Unlock hundreds more features
Save your Quiz to the Dashboard
View and Export Results
Use AI to Create Quizzes and Analyse Results

OR
Sign inSign in with Facebook
Sign inSign in with Google
Quizzes > High School Quizzes > Career

Cirrhosis NCLEX Practice Quiz

Master exam challenges with practical cirrhosis questions

Difficulty: Moderate
Grade: Other
Study OutcomesCheat Sheet
Paper art promoting the Cirrhosis NCLEX Challenge trivia for nursing students.

Which of the following best describes cirrhosis?
Irreversible scarring and nodular regeneration of liver tissue.
Temporary enlargement of the liver due to fat accumulation.
Acute inflammation of the liver with complete recovery.
Infection of the liver by bacteria.
Cirrhosis is defined by permanent scarring of the liver and the formation of regenerative nodules. The other options describe different liver conditions that are not cirrhosis.
Which of the following is a common cause of cirrhosis?
Chronic alcohol consumption.
Acute viral hepatitis.
Viral gastroenteritis.
Gallstones.
Chronic alcohol consumption leads to repeated liver injury and fibrosis, making it a common cause of cirrhosis. The other options are not typically associated with the development of cirrhosis.
Which sign is commonly seen in a patient with cirrhosis?
Shortness of breath.
Fever.
Rash.
Jaundice.
Jaundice, characterized by yellowing of the skin and eyes, is commonly observed in cirrhosis due to impaired bilirubin metabolism. The other options are not hallmark features of cirrhosis.
What complication is ascites in cirrhosis?
Enlargement of the spleen.
Bone loss in the limbs.
Inflammation of the gallbladder.
Accumulation of fluid in the abdominal cavity.
Ascites refers to the abnormal buildup of fluid in the peritoneal cavity, which is a common complication of cirrhosis. The other options do not accurately describe ascites.
Which laboratory finding is commonly associated with cirrhosis?
Low white blood cell count.
High sodium levels.
Elevated potassium levels.
Elevated prothrombin time (INR).
An elevated prothrombin time (INR) is indicative of decreased liver synthesis of clotting factors, a common finding in cirrhosis. The other laboratory values are not specifically linked to cirrhosis.
How does portal hypertension contribute to the complications of cirrhosis?
It leads to variceal development, splenomegaly, and ascites.
It directly causes hepatocellular carcinoma.
It stimulates immune function.
It reduces bile production.
Portal hypertension increases pressure in the portal venous system, resulting in complications such as varices, splenomegaly, and ascites. The other options do not correctly describe the effects of portal hypertension.
Which dietary modification is most appropriate for a patient with cirrhosis and ascites?
High-fat diet.
Low-sodium diet.
High-sugar diet.
High-protein, low-calorie diet.
A low-sodium diet helps reduce fluid retention and manage ascites in cirrhosis patients. The other dietary approaches do not address the primary issue of sodium-induced fluid buildup.
Which of the following is a common neurological complication of cirrhosis?
Guillain-Barré syndrome.
Seizures.
Hepatic encephalopathy.
Stroke.
Hepatic encephalopathy results from the buildup of toxins like ammonia, affecting brain function in cirrhosis patients. The other conditions are not typical complications directly linked to cirrhosis.
What is the primary goal in the medical management of cirrhosis?
To eliminate the need for liver transplant immediately.
To rely solely on herbal remedies.
To prevent further liver damage and treat complications.
To cure the disease completely.
Since cirrhosis involves irreversible liver damage, the focus is on preventing additional harm and managing subsequent complications. The other options do not reflect standard management practices for cirrhosis.
Which medication is commonly used as prophylaxis to prevent variceal bleeding in cirrhosis patients?
Calcium channel blockers.
ACE inhibitors.
Nonselective beta-blockers, such as propranolol.
Diuretics.
Nonselective beta-blockers like propranolol are used to reduce portal pressure, thereby decreasing the risk of variceal bleeding. The other medications listed are not indicated for this specific prophylactic use in cirrhosis.
What is the role of lactulose in managing cirrhosis patients?
To stimulate liver regeneration.
To improve bile flow.
To reduce ammonia levels and treat hepatic encephalopathy.
To reduce portal hypertension.
Lactulose lowers blood ammonia levels by promoting its excretion, which is critical in managing hepatic encephalopathy. The other mechanisms do not reflect lactulose's role in the treatment plan for cirrhosis.
Which physical exam finding might indicate poor liver function in a patient with cirrhosis?
Hamstring tightness.
Increased deep tendon reflexes.
Spider angiomata on the skin.
Unsteady gait due to musculoskeletal weakness.
Spider angiomata are small, dilated blood vessels that appear on the skin as a result of liver dysfunction. The other options are not clinically associated with compromised liver function.
What is the significance of a low albumin level in cirrhosis patients?
It decreases oncotic pressure, leading to edema and ascites.
It indicates improved liver function.
It has no clinical significance.
It leads to hypercoagulability.
A low albumin level reduces oncotic pressure in the blood, which contributes to edema and the development of ascites in cirrhosis patients. The other choices misinterpret the clinical impact of hypoalbuminemia.
Which of the following is a nursing intervention aimed at preventing complications of ascites in cirrhotic patients?
Allowing an unrestricted diet.
Encouraging high fluid intake.
Daily weight monitoring and appropriate sodium restriction.
Encouraging prolonged bed rest.
Monitoring daily weight and restricting sodium intake help manage fluid balance and prevent worsening of ascites. The other options do not support effective management of this condition.
Which laboratory marker is most useful for assessing liver synthetic function in cirrhosis?
Prothrombin time (PT).
Serum creatinine.
Blood urea nitrogen.
White blood cell count.
Prothrombin time is a key indicator of liver synthetic function as it reflects the liver's ability to produce clotting factors. The other markers are not directly related to liver synthesis.
How does cirrhosis contribute to the development of hepatocellular carcinoma?
Chronic cell turnover and genetic mutations in cirrhotic tissue increase cancer risk.
It primarily causes metastasis from other organs that result in liver cancer.
Cirrhosis directly infects liver cells with oncogenic viruses.
The scar tissue prevents blood flow, leading to cancer.
Long-standing cirrhosis causes continuous liver cell regeneration and chronic inflammation, which can lead to genetic mutations and eventually hepatocellular carcinoma. The other options do not correctly describe the link between cirrhosis and liver cancer.
Which of the following best explains the mechanism behind hepatic encephalopathy in cirrhosis patients?
Autoimmune attack on brain cells from circulating antibodies.
Accumulation of ammonia and other toxins due to impaired liver detoxification affects neurotransmission.
High blood glucose levels resulting in neuronal damage.
Direct viral invasion of the brain tissue.
Hepatic encephalopathy arises when the liver fails to detoxify harmful substances like ammonia, which then disrupts normal brain function. The other options do not accurately capture the underlying mechanism.
What is the rationale for using diuretics in the management of cirrhosis-related ascites, and what are the potential risks?
They are primarily used to lower bilirubin levels and have no impact on fluid retention.
They work by increasing protein synthesis in the liver without risking electrolytes.
They reduce fluid retention through promoting diuresis, but can cause electrolyte imbalance and renal impairment.
They improve liver metabolic function with minimal side effects.
Diuretics help reduce the accumulation of fluid by promoting its excretion; however, they must be used cautiously due to risks such as electrolyte disturbances and renal dysfunction. The other choices do not accurately address both the benefits and potential risks.
Which advanced diagnostic procedure is most definitive in assessing the degree of liver fibrosis in cirrhosis?
CT scan.
Liver biopsy.
Abdominal ultrasound.
Serum liver enzyme levels.
A liver biopsy remains the gold standard for definitively assessing the extent of liver fibrosis in cirrhosis. While imaging and lab tests are valuable, they are less conclusive than histological examination.
How can bacterial translocation lead to spontaneous bacterial peritonitis (SBP) in patients with cirrhosis?
It is caused by contamination during paracentesis rather than cirrhosis-related changes.
It allows intestinal bacteria to reach ascitic fluid, causing infection due to a compromised immune barrier.
It primarily results from high sodium levels in the ascitic fluid.
It results from direct infection of the liver by bacteria that then spread to the fluid.
Bacterial translocation occurs when bacteria cross the intestinal wall into the sterile ascitic fluid, which can lead to infection in cirrhosis patients with compromised immune function. The other options do not accurately describe this mechanism.
0
{"name":"Which of the following best describes cirrhosis?", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Which of the following best describes cirrhosis?, Which of the following is a common cause of cirrhosis?, Which sign is commonly seen in a patient with cirrhosis?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}

