Chapter 44: Gallbladder and Exocrine Pancreatic Problems

Chapter 44: Gallbladder and Exocrine Pancreatic Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which is the typical profile of a person experiencing cholelithiasis?

1.	Female, with a history of weight loss and high triglyceride levels
2.	Male, with high levels of HDL cholesterol and normal weight
3.	Male, of normal weight, with high triglyceride levels
4.	Female, obese, with low triglyceride levels

 

 

ANS: 1                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

2. Which statement regarding gallstones is true?

1.	They are usually small and contain large amounts of calcium
2.	They are generally brown in color and preceded by bacterial infection
3.	They are pigmented as a result of increased levels of plasma-conjugated bile
4.	They are commonly made of cholesterol and are found within the gallbladder itself

 

 

ANS: 4                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

3. Classic clinical manifestations of gallstones include:

1.	Low-grade fever accompanied by intermittent abdominal cramping
2.	Acute, spasmodic pain relieved by walking or bending forward
3.	Severe, steady, right upper quadrant pain; nausea and vomiting
4.	High fever, midepigastric pain, and rigid, tender abdomen

 

 

ANS: 3                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity

 

4. The statement “the gallbladder is enlarged and tense, with necrotic walls” best describes:

1.	Peritonitis
2.	Acute cholecystitis
3.	Acute cholelithiasis
4.	Chronic cholecystitis

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Evaluation         MSC: Client Needs: Physiological Integrity

 

 

 

 

5. A positive Murphy’s sign exists when the patient’s:

1.	Pain is relieved by the intake of milk or antacids
2.	Pain increases and temporary inspiratory arrest occurs
3.	Symptoms disappear completely within 48 hours of onset
4.	Fever goes up in proportion to the degree of pain experienced

 

 

ANS: 2                    PTS:   1                    DIF:   Category: Gastrointestinal

TOP:  Nursing Process: Assessment        MSC: Client Needs: Physiological Integrity