nur 290 exam 4 practice questions with
correct answers
a |68 |year |old |client |with |a |history |of |rheumatic |disease |has |persistent |swelling, |no |stiffness, |
and |full |range |of |motion |to |his |left |knee |after |an |injury |sustained |several |months |ago. |x-rays |
reveal |no |fracture |of |the |extremity. |which |factor |is |the |most |likely |cause |of |this |client's |
continued |swelling?
a. |degradation |of |cartilage
b. |aging
c. |an |inflammation |process
d. |reinjury |not |seen |on |x-ray |results
C. |AN |INFLAMMATION |PROCESS
a |nurse |is |performing |the |initial |assessment |of |a |client |who |has |a |recent |diagnosis |of |systemic |
lupus |eryhthromatosus |(SLE). |which |skin |manifestation |would |the |nurse |expect |to |observe |on |
inspection?
a. |petechiae
b. |erythematous |rash
c. |jaundice
d. |skin |sloughing
B. |ERYTHEMATOUS |RASH
a |clinic |nurse |is |caring |for |a |client |with |suspected |gout. |while |describing |the |pathophysiology |
of |gout |to |the |client, |what |should |the |nurse |explain?
a. |autoimmune |processes |in |the |joints
b. |chronic |metabolic |acidosis
c. |increased |uric |acid |levels
d. |unstable |serum |calcium |levels
C. |INCREASED |URIC |ACID |LEVELS
,a |client's |decreased |mobility |has |been |attributed |to |an |autoimmune |reaction |originating |in |the
|synovial |tissue, |which |caused |the |formation |of |pannus. |this |client |has |been |diagnosed |with |
which |health |problem?
a. |rheumatoid |arthritis |(RA)
b. |systemic |lupus |erythematosus |(SLE)
c. |osteoporosis
d. |polymyositis
A. |RHEUMATOID |ARTHRITIS |(RA)
a |nurse |is |performing |the |health |history |and |physical |assessment |of |a |client |who |has |a |
diagnosis |of |rheumatoid |arthritis |(RA). |what |assessment |finding |is |most |consistent |with |the |
clinical |presentation |of |RA?
a. |cool |joints |with |decreased |range |of |motion
b. |signs |of |systemic |infection
c. |joint |stiffness |lasting |longer |than |1 |hour, |especially |in |the |morning
d. |visible |atrophy |of |the |knee |and |shoulder |joints
C. |JOINT |STIFFNESS |LASTING |LONGER |THAN |1 |HOUR, |ESPECIALLY |IN |THE |MORNING
a |client |has |a |diagnosis |of |rheumatoid |arthritis, |and |the |primary |provider |has |now |prescribed |
cyclophosphamide. |the |nurse's |subsequent |assessments |should |address |which |potential |
adverse |effect?
a. |bone |marrow |suppression
b. |acute |confusion
c. |sedation
d. |malignant |hyperthermia
A. |BONE |MARROW |SUPPRESSION
a |client |is |undergoing |diagnostic |testing |to |determine |the |etiology |of |recent |joint |pain. |the |
client |asks |the |nurse |about |the |different |between |osteoarthritis |(OA) |and |rheumatoid |arthritis |
(RA). |what |is |the |best |response |by |the |nurse?
a. |"OA |is |considered |a |noninflammatory |joint |disease. |RA |is |characterized |by |inflamed, |swollen
|joints"
b. |"OA |and |RA |are |very |similar. |OA |affects |the |smaller |joints |such |as |the |fingers, |and |RA |
affects |the |larger, |weight-bearing |joints |like |the |knees"
,c. |"OA |originates |with |an |infection. |RA |is |a |result |of |your |body's |cells |attacking |one |another"
d. |"OA |is |associated |with |impaired |immune |function; |RA |is |a |consequence |of |physical |
damage"
A. |"OA |IS |CONSIDERED |A |NONINFLAMMATORY |JOINT |DISEASE. |RA |IS |CHARACTERIZED |BY |
INFLAMED, |SWOLLEN |JOINTS"
a |client |with |systemic |lupus |erythematosus |(SLE) |is |preparing |for |discharge. |the |nurse |knows |
that |the |client |has |understood |health |education |when |the |client |makes |what |statement?
