Hepatitis NCLEX Questions

A patient with viral Hepatitis states their flu-like symptoms have subsided. However, they now have yellowing of the skin and sclera along with dark urine. Based on this finding, this is what phase of Hepatitis?* A. Icteric B. Posticteric C. Preicteric D. Convalescent

A

How is Hepatitis E transmitted?* A. Fecal-oral B. Percutaneous C. Mucosal D. Body fluids

A

A patient with Hepatitis A asks you about the treatment options for this condition. Your response is?* A. Antiviral medications B. Interferon C. Supportive care D. Hepatitis A vaccine

C

A patient is diagnosed with Hepatitis D. What statement is true about this type of viral Hepatitis? Select all that apply:* A. The patient will also have the Hepatitis B virus. B. Hepatitis D is most common in Southern and Eastern Europe, Mediterranean, and Middle East. C. Prevention of Hepatitis D includes handwashing and the Hepatitis D vaccine. D. Hepatitis D is most commonly transmitted via the fecal-oral route.

A and B

Select all the types of viral Hepatitis that have preventive vaccines available in the United States?* A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D E. Hepatitis E

A and B.

The physician writes an order for the administration of Lactulose. What lab result indicates this medication was successful?* A. Bilirubin <1 mg/dL B. ALT 8 U/L C. Ammonia 16 mcg/dL D. AST 10 U/L

C

Which statements are INCORRECT regarding the anatomy and physiology of the liver? Select all that apply:* A. The liver has 3 lobes and 8 segments. B. The liver produces bile which is released into the small intestine to help digest fats. C. The liver turns urea, a by-product of protein breakdown, into ammonia. D. The liver plays an important role in the coagulation process.

A and C.

You're providing an in-service on viral hepatitis to a group of healthcare workers. You are teaching them about the types of viral hepatitis that can turn into chronic infections. Which types are known to cause ACUTE infections ONLY? Select all that apply:* A. Hepatitis A B. Hepatitis B C. Hepatitis C D. Hepatitis D E. Hepatitis E

A and E

What is the BEST preventive measure to take to help prevent ALL types of viral Hepatitis?* A. Vaccination B. Proper disposal of needles C. Hand hygiene D. Blood and organ donation screening

C

A patient has lab work drawn and it shows a positive HBsAg. What education will you provide to the patient?* A. Avoid sexual intercourse or intimacy such as kissing until blood work is negative. B. The patient is now recovered from a previous Hepatitis B infection and is now immune. C. The patient is not a candidate from antiviral or interferon medications. D. The patient is less likely to develop a chronic infection.

A

A patient with Hepatitis is extremely confused. The patient is diagnosed with Hepatic Encephalopathy. What lab result would correlate with this mental status change?* A. Ammonia 100 mcg/dL B. Bilirubin 7 mg/dL C. ALT 56 U/L D. AST 10 U/L

A

Which of the following is NOT a common source of transmission for Hepatitis A? Select all that apply:* A. Water B. Food C. Semen D. Blood

C and D

Select all the signs and symptoms associated with Hepatitis?* A. Arthralgia B. Bilirubin 1 mg/dL C. Ammonia 15 mcg/dL D. Dark urine E. Vision changes F. Yellowing of the sclera G. Fever H. Loss of appetite

A, D, F, G, and H

A 36-year-old patient's lab work show anti-HAV and IgG present in the blood. As the nurse you would interpret this blood work as?* A. The patient has an active infection of Hepatitis A. B. The patient has recovered from a previous Hepatitis A infection and is now immune to it. C. The patient is in the preicetric phase of viral Hepatitis. D. The patient is in the icteric phase of viral Hepatitis.

B

A patient was exposed to Hepatitis B recently. Postexposure precautions include vaccination and administration of HBIg (Hepatitis B Immune globulin). HBIg needs to be given as soon as possible, preferably ___________ after exposure to be effective.* A. 2 weeks B. 24 hours C. 1 month D. 7 days

B

The liver receives blood from two sources. The _____________ is responsible for pumping blood rich in nutrients to the liver.* A. hepatic artery B. hepatic portal vein C. mesenteric artery D. hepatic iliac vein

B

Which patient below is at MOST risk for developing a complication related to a Hepatitis E infection?* A. A 45-year-old male with diabetes. B. A 26-year-old female in the 3rd trimester of pregnancy. C. A 12-year-old female with a ventricle septal defect. D. A 63-year-old male with cardiovascular disease.

B

During the posticteric phase of Hepatitis the nurse would expect to find? Select all that apply:* A. Increased ALT and AST levels along with an increased bilirubin level B. Decreased liver enzymes and bilirubin level C. Flu-like symptoms D. Resolved jaundice and dark urine

B and D.

Select all the ways a person can become infected with Hepatitis B:* A. Contaminated food/water B. During the birth process C. IV drug use D. Undercooked pork or wild game E. Hemodialysis F. Sexual intercourse

B, C, E, and F

Which patients below are at risk for developing complications related to a chronic hepatitis infection, such as cirrhosis, liver cancer, and liver failure? Select all that apply:* A. A 55-year-old male with Hepatitis A. B. An infant who contracted Hepatitis B at birth. C. A 32-year-old female with Hepatitis C who reports using IV drugs. D. A 50-year-old male with alcoholism and Hepatitis D. E. A 30-year-old who contracted Hepatitis E.

B, C, and D

A patient with Hepatitis has a bilirubin of 6 mg/dL. What findings would correlate with this lab result? Select all that apply:* A. None because this bilirubin level is normal B. Yellowing of the skin and sclera C. Clay-colored stools D. Bluish discoloration on the flanks of the abdomen E. Dark urine F. Mental status changes

B, C, and E

A patient is prescribed Peginterferon alfa-2a. The nurse will prepare to administer this medication what route?* A. Oral B. Intramuscular C. Subcutaneous D. Intravenous

C

You're providing education to a patient with an active Hepatitis B infection. What will you include in their discharge instructions? Select all that apply:* A. "Take acetaminophen as needed for pain." B. "Eat large meals that are spread out through the day." C. "Follow a diet low in fat and high in carbs." D. "Do not share toothbrushes, razors, utensils, drinking cups, or any other type of personal hygiene product." E. "Perform aerobic exercises daily to maintain strength."

C and D

A 25-year-old patient was exposed to the Hepatitis A virus at a local restaurant one week ago. What education is important to provide to this patient?* A. Inform the patient to notify the physician when signs and symptoms of viral Hepatitis start to appear. B. Reassure the patient the chance of acquiring the virus is very low. C. Inform the patient it is very important to obtain the Hepatitis A vaccine immediately to prevent infection. D. Inform the patient to promptly go to the local health department to receive immune globulin.

D

A patient has completed the Hepatitis B vaccine series. What blood result below would demonstrate the vaccine series was successful at providing immunity to Hepatitis B?* A. Positive IgG B. Positive HBsAg C. Positive IgM D. Positive anti-HBs

D

A patient is diagnosed with Hepatitis A. The patient asks how a person can become infected with this condition. You know the most common route of transmission is?* A. Blood B. Percutaneous C. Mucosal D. Fecal-oral

D

What is the MOST common transmission route of Hepatitis C?* A. Blood transfusion B. Sharps injury C. Long-term dialysis D. IV drug use

D

TRUE or FALSE: A patient with Hepatitis A is contagious about 2 weeks before signs and symptoms appear and 1-3 weeks after the symptoms appear.* True False

True