NURS 104 Exam 4 Questions With
Correct Answers
/. The occupational health nurse is teaching a class on the risk factors for developing
osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
1. Being overweight
2. Increasing age
3. Previous joint damage
4. Genetic susceptibility - Answer-✅1. Being overweight.
/.The client is diagnosed with osteoarthritis. Which sign/symptom should the nurse
expect the client to exhibit?
1. Severe bone deformity
2. Joint stiffness
3. Waddling gait
4. Swan-neck fingers - Answer-✅2. Joint stiffness
/.The client diagnosed with OA is a resident in a long-term care facility. The resident is
refusing to bathe because she is hurting. Which instruction should the nurse give the
unlicensed assistive personnel (UAP)?
1. Allow the client to stay in bed until the pain becomes bearable?
2. Tell the UAP to give the client a bed bath this morning.
3. Try to encourage the client to get up and go to the shower.
4. Notify the family the client is refusing to be bathed. - Answer-✅3. Try to encourage
the client to get up and go to the shower.
/.The client has been diagnosed with OA for the last seven years and has tried multiple
medical treatments and alternative treatments but still has significant pain. Which
psychosocial client problem should the nurse identify?
1. Severe pain
2. Body image disturbance
3. Knowledge deficit
4. Depression - Answer-✅4. Depression
/.The client diagnosed with OA is prescribed a non-steroidal anti-inflammatory drug
(NSAID). Which instructing should the nurse teach the client?
1. Take the medication on an empty stomach.
2. Make sure to taper the medication when discontinuing.
3. Apply the medication topically over the affected joints.
4. Notify the healthcare provider if vomiting blood. - Answer-✅4. Notify the healthcare
provider if vomiting blood.
, /.Which client goal is most appropriate for a client diagnosed with OA?
1. Perform passive range-of-motion exercises.
2. Maintain optimal functional ability.
3. Client will walk three miles every day.
4. Client will join a health club. - Answer-✅2. Maintain optimal functional ability.
/.To which member of the healthcare team should the nurse refer if the client diagnosed
with OA who is complaining of not being able to get in and out of the bathtub?
1. Physiatrist
2. Social worker
3. Physical therapist
4. Counselor - Answer-✅3. Physical therapist
/.The nurse is discussing the importance of an exercise program for pain control to a
client with OA. Which intervention should the nurse include in the teaching?
1. Wear supportive tennis shoes with white socks when walking.
2. Carry a complex carbohydrate while exercising.
3. Alternate walking briskly and jogging when exercising.
4. Walk at least 30 minutes three times a week. - Answer-✅1. Wear supportive tennis
shoes with white socks when walking.
/.The healthcare provider prescribes glucosamine and chondroitin for a client diagnosed
with OA. Which is the scientific rational for prescribing this medication?
1. It will help decrease the inflammation in the joints.
2. It improves the tissue function and retards breakdown of cartilage.
3. It is a potent medication which decreases the client's joint pain.
4. In increases the production of synovial fluid in the joint. - Answer-✅2. It improves the
tissue function and retards breakdown of cartilage.
/.The nurse is admitting the client with OA to the medical floor. Which statement by the
client indicates an alternative form of treatment for OA?
1. "I take my medication every two hours for my pain."
2. "I use a heating pad when I go to bed at night."
3. "I wear a copper bracelet to help with my OA."
4. "I always wear my ankle splints when I sleep." - Answer-✅"I wear a copper bracelet
to help with my OA."
/.The client is complaining of joint stiffness, especially in the morning. Which diagnostic
tests should the nurse expect the healthcare provider to order to R/O osteoarthritis?
1. Full-body magnetic resonance imaging scan.
2. Serum studies for synovial fluid amount.
3. X-ray of the affected joints
4. Serum erythrocyte sedimentation rate (ESR). - Answer-✅3. X-ray of the affected
joints.
Correct Answers
/. The occupational health nurse is teaching a class on the risk factors for developing
osteoarthritis (OA). Which is a modifiable risk factor for developing OA?
1. Being overweight
2. Increasing age
3. Previous joint damage
4. Genetic susceptibility - Answer-✅1. Being overweight.
/.The client is diagnosed with osteoarthritis. Which sign/symptom should the nurse
expect the client to exhibit?
1. Severe bone deformity
2. Joint stiffness
3. Waddling gait
4. Swan-neck fingers - Answer-✅2. Joint stiffness
/.The client diagnosed with OA is a resident in a long-term care facility. The resident is
refusing to bathe because she is hurting. Which instruction should the nurse give the
unlicensed assistive personnel (UAP)?
1. Allow the client to stay in bed until the pain becomes bearable?
2. Tell the UAP to give the client a bed bath this morning.
3. Try to encourage the client to get up and go to the shower.
4. Notify the family the client is refusing to be bathed. - Answer-✅3. Try to encourage
the client to get up and go to the shower.
/.The client has been diagnosed with OA for the last seven years and has tried multiple
medical treatments and alternative treatments but still has significant pain. Which
psychosocial client problem should the nurse identify?
1. Severe pain
2. Body image disturbance
3. Knowledge deficit
4. Depression - Answer-✅4. Depression
/.The client diagnosed with OA is prescribed a non-steroidal anti-inflammatory drug
(NSAID). Which instructing should the nurse teach the client?
1. Take the medication on an empty stomach.
2. Make sure to taper the medication when discontinuing.
3. Apply the medication topically over the affected joints.
4. Notify the healthcare provider if vomiting blood. - Answer-✅4. Notify the healthcare
provider if vomiting blood.
, /.Which client goal is most appropriate for a client diagnosed with OA?
1. Perform passive range-of-motion exercises.
2. Maintain optimal functional ability.
3. Client will walk three miles every day.
4. Client will join a health club. - Answer-✅2. Maintain optimal functional ability.
/.To which member of the healthcare team should the nurse refer if the client diagnosed
with OA who is complaining of not being able to get in and out of the bathtub?
1. Physiatrist
2. Social worker
3. Physical therapist
4. Counselor - Answer-✅3. Physical therapist
/.The nurse is discussing the importance of an exercise program for pain control to a
client with OA. Which intervention should the nurse include in the teaching?
1. Wear supportive tennis shoes with white socks when walking.
2. Carry a complex carbohydrate while exercising.
3. Alternate walking briskly and jogging when exercising.
4. Walk at least 30 minutes three times a week. - Answer-✅1. Wear supportive tennis
shoes with white socks when walking.
/.The healthcare provider prescribes glucosamine and chondroitin for a client diagnosed
with OA. Which is the scientific rational for prescribing this medication?
1. It will help decrease the inflammation in the joints.
2. It improves the tissue function and retards breakdown of cartilage.
3. It is a potent medication which decreases the client's joint pain.
4. In increases the production of synovial fluid in the joint. - Answer-✅2. It improves the
tissue function and retards breakdown of cartilage.
/.The nurse is admitting the client with OA to the medical floor. Which statement by the
client indicates an alternative form of treatment for OA?
1. "I take my medication every two hours for my pain."
2. "I use a heating pad when I go to bed at night."
3. "I wear a copper bracelet to help with my OA."
4. "I always wear my ankle splints when I sleep." - Answer-✅"I wear a copper bracelet
to help with my OA."
/.The client is complaining of joint stiffness, especially in the morning. Which diagnostic
tests should the nurse expect the healthcare provider to order to R/O osteoarthritis?
1. Full-body magnetic resonance imaging scan.
2. Serum studies for synovial fluid amount.
3. X-ray of the affected joints
4. Serum erythrocyte sedimentation rate (ESR). - Answer-✅3. X-ray of the affected
joints.