a. |"I'll |make |sure |I |get |enough |exposure |to |sunlight |to |keep |up |my |vitamin |D |levels"
b. |"I'll |try |to |be |as |physically |active |between |flare-ups"
c. |"I'll |make |sure |to |monitor |my |body |temperature |on |a |regular |basis"
d. |"I'll |stop |taking |my |steroids |when |I |get |relief |from |my |symptoms"
C. |"I'LL |MAKE |SURE |TO |MONITOR |MY |BODY |TEMPERATURE |ON |A |REGULAR |BASIS"
a |client |with |an |exacerbation |of |systemic |lupus |erythematosus |(SLE) |has |been |hospitalized |on |
a |medical |unit. |the |nurse |observes |that |the |client |expresses |anger |and |irritation |when |the |call |
bell |isn't |answered |immediately. |which |response |would |be |the |most |appropriate?
a. |"you |seem |like |you're |feeling |angry. |is |that |something |that |we |could |talk |about?"
b. |"try |to |remember |that |stress |can |make |your |symptoms |worse"
c. |"would |you |like |to |talk |about |the |problem |with |the |nursing |supervisor?"
d. |"I |can |see |you're |angry. |I'll |come |back |when |you've |calmed |down"
A. |"YOU |SEEM |LIKE |YOU'RE |FEELING |ANGRY. |IS |THAT |SOMETHING |THAT |WE |COULD |TALK |
ABOUT?"
allopurinol |has |been |prescribed |for |a |client |receiving |treatment |for |gout. |the |nurse |caring |for |
this |client |knows |to |assesss |the |client |for |bone |marrow |suppression, |which |may |be |manifested
|by |what |diagnostic |finding?
a. |hyperuricemia
b. |increased |erythrocyte |sedimentation |rate
c. |elevated |serum |creatinine
d. |decreased |platelets
D. |DECREASED |PLATELETS
a |nurse |is |planning |client |education |for |a |client |being |discharged |home |for |a |diagnosis |of |
rheumatoid |arthritis. |the |client |has |been |prescribed |antimalarials |for |treatment, |so |the |nurse |
, knows |to |teach |the |client |to |self-monitor |for |what |adverse |effect?
a. |tinnitus
b. |visual |changes
c. |stomatitis
d. |hirsutism
B. |VISUAL |CHANGES
a |nurse |is |educating |a |client |with |gout |about |lifestyle |modifications |that |can |help |control |the |
signs |and |symptoms |of |the |disease. |what |recommendation |should |the |nurse |make?
a. |ensuring |adequate |rest
b. |limiting |exposure |to |sunlight
c. |limiting |intake |of |alcohol
d. |smoking |cessation
C. |LIMITING |INTAKE |OF |ALCOHOL
a |client's |rheumatoid |arthritis |has |failed |to |respond |appreciably |to |first-line |treatments |and |
the |primary |provider |has |added |prednisone |to |the |client's |drug |regimen. |what |principle |will |
guide |this |aspect |of |the |client's |treatment?
a. |the |client |will |need |daily |blood |testing |for |the |duration |of |treatment
b. |the |client |must |stop |all |other |drugs |72 |hours |before |starting |prednisone
c. |the |drug |should |be |sued |at |the |highest |dose |the |client |can |tolerate
d. |the |drug |should |be |used |for |as |short |a |time |as |possible
D. |THE |DRUG |SHOULD |BE |USED |FOR |AS |SHORT |A |TIME |AS |POSSIBLE
a |community |health |nurse |is |performing |a |visit |to |the |home |of |a |client |who |has |a |history |of |
rheumatoid |arthritis |(RA). |on |which |aspect |of |the |client's |health |should |the |nurse |focus |most |
closely |during |the |visit?
