QUIZz
1.in the following diagram of a Hepatitis B virus .
Identify the marked alphabets.
A. a- Dna polymerase , b-large surface antigen ,
c-core antigen ,d-small surface antigen , e- E-antigen
B. a- small surface antigen , b- large surface antigen,
c- dna polymerase , d- E antigen, e- core antigen
C. a)E-antigen, b- Dna polymerase, c- core antigen,
d-large surface antigen , e-small surface antigen
D. a-core antigen , b- small surface antigen , c- dna
polymerase , d- large surface antigen , e- E-antigen
2. Read the following statements and choose
the correct option.
I. Pain in gastric ulcers is relieved by ingesting food.
QUIZz
II. the normal value of conjugated bilirubin is 0.3
mg/dl – 1.2 mg/dl.
III. there is decrease in ADH and aldosterone in case
of liver necrosis.
IV. Alcoholic cirrhosis is known as laennec’s cirrhosis.
V. Blumberg sign is seen in appendicitis.
A) II and III are correct C) I and III are correct
B) IV and III are correct D) II and IV are correct
3. which kind of medicines are avoided during
gastritis.
a) Antacids c)proton pump inhibitors
b) H2 – receptor antagonists d) NSAIDs
4.Which of the following surgical interventions are
performed for peptic ulcers.
A)gastrectomy , vagotomy, billroth I and II ,pyloroplasty.
b) gasterectomy , fundoplication , pyloroplasty
c) bariatric , vagotomy, pyloroplasty
5. a client is suspected of having hepatitis .which
diagnostic test result will assist in its confirmation
QUIZz
i. elevated haemoglobin levels
ii. elevated serum aspartate transaminase and bilirubin
iii. elevated blood urea nitrogen levels
iv. decreased erythrocyte sedimentation rate
6.a patient in the hospital is suffering from hepatic
encephalopathy , which can be assed by :
i. asterixis
ii. tinel sign
iii. postural tremors
iv. kinetic tremors
7. assessment findings in patient with acute gastritis
a) headache, anorexia, and vomiting
b) vitamin b12 deficiency
c) heartburn after eating
d) belching and sour taste in mouth
QUIZz
8.the nurse is monitoring a female client for the early
signs and symptoms of dumping syndrome. Which of
the following indicate the occurrence.
a) sweating and pallor
b)bradycardia and indigestion
c) double vision and chest pain
d) pain in abdomen
9. Fill in the blank
i. the patient with severe chronic liver disease have
fruity , musty breath odor called ________
ii. the presence of fresh bright red blood in the stools is
called_________.
a) Melena , fetor hepaticus
b)Hematochezia , parosmia
c) Fetor hepaticus , hematochezia
d)Halitosis , melena
10.which of the following statements are correct :
QUIZz
I irritable bowel syndrome(IBS) is of two types i.e.
constipation predominant IBS and Diarrhea
predominant IBS based on symptoms.
ii. crohn’s disease is limited to rectum and anus
iii. intestinal obstruction is caused by mechanical ,
vascular and functional obstructions.
iv. crohn’s disease is an autoimmune disorder.
a) I and ii are correct b) ii is correct
C)ii and iv. Are correct d) I and ii are correct
1. The nurse is monitoring a client admitted to the hospital with
a diagnosis of appendicitis who is scheduled for surgery in
2hours. The client begins to complain increased abdominal
pain and begins to vomit. On assessment, the nurse notes that
the abdomen is distended and bowel sounds are diminished.
Which of the most appropriate nursing intervention.
1.notify the surgeon
2.administer the prescribed pain medication
3.call and ask the operating room team to perform surgery as
soon as possible
QUIZz
4.reposition the client and apply a heating pad on the warm
setting to the clients abdomen.
2.pancreatitis is inflammation of pancreas which can be acute
and chronic. which of the following are the different ways of
assessing it.
A) cullen’s sign ,turner’s sign, elevated serum lipase
B) elevated serum lipase and amylase and tinel’s sign
C)weight loss, rovsing sign
d) pain in right upper quadrant
3.which of the following are correct regarding symptoms in
cirrhosis.
I . pruritus is due to accumulation of bile salts underneath the
skin in hepatic dysfunction.
ii.palmar erythema and spider angioma is attributed to decrease
in circulating estrogen.
iii. splenomegaly results from backup of blood from the hepatic
artery into the spleen
iv. liver metabolize aldosterone adequately.
a) I and iv is correct c) I ,ii, iv are correct
b) Iii and ii is correct d) I is correct
4.the nurse is doing an admission assessment on a client with a
history of duodenal ulcer. To determine whether the problem is
currently active, the nurse would assess the client for which
manifestation of duodenal ulcer?
QUIZz
1.weightloss
2. nausea and vomiting
3.Pain relieved by food intake
4.Pain radiating down the right arm
5.jordan is a client with jaundice who is experiencing pruritus.
Which nursing intervention would be included in the care plan
for the client?
A. administering vitamin K subcutaneously .
b. applying pressure when giving I.M. injections.
c. decreasing the clients dietary protein intake.
d. keeping the clients fingernails short and smooth.
6. which of the following is not the correct value of SGPT
a) 11- 40U/L
b) 12-39 U/L
c) 8-45 U/L
d) 20-35 U/L
7.The nurse is reviewing record of a client with a diagnosis of
cirrhosis and notes that there is a documentation of the
presence of asterixis .how would the nurse assess for its
presence?
1.dorsiflex the clients foot
2.measure the abdominal girth
QUIZz
3. ask the client to extend the arms
4. instruct the client to lean forward.
8.Which of the following factors are involved in the development
of ascites.
a) Portal hypertension due to increase in resistance of blood flow
through liver
b) Increased serum colloidal oncotic presuure
c) Decrease in aldosterone secretion stimulated by increased
renal blood flow.
d) Increased serum colloidal oncotic pressure.
9.a client admitted to the hospital with a suspected diagnosis of
acute pancreatitis is being assessed by the nurse. Which assessment
findings would be consistent with acute pancreatitis? Select all that
apply
1. Diarrhea
2.black ,tarry stools
3. hyperactive bowel sounds
4.gray-blue color at the flank
5.abdominal guarding and tenderness.
6. Left upper quadrant pain with radiation to the back
10. the nurse is providing care for a client with a bowel obsytruction
who had a transverse colostomy created. Which observation requires
immediate notification of the primary health care provider?
QUIZz
i. stoma is beefy red and shiny
ii. purple discoloration of the stoma
iii. skin excoriation around the stoma
iv. semiformed stool noted in the ostomy pouch.
