Hepatitis NCLEX Questions

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• The client is in the preicteric phase of hepatitis. Which

signs/symptoms should the nurse expect the client to exhibit during this phase?

• Clay-colored stools and jaundice
• Normal appetite and pruritus
• Being afebrile and left upper quadrant pain
• Complaints of fatigue and diarrhea

4

• The public health nurse is teaching day-care workers.

Which type of hepatitis is transmitted by the fecal-oral route via contaminated food, water, or direct contact with an infected person?

• Hepatitis A.
• Hepatitis B.
• Hepatitis C.
• Hepatitis D.

1

• Which type of precaution should the nurse implement

to protect from being exposed to any of the hepatitis viruses?

• Airborne precautions.
• Standard precautions.
• Droplet precautions.
• Exposure precautions.

2

• The school nurse is discussing methods to prevent an

outbreak of hepatitis A with a group of high school teachers. Which action is the most important to teach the high school teachers?

• Do not allow students to eat or drink after each other.
• Drink bottled water as much as possible.
• Encourage protected sexual activity.
• Sing the happy birthday song while washing hands.

4

• Which instruction should the nurse discuss with the

client who is in the icteric phase of hepatitis C?

• Decrease alcohol intake.
• Encourage rest periods.
• Eat a large evening meal.
• Drink diet drinks and juices.

2

• The public health nurse is discussing hepatitis B with a

group in the community. Which health promotion activities should the nurse discuss with the group? Select all that apply.

• Do not share needles or equipment.
• Use barrier protection during sex.
• Get the hepatitis B vaccines.
• Obtain immune globulin injections.
• Avoid any type of hepatotoxic medications.

1,2,3

• The client with hepatitis asks the nurse, "I went to an

herbalist, who recommended I take milk thistle. What do you think about that?" Which statement is the nurse's best response?

• "You are concerned about taking an herb."
• "The herb has been used to treat liver disease."
• "I would not take anything that is not prescribed."
• "Why would you want to take any herbs?"

2

92. The nurse writes the problem "imbalanced nutrition:

less than body requirements" for the client diagnosed with hepatitis. Which intervention should the nurse include in the plan of care?

• Provide a high-calorie intake diet.
• Discuss total parenteral nutrition (TPN).
• Instruct the client to decrease salt intake.
• Encourage the client to increase water intake.

1

• The female nurse sticks herself with a contaminated

needle. Which action should the nurse implement first?

• Notify the infection control nurse.
• Cleanse the area with soap and water.
• Request postexposure prophylaxis.
• Check the hepatitis status of the client.

2

• The client diagnosed with liver problems asks the

nurse, "Why are my stools claycolored?" On which scientific rationale should the nurse base the response?

• There is an increase in serum ammonia level.
• The liver is unable to excrete bilirubin.
• The liver is unable to metabolize fatty foods.
• A damaged liver cannot detoxify vitamins.

2

• Which statement by the client diagnosed with

hepatitis would warrant immediate intervention by the clinic nurse?

• "I will not drink any type of beer or mixed drink."
• "I will get adequate rest so that I don't get exhausted."
• "I had a big hearty breakfast this morning."
• "I took some cough syrup for this nasty head cold."

4

• Which task is most appropriate for the nurse to

delegate to the unlicensed assistive personnel (UAP)?

• Draw the serum liver function test.
• Evaluate the client's intake and output.
• Perform the bedside glucometer check.
• Help the ward clerk transcribe orders.

3