a. |understanding |of |rheumatoid |arthritis
b. |risk |for |cardiopulmonary |complications
c. |social |support |system
d. |functional |status
D. |FUNCTIONAL |STATUS
correct answers
a |68 |year |old |client |with |a |history |of |rheumatic |disease |has |persistent |swelling, |no |stiffness, |
and |full |range |of |motion |to |his |left |knee |after |an |injury |sustained |several |months |ago. |x-rays |
reveal |no |fracture |of |the |extremity. |which |factor |is |the |most |likely |cause |of |this |client's |
continued |swelling?
a. |degradation |of |cartilage
b. |aging
c. |an |inflammation |process
d. |reinjury |not |seen |on |x-ray |results
C. |AN |INFLAMMATION |PROCESS
a |nurse |is |performing |the |initial |assessment |of |a |client |who |has |a |recent |diagnosis |of |systemic |
lupus |eryhthromatosus |(SLE). |which |skin |manifestation |would |the |nurse |expect |to |observe |on |
inspection?
a. |petechiae
b. |erythematous |rash
c. |jaundice
d. |skin |sloughing
B. |ERYTHEMATOUS |RASH
a |clinic |nurse |is |caring |for |a |client |with |suspected |gout. |while |describing |the |pathophysiology |
of |gout |to |the |client, |what |should |the |nurse |explain?
a. |autoimmune |processes |in |the |joints
b. |chronic |metabolic |acidosis
c. |increased |uric |acid |levels
d. |unstable |serum |calcium |levels
C. |INCREASED |URIC |ACID |LEVELS
,a |client's |decreased |mobility |has |been |attributed |to |an |autoimmune |reaction |originating |in |the
|synovial |tissue, |which |caused |the |formation |of |pannus. |this |client |has |been |diagnosed |with |
which |health |problem?
a. |rheumatoid |arthritis |(RA)
b. |systemic |lupus |erythematosus |(SLE)
c. |osteoporosis
d. |polymyositis
A. |RHEUMATOID |ARTHRITIS |(RA)
a |nurse |is |performing |the |health |history |and |physical |assessment |of |a |client |who |has |a |
diagnosis |of |rheumatoid |arthritis |(RA). |what |assessment |finding |is |most |consistent |with |the |
clinical |presentation |of |RA?
a. |cool |joints |with |decreased |range |of |motion
b. |signs |of |systemic |infection
c. |joint |stiffness |lasting |longer |than |1 |hour, |especially |in |the |morning
d. |visible |atrophy |of |the |knee |and |shoulder |joints
C. |JOINT |STIFFNESS |LASTING |LONGER |THAN |1 |HOUR, |ESPECIALLY |IN |THE |MORNING
a |client |has |a |diagnosis |of |rheumatoid |arthritis, |and |the |primary |provider |has |now |prescribed |
cyclophosphamide. |the |nurse's |subsequent |assessments |should |address |which |potential |
adverse |effect?
a. |bone |marrow |suppression
b. |acute |confusion
c. |sedation
d. |malignant |hyperthermia
A. |BONE |MARROW |SUPPRESSION
a |client |is |undergoing |diagnostic |testing |to |determine |the |etiology |of |recent |joint |pain. |the |
client |asks |the |nurse |about |the |different |between |osteoarthritis |(OA) |and |rheumatoid |arthritis |
(RA). |what |is |the |best |response |by |the |nurse?
a. |"OA |is |considered |a |noninflammatory |joint |disease. |RA |is |characterized |by |inflamed, |swollen
|joints"
b. |"OA |and |RA |are |very |similar. |OA |affects |the |smaller |joints |such |as |the |fingers, |and |RA |
affects |the |larger, |weight-bearing |joints |like |the |knees"
,c. |"OA |originates |with |an |infection. |RA |is |a |result |of |your |body's |cells |attacking |one |another"
d. |"OA |is |associated |with |impaired |immune |function; |RA |is |a |consequence |of |physical |
damage"
A. |"OA |IS |CONSIDERED |A |NONINFLAMMATORY |JOINT |DISEASE. |RA |IS |CHARACTERIZED |BY |
INFLAMED, |SWOLLEN |JOINTS"
a |client |with |systemic |lupus |erythematosus |(SLE) |is |preparing |for |discharge. |the |nurse |knows |
that |the |client |has |understood |health |education |when |the |client |makes |what |statement?
