This is a quiz that contains NCLEX review questions for pancreatitis (acute and chronic). As a nurse providing care to a patient with pancreatitis, it is important to know the signs and symptoms, pathophysiology, nursing management, diet education, and complications. Show In the previous NCLEX review series, I explained about other GI disorders you may be asked about on the NCLEX exam, so be sure to check out those reviews and quizzes as well.
(NOTE: When you hit submit, it will refresh this same page. Scroll down to see your results.) 1. Inside the pancreas are special cells that secrete digestive enzymes and hormones. The cells that secrete digestive enzymes are known as ______________ cells. A. Islet of Langerhans B. Protease C. Acinar D. Amylase 2. From the pancreas and gallbladder, the common bile duct and pancreatic duct open into the ____________ where digestive enzymes and bile flow through the duodenum via the major duodenal papilla which is surrounded by a muscular valve that controls the release of digestive enzymes known as the ______________. A. ampulla of vater, sphincter of Oddi B. papilla of vater, sphincter of Oddi C. minor duodenal papilla, ampulla of vater D. jejunum, sphincter of pylori 3. Select-ALL-that-apply: In the pancreas, the acinar cells release: A. Amylase B. Somatostatin C. Lipase D. Protease 4. You’re caring for a 45 year old patient who is admitted with suspected acute pancreatitis. The patient reports having extreme mid-epigastric pain that radiates to the back. The patient states the pain started last night after eating fast food. As the nurse, you know the two most common causes of acute pancreatitis are: A. High cholesterol and alcohol abuse B. History of diabetes and smoking C. Pancreatic cancer and obesity D. Gallstones and alcohol abuse 5. Which patient below is at MOST risk for CHRONIC pancreatitis? A. A 25 year old female with a family history of gallstones. B. A 35 year old male who reports social drinking of alcohol. C. A 15 year old female with cystic fibrosis. D. A 66 year old female with stomach cancer. 6. Your patient with acute pancreatitis is scheduled for a test that will use a scope to assess the pancreas, bile ducts, and gallbladder. The patient asks you, “What is the name of the test I’m going for later today?” You tell the patient it is called: A. MRCP B. ERCP C. CT scan of the abdomen D. EGD 7. A patient is admitted to the ER with the following signs and symptoms: very painful mid-epigastric pain felt in the back, elevated glucose, fever, and vomiting. During the head-to-toe assessment, you notice bluish discoloration around the belly button. As the nurse, you know this is called? A. Grey-Turner’s Sign B. McBurney’s Sign C. Homan’s Sign D. Cullen’s Sign 8. While assisting a patient with chronic pancreatitis to the bathroom, you note the patient’s stool to be oily/greasy in appearance. In your documentation you note this as: A. Steatorrhea B. Melena C. Currant D. Hematochezia 9. A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision. As the nurse, it is priority you? A. Reassure the patient this is normal with pancreatitis B. Check the patient’s blood glucose C. Assist the patient with drinking a simple sugar drink like orange juice D. Provide a dark and calm environment 10. A patient who received treatment for pancreatitis is being discharged home. You’re providing diet teaching to the patient. Which statement by the patient requires immediate re-education about the diet restrictions? A. “It will be hard but I will eat a diet low in fat and avoid greasy foods.” B. “It is very important I limit my alcohol intake to no more than 2-3 glasses of wine a week.” C. “I will concentrate on eating complex carbohydrates rather than refined carbohydrates.” D. “I will purchase foods that are high in protein.” 11. The physician orders a patient with pancreatitis to take a pancreatic enzyme. What assessment finding demonstrates the pancreatic enzymes are working properly? A. Abdominal girth is decreased B. Skin turgor is less than 2 seconds C. Blood glucose is 250 D. Stools appear formed and solid 12. During a home health visit, you are assessing how a patient takes the prescribed pancreatic enzyme. The patient is unable to swallow the capsule whole, so they open the capsule and mix the beads inside the capsule with food/drink. Which food or drink is safe for the patient to mix the beads with? A. Pudding B. Ice cream C. Milk D. Applesauce More NCLEX Quizzes Don’t forget to tell your friends about this quiz by sharing it your Facebook, Twitter, and other social media. You can also take more fun nursing quizzes. *Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes, this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others.