Study Outcomes

  1. Analyze the pathophysiology of cirrhosis and its clinical implications.
  2. Interpret diagnostic test results relevant to cirrhosis identification and staging.
  3. Evaluate common risk factors and complications associated with cirrhosis.
  4. Apply evidence-based management strategies in simulated patient scenarios.
  5. Assess nursing interventions to mitigate cirrhosis progression and improve patient outcomes.

Cirrhosis NCLEX Questions Cheat Sheet

  1. Master the causes of cirrhosis - From chronic alcohol use to hepatitis B/C and non‑alcoholic fatty liver disease, these culprits pave the way to scarring. Spotting them early helps you jumpstart prevention and catch trouble before it gets serious. nurse.com
  2. Spot the key symptoms - Jaundice's yellow tint, fluid‑filled bellies (ascites), and brain fog from hepatic encephalopathy are your red flags. Recognizing these signs lets you swoop in for timely interventions and better outcomes. nurse.com
  3. Nail down nursing diagnoses - Think "impaired liver function" and "fluid volume excess" when crafting care plans. These diagnoses guide your priorities and ensure you address the most critical patient needs first. nursestudy.net
  4. Master essential nursing interventions - From tracking liver function tests to tapping ascitic fluid and preventing variceal bleeds, your actions can be lifesaving. Staying vigilant and proactive keeps patients on the path to stability. rnpedia.com
  5. Empower through patient education - Coaching on alcohol cessation, sodium‑restricted diets, and regular exercise slows disease progression. Your friendly guidance can transform lifestyle hurdles into manageable habits. rnpedia.com
  6. Shine in multidisciplinary teamwork - Collaborating with hepatologists, dietitians, and social workers maximizes patient support. Your specialized knowledge and constant monitoring keep the care train on the right track. pubmed.ncbi.nlm.nih.gov
  7. Decode cirrhosis pathophysiology - Dive into how liver fibrosis shuts down healthy tissue and spurs systemic complications. Understanding this chain reaction helps you anticipate problems before they snowball. nursing.com
  8. Learn diagnostic gold standards - Liver function tests, ultrasound or CT scans, and biopsy results paint the full picture of damage. Mastering these tools ensures you evaluate severity accurately. nurse.com
  9. Review major complications - Portal hypertension, splenomegaly, and hepatocellular carcinoma can sneak up fast. Knowing management strategies for each keeps you prepared for every curveball. nurse.com
  10. Champion regular follow‑up - Scheduling routine labs, imaging, and clinic visits helps you catch new issues early. Consistent monitoring lets you tweak care plans and keep patients thriving. pmc.ncbi.nlm.nih.gov
Make a Quiz (FREE) Copy & Edit This Quiz Create a Quiz with AI

Career Quizzes

Powered by: Quiz Maker