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PCC EXAM #2 Questions and Answers
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PCC EXAM #2 Questions and Answers A patient is diagnosed with chronic liver cirrhosis. The nurse expects which assessment finding when examining the abdomen? a. liver dullness b. hard, enlarged liver c. rebound tenderness d. absence of liver dullness b A patient's blood test report r...

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  • October 27, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • pcc exam 2 questions and answers
  • a patient is diagnosed with chronic liver cirrhosi
  • a patients blood test report reveals a lipase lev

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PCC EXAM #2 Questions and Answers
A patient is diagnosed with chronic liver cirrhosis. The nurse expects which assessment
finding when examining the abdomen?

a. liver dullness
b. hard, enlarged liver
c. rebound tenderness
d. absence of liver dullness - answer b

A patient's blood test report reveals a lipase level of 200 U/L and an amylase level of
150 U/L. Which complication does the nurse suspect based on the findings?

a. acute pancreatitis
b. hemolytic problem
c. obstructive jaundice
d. hepatic encephalopathy - answer a

A patient with chronic hepatitis C virus infection is admitted to the hospital. Which
factors contribute to this patient's high risk for development of cirrhosis? (select all)

a. diabetes mellitus
b. alcohol consumption
c. history of regular smoking
d. elevated total cholesterol level
e. diet high in sodium and fatty foods - answer a,b,d

A nurse is caring for a patient who has cirrhosis of the liver. Which clinical
manifestations would the nurse expect to find? (select all)

a. white patches on skin
b. deposits of dark pigments
c. small areas of bleeding into the skin
d. vascular lesions formed by small blood vessels
e. small dilated blood vessels with spiderlike branches - answer c,d,e

Which precautions would the nurse follow while caring for a patient with both hepatitis A
and B infections? (select all)

a. keep the patient in a private room, and close the door
b. carefully dispose of the needles and syringes used for the patient
c. wear gloves while handling articles contaminated by urine or feces
d. always wear a mask, gown, and gloves when entering the patient's room

,e. follow procedures while injecting the patient and avoid getting stuck by the used
needle - answer b,c,e

Which condition would the nurse suspect when a patient's assessment findings include
asterixis, hyperventilation, fetor hepaticus, and continuous lip smacking?

a. hepatitis
b. liver cirrhosis
c. hepatorenal syndrome
d. hepatic encephalopathy - answer d

Which hepatitis virus is transmitted from mother to fetus?

a. A
b. B
c. C
d. E - answer b

Which statement by a student nurse indicates a need for further teaching about
nutritional therapy in patients with acute pancreatitis?

a. "I should feed the patient through a nasojejunal tube"
b. "I will monitor the patient's blood triglyceride levels"
c. "I will include high-fat foods in the patient's dietary plan"
d. "I should give small quantities of food frequently to the patient" - answer c

Which information about diet would the nurse provide for a patient who is diagnosed
with acute pancreatitis? (select all)

a. limit fluid intake
b. consume a low-fat diet
c. avoid consuming alcohol
d. consume a low-carbohydrate diet
e. consume a high-carbohydrate diet - answer b,c,e

An elderly woman reports weakness, abdominal pain, and vaginal bleeding. The
patient's diagnostic test reports describe anemia and an enlarged spleen. Which
condition is consistent with these findings?

a. liver cirrhosis
b. pancreatic cancer
c. acute liver failure
d. acute pancreatitis - answer a

A patient with advanced cirrhosis who has ascites is SOB and has an increased RR.
The nurse should:

, a. initiate oxygen therapy at 2 L/min to increase gas exchange
b. notify the health care provider so that a paracentesis can be performed
c. ask the patient to cough and breathe deeply to clear respiratory secretions
d. place the patient in Fowler's position to relieve pressure on the diaphragm - answer
d

Which action should the nurse in the ED take first for a new patient who is vomiting
blood?

a. insert a large-gauge IV catheter
b. draw blood for coagulation studies
c. check blood pressure and heart rate
d. place the patient in the supine position - answer c

A client is admitted to the hospital for acute gastritis and ascites secondary to chronic
alcohol use and cirrhosis. It is most important for the nurse to assess this client for:

a. blood in the stool
b. food intolerances
c. complaints of nausea
d. hourly urine output - answer a

A patient with hepatitis A is in the acute phase. The nurse plans care for the patient
based on the knowledge that :

a. itching is a common problem with jaundice in this phase
b. the patient is most likely to transmit. the disease during this phase
c. GI symptoms are not as severe in hep A as they are in B
d. extrahepatic manifestations of glomerulonephritis and polyarteritis are common in this
place - answer a

A patient with acute hepatitis B is being discharged. The discharge teaching plan should
include instructions to:

a. avoid alcohol for the first 3 weeks
b. use a condom during sexual intercourse
c. have family members get an injection of immunoglobulin
d. follow a low-protein, moderate-carbohydrate, moderate-fat diet - answer b

A patient has been told that she has elevated liver enzymes caused by nonalcoholic
fatty liver disease. The nursing teaching plan should include:

a. having genetic testing done
b. recommending a heart-healthy diet
c. the necessity to reduce weight rapidly

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