True or false: Antibiotics should be given prophylactically for sterile pancreatic necrosis.
6 Pancreatitis Online Quiz Questions
Use this free practice quiz with 20 questions to review 6 Pancreatitis, test your knowledge, and prepare for your next test or exam.
True or false: A patient with acute pancreatitis and cardiac disease should receive IV crystalloid at a fixed, aggressive rate without reassessment.
- A
True
- B
False
Which are identified causes of acute pancreatitis? Select all that apply.
- A
Gallstones
- B
Alcohol
- C
Very high triglycerides
- D
Certain medications
- E
Smoking alone
A patient with acute pancreatitis is being evaluated for gallstones as a possible cause. Which test is used to assess for gallstones?
- A
Ultrasound
- B
Routine early CT to grade severity
- C
Chest radiography
- D
Colonoscopy
Which pancreatic enzyme test is generally preferred when evaluating suspected acute pancreatitis?
A patient with biliary pancreatitis is diagnosed with cholangitis. Which intervention is indicated urgently?
- A
Schedule routine outpatient follow-up without further evaluation
- B
Arrange urgent ERCP
- C
Begin prophylactic antibiotics in every case of pancreatitis
- D
Delay intervention until pancreatic enzymes normalize
For chronic pancreatitis, prescribed pancreatic enzyme replacement should be taken .
What is the medical term for the greasy stools that can occur when chronic pancreatitis reduces exocrine function?
A patient with acute pancreatitis is not improving after 48–72 hours. Which approach to CT is consistent with recommended practice?
- A
Perform CT immediately in every case to determine severity
- B
Wait until serum enzymes normalize before considering CT
- C
Reserve CT for diagnostic uncertainty or lack of improvement after 48–72 hours
- D
Use CT instead of assessing the patient’s clinical condition
For a patient with moderately severe or severe acute pancreatitis who cannot eat orally, is preferred when feasible.
A patient has chronic pancreatitis with lasting pancreatic injury. Which problems can result from loss of pancreatic function? Select all that apply.
- A
Maldigestion
- B
Greasy stools
- C
Diabetes
- D
Improved nutrient absorption
- E
Guaranteed absence of abdominal symptoms
A patient receiving IV crystalloid for acute pancreatitis develops crackles and an increasing oxygen requirement. What is the nurse’s priority response?
- A
Continue the same fluid plan without reassessment because hydration is important
- B
Reassess the response to fluids and promptly report signs of possible overload
- C
Withhold all further assessment until the next scheduled laboratory test
- D
Encourage prolonged fasting to reduce the need for monitoring
A patient with chronic pancreatitis reports unintended weight loss and greasy stools and is also concerned about blood-glucose control. Describe at least three care priorities to discuss with the patient and care team.
True or false: In mild acute pancreatitis, oral food should be offered as soon as tolerated rather than waiting for pancreatic enzymes to normalize.
- A
True
- B
False
When blood testing is used to assess suspected acute pancreatitis, which pancreatic enzyme is generally preferred?
A stable patient with mild acute pancreatitis is hungry and has no significant nausea or vomiting. What is the best general approach to nutrition?
- A
Keep the patient without oral intake until pancreatic enzymes return to normal.
- B
Offer oral food as tolerated and monitor the patient's response.
- C
Start parenteral nutrition before attempting oral intake.
- D
Give prophylactic antibiotics before the first meal.
A stable patient has acute pancreatitis diagnosed from characteristic symptoms and laboratory findings, with no diagnostic uncertainty. The patient has not yet improved after 24 hours. What is the best general approach to CT imaging?
- A
Obtain CT immediately in every patient to determine severity.
- B
Use CT routinely before offering oral food.
- C
Avoid routine early CT when the diagnosis is clear; consider it for diagnostic uncertainty or lack of improvement after 48–72 hours.
- D
Use CT instead of assessing the patient's clinical course.
A patient has characteristic epigastric pain radiating to the back, a serum lipase level two times the upper limit of normal, and no characteristic imaging findings. Based on the usual criteria, how many of the three diagnostic findings are established?
- A
The patient meets two diagnostic criteria because any lipase elevation qualifies.
- B
The listed findings provide only one diagnostic criterion; the enzyme level is below the stated threshold and imaging is not characteristic.
- C
The patient meets all three criteria because the pain is persistent.
- D
Imaging is required in every patient, even when two other criteria are met.
A patient with acute pancreatitis and chronic kidney disease is receiving prescribed IV crystalloid fluids. Which nursing approach best supports safe hydration?
- A
Give prescribed crystalloid fluids and reassess the response and signs of fluid overload.
- B
Avoid IV fluids because renal disease always makes hydration unsafe.
- C
Give a fixed large volume without reassessment.
- D
Stop monitoring once the initial fluid prescription is complete.
A patient with chronic pancreatitis has greasy stools and unintended weight loss. Loss of which type of pancreatic function can cause these symptoms?
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