Learn about the nursing care management of patients with pancreatitis in this nursing study guide. What is Pancreatitis?Pancreatitis, which is the inflammation of the pancreas, can be acute or chronic in nature. It may be caused by edema, necrosis or hemorrhage. In men, this disease is commonly associated with alcoholism, peptic ulcer, or trauma; in women, it’s associated with biliary tract disease. Prognosis is usually good when pancreatitis follows biliary tract disease, but poor when the factor is alcoholism. The mortality rate may go as high as 60% when the disease is associated with necrosis and hemorrhage. (Schilling McCann, 2009) Pancreatitis ranges from a mild, self-limited disorder to a severe, rapidly fatal disease that does not respond to any treatment.
ClassificationThe most basic classification system divides the disorder into acute and chronic forms.
PathophysiologySelf-digestion of the pancreas caused by its own proteolytic enzymes, particularly trypsin, causes acute pancreatitis.
Statistics and EpidemiologyPancreatitis affects people of all ages, but the mortality rate associated with pancreatitis increases with advancing age.
CausesMechanisms causing pancreatitis are usually unknown but it is commonly associated with autodigestion of the pancreas.
Clinical ManifestationsThe signs and symptoms of pancreatitis include:
ComplicationsComplications that arise in pancreatitis include the following:
Assessment and Diagnostic FindingsThe diagnosis of pancreatitis is based on a history of abdominal pain, the presence of known risk factors, physical examination findings, and diagnostic findings.
Medical ManagementManagement of pancreatitis is directed towards relieving symptoms and preventing or treating complications.
Surgical ManagementThere are several approaches available for surgery. The major surgical procedures are the following:
Nursing ManagementThe patient who is admitted to the hospital with a diagnosis of pancreatitis is acutely ill and needs expert nursing care. Nursing AssessmentNursing assessment of a patient with pancreatitis involves:
DiagnosisBased on the assessment data, the nursing diagnoses for a patient with pancreatitis include:
Planning & GoalsMain article: 8+ Pancreatitis Nursing Care Plans Planning and goals developed for a patient with pancreatitis involve:
Nursing InterventionsPerforming nursing interventions for a patient with pancreatitis needs expertise and efficiency.
EvaluationEvaluation of a successful plan of care for a patient with pancreatitis should include:
Discharge and Home Care GuidelinesA prolonged period is needed to regain the strength of a patient who has experienced pancreatitis and to return to the previous level of activity.
DocumentationNursing documentation of the case of a patient with acute pancreatitis involves the following:
Practice Quiz: PancreatitisHere’s a 5-item practice quiz for this Pancreatitis Study Guide. Please visit our nursing test bank for more NCLEX practice questions. 1. Pancreatitis is commonly characterized by: A. Edema and inflammation. B. Pleural effusion. C. Sepsis. D. Disseminated intravascular coagulopathy. 2. A major symptom of pancreatitis that brings the patient to medical care is: A. Severe abdominal pain. B. Fever. C. Jaundice. D. Mental agitation. 3. The nurse should assess for an important early indicator of acute pancreatitis, which is a prolonged and elevated level of: A. Serum calcium. B. Serum lipase. C. Serum bilirubin. D. Serum amylase. 4. Nursing measures for pain relief for pancreatitis include: A. Encouraging bed rest to decrease metabolic rate. B. Teaching the patient about the correlation between alcohol intake and pain. C. Withholding oral feedings to limit the release of secretin. D. All of the above. 5. Which of the following diagnostic studies could identify an increase in the diameter of the pancreas? A. X-ray. B. Hemoglobin and hematocrit levels. C. Ultrasound. D. Serum amylase. Answers and Rationale 1. Answer: A. Edema and inflammation.
2. Answer: A. Severe abdominal pain.
3. Answer: B. Serum lipase.
4. Answer: D. All of the above.
5. Answer: C. Ultrasound.
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