NR 304 Exam 2 Practice Questions – Study Guide and Exam Review Material
The nurse is completing the health history of a client admitted to the hospital with
osteoarthritis. Which joints would the nurse expect the client will report as having been
involved first? Select all that apply. One, some, or all responses may be correct.
a.Hips
b.Knees
c.Ankles
d.Shoulders
e.Metacarpals - correct answer ✔✔a, b
Which assessment findings would the nurse identify in a client with clinical manifestations of
rheumatoid arthritis (RA)? Select all that apply. One, some, or all responses may be correct.
a.Obesity and asymmetric joint disease
b.Development of antinuclear antibodies
c.Inflammatory disease pattern
d.Bilateral involvement of metacarpophalangeal joints
e.Disease process involving the distal interphalangeal joints
f.Disease in the weight-bearing joints and handsb, - correct answer ✔✔b, c, d
A hospitalized client newly diagnosed with rheumatoid arthritis complains of bilaterally painful
knee and wrist joints. The nurse identifies impaired physical mobility related to painful, swollen
joints. Which intervention would the nurse teach the client to do during the acute phase of the
disease?
a.Avoid movement of the involved joints.
, b.Engage in passive exercises to the involved joints.
c.Increase isometric exercises to the involved joints slowly.
d.Participate in progressive, resistive exercises to the involved joints. - correct answer ✔✔a
A nurse is counseling a client with osteoporosis. In addition to calcium, which vitamin
supplement should the nurse anticipate that the primary health-care provider will prescribe for
the patient?
a.B
b.K
c.D
d.E - correct answer ✔✔d
- promotes bone mineralization
A client with rheumatoid arthritis is scheduled to participate in an exercise program that is
established at the extended care facility where the client resides. The nurse evaluates that the
client understands the purpose of the program when the client makes which statement?
a."I know the exercises are important, so I do them whenever I can."
b."I do my exercises when I go to physical therapy in the morning and afternoon."
c."Because I'm stiff in the morning, I do most of my exercises then, so I'm done for the day."
d. "After I eat breakfast, I do one set of exercises slowly, and then I space the rest of them
throughout the day." - correct answer ✔✔d
The nurse is providing discharge teaching to a 30-year-old client who was hospitalized for
exacerbation of rheumatoid arthritis. Which statement by the client indicates correct
understanding of the treatment plan?
The nurse is completing the health history of a client admitted to the hospital with
osteoarthritis. Which joints would the nurse expect the client will report as having been
involved first? Select all that apply. One, some, or all responses may be correct.
a.Hips
b.Knees
c.Ankles
d.Shoulders
e.Metacarpals - correct answer ✔✔a, b
Which assessment findings would the nurse identify in a client with clinical manifestations of
rheumatoid arthritis (RA)? Select all that apply. One, some, or all responses may be correct.
a.Obesity and asymmetric joint disease
b.Development of antinuclear antibodies
c.Inflammatory disease pattern
d.Bilateral involvement of metacarpophalangeal joints
e.Disease process involving the distal interphalangeal joints
f.Disease in the weight-bearing joints and handsb, - correct answer ✔✔b, c, d
A hospitalized client newly diagnosed with rheumatoid arthritis complains of bilaterally painful
knee and wrist joints. The nurse identifies impaired physical mobility related to painful, swollen
joints. Which intervention would the nurse teach the client to do during the acute phase of the
disease?
a.Avoid movement of the involved joints.
, b.Engage in passive exercises to the involved joints.
c.Increase isometric exercises to the involved joints slowly.
d.Participate in progressive, resistive exercises to the involved joints. - correct answer ✔✔a
A nurse is counseling a client with osteoporosis. In addition to calcium, which vitamin
supplement should the nurse anticipate that the primary health-care provider will prescribe for
the patient?
a.B
b.K
c.D
d.E - correct answer ✔✔d
- promotes bone mineralization
A client with rheumatoid arthritis is scheduled to participate in an exercise program that is
established at the extended care facility where the client resides. The nurse evaluates that the
client understands the purpose of the program when the client makes which statement?
a."I know the exercises are important, so I do them whenever I can."
b."I do my exercises when I go to physical therapy in the morning and afternoon."
c."Because I'm stiff in the morning, I do most of my exercises then, so I'm done for the day."
d. "After I eat breakfast, I do one set of exercises slowly, and then I space the rest of them
throughout the day." - correct answer ✔✔d
The nurse is providing discharge teaching to a 30-year-old client who was hospitalized for
exacerbation of rheumatoid arthritis. Which statement by the client indicates correct
understanding of the treatment plan?
