NUR257 Exam 1 32, 34, & 35 Questions With Complete
Solutions
A client arrives at the orthopedic physician's office stating knee
pain sustained while playing soccer. A history and physical
assessment is completed. The knee appears reddened with
edema. Which other diagnostic testing would the nurse
anticipate?
An arthrocentesis
A bone scan
An arthroscopy
A bone densitometry Correct Answers An arthroscopy
A client asks a nurse, "What can I use to decrease my risk of
exposure to HIV?" What will the nurse include as effective in
reducing the risk of HIV exposure? Select all that apply.
Dental dams
Latex male condoms
Polyurethane female condoms
Lambskin condoms
Sexual abstinence Correct Answers Sexual abstinence
Sexual abstinence
Polyurethane female condoms
Polyurethane female condoms
A client asks the nurse how their rheumatoid arthritis is
diagnosed. The nurse knows that which finding from diagnostic
tests can be used to diagnose rheumatoid arthritis?
Evidence of healed fractures on MRI
Boney erosions on x-ray
Atherosclerotic plaques on an arteriogram
,Reduced muscle mass on CT scan Correct Answers Boney
erosions on x-ray
A client comes to the clinic and reports pain in the right great
toe which is worse at night. Assessment reveals tophi. What
does the nurse suspect?
gouty arthritis
rheumatoid arthritis
reactive arthritis
osteoarthritis Correct Answers gouty arthritis
A client comes to the clinic to see the physician, reporting, "I
think I ate something that I am allergic to." What symptoms
would be appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping Correct Answers Diarrhea
and abdominal cramping
A client cringes in pain when the nurse places the stethoscope
over the upper back to assess breath sounds. On which condition
will the nurse focus when assessing this client?
Ankylosing spondylitis
Liver disease
Gallbladder disease
Fibromyalgia Correct Answers Fibromyalgia
A client diagnosed with degenerative joint disease of the fingers
reports now having bumps on the fingers that do not hurt. The
,nurse observes bony nodules on the distal interphalangeal joints.
What type of "bumps" does the nurse understand these are?
Bouchard nodes
Heberden nodes
Rheumatoid nodules
Tophi Correct Answers Heberden nodes
A client diagnosed with human immunodeficiency virus (HIV)
asks how the health care provider determines what his or her
viral load is. What is the nurse's best response?
The health care provider can have a sedimentary rate run.
The health care provider can have a basic metabolic panel run.
The health care provider can have an ELISA test run.
The health care provider can have a polymerase chain reaction
test run. Correct Answers The health care provider can have a
polymerase chain reaction test run.
A client has a history of osteoarthritis. Which signs and
symptoms should the nurse expect to find on physical
assessment?
Swelling, joint pain, and tenderness on palpation
Hot, inflamed joints; crepitus; joint pain
Joint pain, crepitus, Heberden's nodes
Tophi, enlarged joints, Bouchard's nodes Correct Answers Joint
pain, crepitus, Heberden's nodes
A client has an elbow injury that involves the cartilage in that
joint. The nurse understands that which type of cartilage has
been affected?
Costal cartilage
Semilunar cartilage
, Fibrous cartilage
Hyaline cartilage Correct Answers Hyaline cartilage
A client has been living with rheumatoid arthritis (RA) for
several years. Which diagnostic test will the nurse prepare the
client for to determine the progression of the disease?
Ultrasound
MRI
X-ray
CT scan Correct Answers X-ray
A client has been treated for migraine headaches for several
months and comes to the clinic reporting no improvement. The
nurse is talking with the client and hears an audible click when
the client is moving the jaw. What does the nurse suspect may
be happening?
Pericardial friction rub
Rhonchi
Lung sounds are diminished in the apical area.
Crackles in the bases Correct Answers Lung sounds are
diminished in the apical area.
A client has had an electromyography. What is an appropriate
nursing intervention following this diagnostic procedure?
Apply warm compresses.
Apply a compression dressing.
Monitor the client for infection.
Monitor the client for anaphylaxis. Correct Answers Apply
warm compresses.
