True or false: AST and ALT indicate hepatocellular injury, but a single test result alone does not establish the cause or severity of liver disease.
5 Liver Disorders and Nursing Care Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Liver Disorders and Nursing Care, test your knowledge, and prepare for your next test or exam.
True or false: A nurse should rely on an ammonia result alone to determine the severity of hepatic encephalopathy.
- A
True
- B
False
Acute liver failure involves rapid liver injury with impaired clotting and altered mental status in a person without .
Along with bowel pattern, hydration, and electrolyte status, a nurse administering lactulose for hepatic encephalopathy should monitor the patient's .
A patient with known esophageal varices vomits bright-red blood and feels faint. What is the priority nursing action?
- A
Arrange routine outpatient follow-up and advise the patient to rest.
- B
Offer oral fluids while waiting to see whether the bleeding stops.
- C
Activate emergency response and assess airway, breathing, circulation, and vital signs.
- D
Document the report and reassess the patient in one hour.
A patient without known cirrhosis develops rapidly worsening jaundice, new confusion, and bleeding after a possible acetaminophen overdose. What is the best nursing response?
- A
Reassure the patient and arrange a routine appointment because fatigue is common in hepatitis.
- B
Escalate immediately for urgent evaluation of possible acute liver failure and suspected toxicity.
- C
Withhold all prescribed medicines indefinitely without consulting the care team.
- D
Wait for a single liver enzyme result before reporting the patient's change in condition.
A patient with cirrhosis and ascites is reviewing the care plan with a nurse. Which approach is appropriate?
- A
Begin a strict fluid restriction for every patient with ascites, even without an order.
- B
Reinforce the prescribed sodium plan and monitor weight, blood pressure, renal function, and electrolytes.
- C
Stop prescribed diuretics whenever the patient's abdominal girth increases.
- D
Avoid monitoring renal function because ascites affects only the abdomen.
A patient with cirrhosis becomes inattentive and confused. Which four listed problems can contribute to hepatic encephalopathy? Select all that apply.
- A
Infection
- B
Gastrointestinal bleeding
- C
Constipation
- D
Scheduled liver-cancer surveillance
- E
Dehydration
A nurse is planning ongoing assessment for a hospitalized patient with cirrhosis and ascites. Which four measures are appropriate to monitor? Select all that apply.
- A
Daily weight when ordered
- B
Abdominal girth as directed
- C
Routine fluid restriction without a prescription
- D
Renal function and electrolytes
- E
Breathing and intake and output
A patient with no known cirrhosis develops rapid liver injury, impaired clotting, and altered mental status. Describe the nurse's immediate priorities, including assessment, escalation, and medication review.
A patient with MASLD asks what the overall care plan should address. Which response best reflects the recommended approach?
- A
Start the same medication and diet plan for every patient without clinician input.
- B
Address metabolic health and liver-disease risk through an individualized clinician-led plan.
- C
Focus only on treating itching and jaundice because metabolic factors are unrelated.
- D
Assume that MASLD always progresses to cirrhosis.
A patient with chronic hepatitis C asks whether a vaccine can prevent hepatitis C. The nurse explains that no hepatitis C vaccine is available. Is this explanation correct?
- A
True
- B
False
A nurse is reviewing results for a patient with chronic liver disease. Which finding is most directly useful for assessing a change in hepatic synthetic function related to clotting?
- A
PT/INR
- B
Heart rate
- C
Urine color
- D
Abdominal girth
A patient’s assessment raises concern for cholestasis. What liver-associated enzyme may be elevated in cholestasis or bile-duct disease?
A patient with MASLD and type 2 diabetes asks what care should focus on. Which response best reflects the recommended approach?
- A
Start the same medication regimen for every patient with MASLD.
- B
Follow an individualized, clinician-led plan that addresses metabolic health and liver-disease risk.
- C
Restrict all fluids to reduce fat in the liver.
- D
Stop all prescribed medicines unless liver tests return to normal.
A patient with cirrhosis develops ascites, a major complication of the disease. What is the classification of the patient’s cirrhosis?
A patient with cirrhosis and ascites is beginning a clinician-prescribed diuretic plan. Which nursing approach is most appropriate?
- A
Restrict fluids for every patient with ascites, even without an order.
- B
Stop prescribed diuretics whenever abdominal swelling increases.
- C
Reinforce the prescribed sodium plan and monitor weight, blood pressure, renal function, and electrolytes.
- D
Monitor abdominal girth only; kidney function and electrolytes are not relevant.
A patient taking lactulose for hepatic encephalopathy reports frequent watery stools, dizziness, and worsening weakness. What is the best nursing response?
- A
Encourage extra lactulose without assessing the patient.
- B
Tell the patient to stop all prescribed medicines indefinitely.
- C
Assess the patient and promptly report possible dehydration or electrolyte problems.
- D
Reassure the patient that these symptoms do not need follow-up.
Name one chronic viral hepatitis that can cause progressive liver injury, cirrhosis, and liver cancer.
A patient with advanced cirrhosis develops worsening kidney dysfunction. What named complication should the nurse recognize and report?
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