Hepatitis NCLEX Exam Questions With Correct Answers.
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Course
Hepatitis NCLEX
Institution
Hepatitis NCLEX
Hepatitis NCLEX Exam Questions With
Correct Answers.
"A patient with hepatitis B is being discharged in 2 days. In the discharge teaching plan the nurse
should include instructions to:
a. Avoid alcohol for the first 3 weeks
b. Use a condom during sexual intercourse
c. Have family members get ...
BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
Hepatitis NCLEX Exam Questions With
Correct Answers.
"A patient with hepatitis B is being discharged in 2 days. In the discharge teaching plan the nurse
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 immunoglobin
d. Follow a low-protein, moderate-carbohydrate, moderate-fat diet - answer✔✔Answer B
Hepatitis B virus may be transmitted by mucosal exposure to infectious blood, blood products, or
other body fluids (e.g., semen, vaginal secretions, saliva). Hepatitis B is a sexually transmitted
disease that is acquired through unprotected sex with an infected person. Condom use should be
taught to patients to prevent transmission of hepatitis B.
Which priority teaching information should the nurse discuss with the client to help prevent
contracting hep. A?
1.Explain the importance of good hand washing.
2.Tell the client to take the hepatitis B vaccine in three (3) doses.
3.Tell the client not to ingest unsanitary food or water.
4.Discuss how to implement standard precautions. - answer✔✔Answer 1 would be appropriate
for prevention of hepatitis A.
"A client with acute hepatitis is prescribed lactulose. The nurse knows this medication will:
A. Prevent the absorption of ammonia from the bowel.
B. Prevent hypoglycemia.
,BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
C. Remove bilirubin from the blood.
D. Mobilize iron stores from the liver" - answer✔✔"Correct Answer: A
Rationale: Lactulose helps prevent the absorption of ammonia from the bowel because it will
cause frequent bowel movements, which facilitates the removal of ammonia from the intestines."
"Which type of hepatitis is transmitted by the fecal-oral route via contaminated food, water, or
direct contact with an infected person?
"1. Hepatitis A
2. Hepatitis B
3. Hepatitis C
4. Hepatitis D" - answer✔✔"Correct answer: 1
Rationale:
1. The hepatitis A virus is in the stool of infected people for up to 2 weeks before symptoms
develop
2. Hepatitis B is spread through contact with infected blood and body fluids
3. Hepatitis C is transmitted through contact with infected blood and body fluids
4. Hepatitis D infection only causes infection in people who are also infected with Hepatitis B or
C"
The nurse is performing an assessment on a client being evaluated for viral hepatitis. Which
symptom will the nurse most likely assess on this client?
1. Arthralgia
2. Excitability
3. Headache
4. Polyphagia - answer✔✔"ANSWER: 1
Rationale: arthralgia is common in clients with viral hepatitis. Other symptoms of viral hepatits
include lethargy, flulike symptoms, anorexia, N/V, abdominal pain, diarrhea, constipation, and
fever. The others are not symptoms of viral hepatitis."
During evaluation of a patient at an outpatient clinic, the nurse determines that administration of
hepatitis B vaccine has been effective when a specimen of the patient's blood reveals:
, BRIGHTSTARS EXAM STUDY SOLUTIONS 8/15/2024 2:05 PM
a. HBsAg.
b. anti-HBs
c. anti-HBc IgM.
d. anti-HBc IgG" - answer✔✔Answer B: The presence of surface antibody to HBV (anti-HBs) is
a marker of a positive response to the vaccine. The other laboratory values indicate current
infection with HBV
"A patient contracts hepatitis from contaminated food. During the acute (icteric) phase of the
patient's illness, the nurse would expect serologic testing to reveal...
a. hepatitis B surface antigen (HBsAg).
b. anti-hepatitis B core immunoglobulin M (anti-HBc IgM).
c. anti-hepatitis A virus immunoglobulin G (anti-HAV IgG).
d. anti-hepatitis A virus immunoglobulin M (anti-HAV IgM)." - answer✔✔"ANSWER: D
Rationale: Hepatitis A is transmitted through the oral-fecal route, and antibody to HAV IgM
appears during the acute phase of hepatitis A. The patient would not have antigen or antibodies
for hepatitis B. Anti-HAV IgG would indicate past infection and lifelong immunity."
"The female nurse sticks herself with a dirty needle. Which action should the nurse implement
first?
1.Notify the infection control nurse.
2.Cleanse the area with soap and water.
3.Request post-exposure prophylaxis.
4.Check the hepatitis status of the client. - answer✔✔Answer 2. The nurse should first clean the
needle stick with soap and water to help remove any virus that is on the skin
The client is in the preicteric phase of hepatitis. Which signs/symptoms would thenurse expect
the client to exhibit during this phase?
1.Clay-colored stools and jaundice.
2.Normal appetite and pruritus.
3.Being afebrile and left upper quadrant pain.
4.Complaints of fatigue and diarrhea. - answer✔✔Correct Answer 4
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