Solutions
A client arrives at the orthopedic physician's office stating knee
pain sustained while playing soccer. A history and physical
assessment is completed. The knee appears reddened with
edema. Which other diagnostic testing would the nurse
anticipate?
An arthrocentesis
A bone scan
An arthroscopy
A bone densitometry Correct Answers An arthroscopy
A client asks a nurse, "What can I use to decrease my risk of
exposure to HIV?" What will the nurse include as effective in
reducing the risk of HIV exposure? Select all that apply.
Dental dams
Latex male condoms
Polyurethane female condoms
Lambskin condoms
Sexual abstinence Correct Answers Sexual abstinence
Sexual abstinence
Polyurethane female condoms
Polyurethane female condoms
A client asks the nurse how their rheumatoid arthritis is
diagnosed. The nurse knows that which finding from diagnostic
tests can be used to diagnose rheumatoid arthritis?
Evidence of healed fractures on MRI
Boney erosions on x-ray
Atherosclerotic plaques on an arteriogram
,Reduced muscle mass on CT scan Correct Answers Boney
erosions on x-ray
A client comes to the clinic and reports pain in the right great
toe which is worse at night. Assessment reveals tophi. What
does the nurse suspect?
gouty arthritis
rheumatoid arthritis
reactive arthritis
osteoarthritis Correct Answers gouty arthritis
A client comes to the clinic to see the physician, reporting, "I
think I ate something that I am allergic to." What symptoms
would be appropriate for the nurse to ask questions about?
Nasal congestion and coughing
Hives and itching
Sneezing and runny nose
Diarrhea and abdominal cramping Correct Answers Diarrhea
and abdominal cramping
A client cringes in pain when the nurse places the stethoscope
over the upper back to assess breath sounds. On which condition
will the nurse focus when assessing this client?
Ankylosing spondylitis
Liver disease
Gallbladder disease
Fibromyalgia Correct Answers Fibromyalgia
A client diagnosed with degenerative joint disease of the fingers
reports now having bumps on the fingers that do not hurt. The
,nurse observes bony nodules on the distal interphalangeal joints.
What type of "bumps" does the nurse understand these are?
Bouchard nodes
Heberden nodes
Rheumatoid nodules
Tophi Correct Answers Heberden nodes
A client diagnosed with human immunodeficiency virus (HIV)
asks how the health care provider determines what his or her
viral load is. What is the nurse's best response?
The health care provider can have a sedimentary rate run.
The health care provider can have a basic metabolic panel run.
The health care provider can have an ELISA test run.
The health care provider can have a polymerase chain reaction
test run. Correct Answers The health care provider can have a
polymerase chain reaction test run.
A client has a history of osteoarthritis. Which signs and
symptoms should the nurse expect to find on physical
assessment?
Swelling, joint pain, and tenderness on palpation
Hot, inflamed joints; crepitus; joint pain
Joint pain, crepitus, Heberden's nodes
Tophi, enlarged joints, Bouchard's nodes Correct Answers Joint
pain, crepitus, Heberden's nodes
A client has an elbow injury that involves the cartilage in that
joint. The nurse understands that which type of cartilage has
been affected?
Costal cartilage
Semilunar cartilage
, Fibrous cartilage
Hyaline cartilage Correct Answers Hyaline cartilage
A client has been living with rheumatoid arthritis (RA) for
several years. Which diagnostic test will the nurse prepare the
client for to determine the progression of the disease?
Ultrasound
MRI
X-ray
CT scan Correct Answers X-ray
A client has been treated for migraine headaches for several
months and comes to the clinic reporting no improvement. The
nurse is talking with the client and hears an audible click when
the client is moving the jaw. What does the nurse suspect may
be happening?
Pericardial friction rub
Rhonchi
Lung sounds are diminished in the apical area.
Crackles in the bases Correct Answers Lung sounds are
diminished in the apical area.
A client has had an electromyography. What is an appropriate
nursing intervention following this diagnostic procedure?
Apply warm compresses.
Apply a compression dressing.
Monitor the client for infection.
Monitor the client for anaphylaxis. Correct Answers Apply
warm compresses.
