standard precautions
C. Consumption of a vitamin-rich diet
D. Annual vitamin K injections
E. Annual vitamin B12 injections -Correct Answer ✔A) Immunization
B) Use of standard precautions
NSG 4100
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A client who has undergone liver transplantation is ready to be discharged home. Which
outcome of health education should the nurse prioritize?
A. The client will obtain measurement of drainage from the T-tube.
B. The client will exercise three times a week.
C. The client will take immunosuppressive agents as required.
D. The client will monitor for signs of liver dysfunction. -Correct Answer ✔C. The client
will take immunosuppressive agents as required.
A triage nurse in the emergency department is assessing a client who presented with
reports of general malaise. Assessment reveals the presence of jaundice and increased
abdominal girth. What assessment question best addresses the possible etiology of this
client's presentation?
A. "How many alcoholic drinks do you typically consume in a week?"
B. "To the best of your knowledge, are your immunizations up to date?"
C. "Have you ever worked in an occupation where you might have been exposed to
toxins?"
D. "Has anyone in your family ever experienced symptoms similar to yours?" -Correct
Answer ✔A. How many alcoholic drinks do you typically consume in a week?
A nurse is participating in the emergency care of a client who has just developed
variceal bleeding. What intervention should the nurse anticipate?
A. Infusion of intravenous heparin
B. IV administration of albumin
C. STAT administration of vitamin K by the intramuscular route
D. IV administration of octreotide -Correct Answer ✔D. IV administration of octreotide
A nurse is caring for a client with hepatic encephalopathy. While making the initial shift
assessment, the nurse notes that the client has a flapping tremor of the hands. The
nurse should document the presence of what sign of liver disease?
A. Asterixis
B. Constructional apraxia
C. Fetor hepaticus
D. Palmar erythema -Correct Answer ✔A. Asterixis
A local public health nurse is informed that a cook in a local restaurant has been
diagnosed with hepatitis A. What should the nurse advise individuals to obtain who ate
at this restaurant and have never received the hepatitis A vaccine?
A. The hepatitis A vaccine
B. Albumin infusion
C. The hepatitis A and B vaccines
D. An immune globulin injection -Correct Answer ✔D. An immune globulin injection
NSG 4100
, NSG 4100
What health promotion teaching should the nurse prioritize to prevent drug-induced
hepatitis?
A. Finish all prescribed courses of antibiotics, regardless of symptom resolution.
B. Adhere to dosing recommendations of over-the-counter analgesics.
C. Ensure that expired medications are disposed of safely.
D. Ensure that pharmacists regularly review drug regimens for potential interactions. -
Correct Answer ✔B. Adhere to dosing recommendations of over-the-counter analgesics.
Diagnostic testing has revealed that a client's hepatocellular carcinoma (HCC) is limited
to one lobe. The nurse should anticipate that this client's plan of care will focus on what
intervention?
A. Cryosurgery
B. Liver transplantation
C. Lobectomy
D. Laser hyperthermia -Correct Answer ✔C. Lobectomy
A client has been diagnosed with advanced stage breast cancer and will soon begin
aggressive treatment. What assessment findings would most strongly suggest that the
client may have developed liver metastases?
A. Persistent fever and cognitive changes
B. Abdominal pain and hepatomegaly
C. Peripheral edema unresponsive to diuresis
D. Spontaneous bleeding and jaundice -Correct Answer ✔B. Abdominal pain and
hepatomegaly
A client is being discharged after a liver transplant and the nurse is performing
discharge education. When planning this client's continuing care, the nurse should
prioritize what risk diagnosis?
A. Risk for infection related to immunosuppressant use
B. Risk for injury related to decreased hemostasis
C. Risk for unstable blood glucose related to impaired gluconeogenesis
D. Risk for contamination related to accumulation of ammonia -Correct Answer ✔A.
Risk for Infection Related to Immunosuppressant Use
A nurse is caring for a client with hepatic encephalopathy. The nurse's assessment
reveals that the client exhibits episodes of confusion, is difficult to arouse from sleep
and has rigid extremities. Based on these clinical findings, the nurse should document
what stage of hepatic encephalopathy?
A. Stage 1
B. Stage 2
NSG 4100
