306
Normal serum bilirubin direct is about:
[a]
0-0.3 mg/dl[b]
0-0.03 mg/dl[c]
0.06-0.09 mg/dl[d]
0.09-1.2 mg/dl307
Normal serum albumin is about:
[a]
4-5.5 mg/dl[b]
4.0-5.5 g/dl[c]
5.5-7.0 g/dl[d]
7.0-8.5 g/dl308
The most sensitive indicator of liver injury:
[a]
Albumin[b]
ALT[c]
Globulin[d]
Bilirubin309
Jaundice is clinically evident when the serum Bilirubin level is above:
[a]
1.0[b]
1.5[c]
0.5[d]
2310
Fluroscopic examination of upper GI tract to determine structural problems and gastric emptying time with a contrast is:
[a]
Angiography[b]
Endoscopy[c]
Barium swallow[d]
Gastric analysis311
Ingestion of radiopaque dye and x-ray examination to visualize the gall bladder is:
[a]
Oral cholecystogram[b]
ERCP (Endoscopic Retrograde Cholangio Pancreatography)[c]
Biopsy[d]
Plain abdominal radiographs312
Normal portal venous pressure:
[a]
1-5 mm of Hg[b]
5-10 mm of Hg[c]
10-15 mm of Hg[d]
15-20 mm of Hg313
Assessment finding of a patient with cholelithiasis:
[a]
Protein intolerance[b]
Fat intolerance[c]
Right upper quadrant pain[d]
Hematuria314
Echymosis on flank is seen in pancreatitis, termed as:
[a]
Cullen's sign[b]
Grey Turner's sign[c]
Collins sign[d]
Rovsing sign315
Normal serum amylase level:
[a]
25-151 U/L[b]
24-400 U/L[c]
150-200 U/L[d]
250-500 U/L316
Laboratory value expected in liver failure is:
[a]
Decreased creatine[b]
Decreased sodium[c]
Increased ammonia[d]
Increased calcium317
Which item is unnecessary when examining the oral cavity of a patient with candidiasis?
[a]
Gloves[b]
Penlight[c]
Gown[d]
Tongue blade318
The graduate nurse and her preceptor are establishing priorities for their morning assessments. Which client should they assess first?
[a]
The newly admitted client with acute abdominal pain[b]
The client who needs an abdominal dressing to be changed[c]
The client receiving continuous tube feedings who needs the tube-feeding residual checked[d]
The sleeping client who is receiving pain medication at an interval of one hour319
A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects this client's stools to be:
[a]
Coffee-ground like[b]
Clay-coloured[c]
Black and tarry[d]
Bright red320
Which diagnostic test would be used first to evaluate a client with upper GI bleeding?
[a]
Endoscopy[b]
Upper GI series[c]
Hb and HCT level[d]
Arteriography321
A client who underwent abdominal surgery who has a nasogastric (NG) tube in place, begins to complain abdominal pain that he describes as "feeling full and uncomfortable". Which assessment should the nurse perform first?
[a]
Measure abdominal girth[b]
Auscultate bowel sounds[c]
Assess patency of the NG tube[d]
Assess vital signs322
"Which item is unnecessary when examining the choice of a following finding after barium swallow procedure, indicate which needs further action?
[a]
Constipation[b]
Chalky white stool[c]
Loss of appetite[d]
Nausea323
Which of the following medications has to be administered before taking a sample for gastric analysis?
[a]
Atropine[b]
Histamine[c]
Alprax[d]
Ranitidine324
Which of the following specific preparations is needed before gastric analysis?
[a]
Consent[b]
NPO for 6 hrs[c]
RT insertion[d]
Enema stat325
Which of the following drugs has to be given before upper gastrointestinal fiberoscopy?
[a]
Atropine sulfate[b]
Glucagon[c]
Ranitidine[d]
Both A and B326
A diabetic patient underwent oesophagogastro duodenoscopy. Immediately after the procedure, GRBS records 58 mg/dl. What should be the immediate intervention?
[a]
Provide 10 gm glucose solution[b]
Provide 15 gm glucose solution[c]
Provide 20 gm glucose solution[d]
Administer 25% dextrose IV327
Which of the following positions can be given for sigmoidoscopy?
[a]
Left lateral position[b]
Knee chest position[c]
Prone position[d]
Both A and B328
Lower gastrointestinal tract can be studied with:
[a]
Barium swallow[b]
Colostomy[c]
ERCP[d]
Barium enema329
Which of the following diets can be prescribed for a patient after a contrast-based procedure?
[a]
High fat[b]
Low fat[c]
High protein[d]
High calorie330
Which of the following to be done before paracentesis?
[a]
Keep NPO for 6 hrs[b]
Administer antiemetics[c]
Empty the bladder[d]
Administer enema
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