Which imaging technique uses endoscopy combined with radiographic images to examine the bile and pancreatic ducts?

Percutaneous Transhepatic Cholangiography (PTC)

Endoscopic Ultrasound (EUS)

Magnetic Resonance Cholangiopancreatography (MRCP)

Endoscopic Retrograde Cholangiopancreatography (ERCP)

Answer and Explanation

The Correct Answer is D

Rationale:
A. Percutaneous Transhepatic Cholangiography (PTC) involves inserting a needle through the skin into the liver to visualize bile ducts, not using endoscopy.
B. Endoscopic Ultrasound (EUS) uses an endoscope with ultrasound to image structures near the GI tract but does not combine with radiographic imaging of the ducts.
C. Magnetic Resonance Cholangiopancreatography (MRCP) uses MRI to noninvasively visualize bile and pancreatic ducts, without endoscopy.
D. Endoscopic Retrograde Cholangiopancreatography (ERCP) combines endoscopy with radiographic imaging to examine the bile and pancreatic ducts, allowing both diagnosis and therapeutic interventions.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","F","G","H"]

Explanation

Vital Signs

Temperature: 39°C (102.2°F) → fever worsened since admission (sign of possible infection).
Heart rate: 122/min → tachycardia, worsened compared to earlier.
Blood pressure: 106/54 mmHg → trending downward, may indicate fluid deficit/hypotension risk.

Nurse’s Notes

Client lethargic → worsening mental status.
Projectile vomiting → new onset, risk of dehydration and electrolyte imbalance.
Abdominal cramping → possible gastrointestinal complication.
Voiding dark, concentrated urine → sign of dehydration.
Client requesting water → excessive thirst consistent with hyperglycemia/possible hyperosmolar state.

A. Right upper quadrant B. Right lower quadrant C. Left lower quadrant D. Left upper quadrant

Correct Answer is B

Explanation

Rationale:
A. Right upper quadrant contains the liver and gallbladder; pain here is more typical of hepatobiliary disorders, not appendicitis.
B. Right lower quadrant is the correct location of McBurney’s point, found one-third of the distance from the anterior superior iliac spine to the umbilicus. Tenderness here is a classic sign of appendicitis.
C. Left lower quadrant pain is commonly associated with conditions like diverticulitis, not appendicitis.
D. Left upper quadrant contains the stomach, spleen, and pancreas tail; pain here suggests disorders of those organs, not appendicitis.

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Which imaging technique uses endoscopy combined with radiographic images to examine the bile and pancreatic ducts?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","D","F","G","H"]

Explanation

A nurse is admitting a client with suspected appendicitis. Identify where the nurse will palpate to assess for pain at McBurney's point.

Correct Answer is B

Explanation

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?

A nurse is evaluating a client admitted to the emergency unit. Exhibits Which nursing interventions are appropriate for managing a patient with cirrhosis experiencing fluid volume excess?

A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48, PaO2 85 mm Hg. PaCO2 32 mm Hg, and HCO3 25 mEq/L?

A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the nurse identify as the priority?

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

A nurse is caring for a client who has diverticular disease. When palpating the client's abdomen, in which of the following locations should the nurse expect the client to report abdominal pain?

Which of the following laboratory findings is most indicative of fluid volume excess in a client with liver cirrhosis?

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