a. |"I'll |make |sure |I |get |enough |exposure |to |sunlight |to |keep |up |my |vitamin |D |levels"
b. |"I'll |try |to |be |as |physically |active |between |flare-ups"
c. |"I'll |make |sure |to |monitor |my |body |temperature |on |a |regular |basis"
d. |"I'll |stop |taking |my |steroids |when |I |get |relief |from |my |symptoms"
C. |"I'LL |MAKE |SURE |TO |MONITOR |MY |BODY |TEMPERATURE |ON |A |REGULAR |BASIS"
a |client |with |an |exacerbation |of |systemic |lupus |erythematosus |(SLE) |has |been |hospitalized |on |
a |medical |unit. |the |nurse |observes |that |the |client |expresses |anger |and |irritation |when |the |call |
bell |isn't |answered |immediately. |which |response |would |be |the |most |appropriate?
a. |"you |seem |like |you're |feeling |angry. |is |that |something |that |we |could |talk |about?"
b. |"try |to |remember |that |stress |can |make |your |symptoms |worse"
c. |"would |you |like |to |talk |about |the |problem |with |the |nursing |supervisor?"
d. |"I |can |see |you're |angry. |I'll |come |back |when |you've |calmed |down"
A. |"YOU |SEEM |LIKE |YOU'RE |FEELING |ANGRY. |IS |THAT |SOMETHING |THAT |WE |COULD |TALK |
ABOUT?"
allopurinol |has |been |prescribed |for |a |client |receiving |treatment |for |gout. |the |nurse |caring |for |
this |client |knows |to |assesss |the |client |for |bone |marrow |suppression, |which |may |be |manifested
|by |what |diagnostic |finding?
a. |hyperuricemia
b. |increased |erythrocyte |sedimentation |rate
c. |elevated |serum |creatinine
d. |decreased |platelets
D. |DECREASED |PLATELETS
a |nurse |is |planning |client |education |for |a |client |being |discharged |home |for |a |diagnosis |of |
rheumatoid |arthritis. |the |client |has |been |prescribed |antimalarials |for |treatment, |so |the |nurse |
, knows |to |teach |the |client |to |self-monitor |for |what |adverse |effect?
a. |tinnitus
b. |visual |changes
c. |stomatitis
d. |hirsutism
B. |VISUAL |CHANGES
a |nurse |is |educating |a |client |with |gout |about |lifestyle |modifications |that |can |help |control |the |
signs |and |symptoms |of |the |disease. |what |recommendation |should |the |nurse |make?
a. |ensuring |adequate |rest
b. |limiting |exposure |to |sunlight
c. |limiting |intake |of |alcohol
d. |smoking |cessation
C. |LIMITING |INTAKE |OF |ALCOHOL
a |client's |rheumatoid |arthritis |has |failed |to |respond |appreciably |to |first-line |treatments |and |
the |primary |provider |has |added |prednisone |to |the |client's |drug |regimen. |what |principle |will |
guide |this |aspect |of |the |client's |treatment?
a. |the |client |will |need |daily |blood |testing |for |the |duration |of |treatment
b. |the |client |must |stop |all |other |drugs |72 |hours |before |starting |prednisone
c. |the |drug |should |be |sued |at |the |highest |dose |the |client |can |tolerate
d. |the |drug |should |be |used |for |as |short |a |time |as |possible
D. |THE |DRUG |SHOULD |BE |USED |FOR |AS |SHORT |A |TIME |AS |POSSIBLE
a |community |health |nurse |is |performing |a |visit |to |the |home |of |a |client |who |has |a |history |of |
rheumatoid |arthritis |(RA). |on |which |aspect |of |the |client's |health |should |the |nurse |focus |most |
closely |during |the |visit?
a. |understanding |of |rheumatoid |arthritis
b. |risk |for |cardiopulmonary |complications
c. |social |support |system
d. |functional |status
D. |FUNCTIONAL |STATUS
