Rasmussen University NUR2571 Professional Nursing 2 (PN2) Exam 2
The student nurse learns that the most important function of inflammation and immunity is
which purpose?
Providing protection against invading organisms
A client has a leg wound that is in the second stage of the inflammatory response. For what
manifestation does the nurse assess? Purulent drainage
The nurse understands that which type of immunity is the longest acting? Natural active
A client is taking prednisone to prevent transplant rejection. What instruction by the nurse is
most important?
“Avoid large crowds and people who are ill.”
The nurse working with clients who have autoimmune diseases understands that what component
of cell-mediated immunity is the problem? Suppressor T cells
A nurse is assessing a client for acute rejection of a kidney transplant. What assessment finding
requires the most rapid communication with the provider? Creatinine of 3.9 mg/dL
A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA) about
drugs used to treat the disease. For which medication does the nurse plan primary teaching?
Acetaminophen (Tylenol)
An older client has returned to the surgical unit after a total hip replacement. The client is confused
and restless. What intervention by the nurse is most important to prevent injury?
Use an abduction pillow.
The nurse on the postoperative inpatient unit assesses a client after a total hip replacement. The
client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While
a co-worker calls the surgeon, what action by the nurse is best?
Assess neurovascular status in both legs.
A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which
client should the nurse see first?
Client with a red, hot, swollen right wrist
A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having elective
surgery. The client reports that one arm feels like “pins and needles” and that the neck is very
painful since returning from surgery. What action by the nurse is best?
Notify the provider immediately.
The nurse working in the rheumatology clinic is seeing clients with rheumatoid arthritis (RA).
What assessment would be most important for the client whose chart contains the diagnosis of
Sjögren’s syndrome? Visual acuity
, The nurse is working with a client who has rheumatoid arthritis (RA). The nurse has identified the
priority problem of poor body image for the client. What finding by the nurse indicates goals for
this client problem are being met? Attends meetings of a book club
The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA). Which
client should the nurse see first? Client with a fever and cough who is taking tofacitinib (Xeljanz)
A client is started on etanercept (Enbrel). What teaching by the nurse is most appropriate?
Giving subcutaneous injections
A client who has had systemic lupus erythematosus (SLE) for many years is in the clinic reporting
hip pain with ambulation. Which action by the nurse is best? Assess medication records for steroid
use.
The nurse on an inpatient rheumatology unit receives a hand-off report on a client with an acute
exacerbation of systemic lupus erythematosus (SLE). Which reported laboratory value requires the
nurse to assess the client further? Creatinine: 3.9 mg/dL
A client with systemic lupus erythematosus (SLE) was recently discharged from the hospital after
an acute exacerbation. The client is in the clinic for a follow-up visit and is distraught about the
possibility of another hospitalization disrupting the family. What action by the nurse is best?
Help the client create backup plans to minimize disruption.
The nurse is teaching a client with gout dietary strategies to prevent exacerbations or other
problems. Which statement by the nurse is most appropriate? “Drink 1 to 2 liters of water each
day.”
A client in the orthopedic clinic has a self-reported history of osteoarthritis. The client reports a
low-grade fever that started when the weather changed and several joints started “acting up,”
especially both hips and knees. What action by the nurse is best? Assess the client for the
presence of subcutaneous nodules or Baker’s cysts.
A nurse is caring for a client after joint replacement surgery. What action by the nurse is most
important to prevent wound infection? Use aseptic technique for dressing changes.
A nurse is discharging a client after a total hip replacement. What statement by the client
indicates good potential for self-management? “I will not sit with my legs crossed.”
A client recently diagnosed with systemic lupus erythematosus (SLE) is in the clinic for a
follow-up visit. The nurse evaluates that the client practices good self-care when the client makes
which statement? “I always wear long sleeves, pants, and a hat when outdoors.”
The student nurse learns that the most important function of inflammation and immunity is
which purpose?
Providing protection against invading organisms
A client has a leg wound that is in the second stage of the inflammatory response. For what
manifestation does the nurse assess? Purulent drainage
The nurse understands that which type of immunity is the longest acting? Natural active
A client is taking prednisone to prevent transplant rejection. What instruction by the nurse is
most important?
“Avoid large crowds and people who are ill.”
The nurse working with clients who have autoimmune diseases understands that what component
of cell-mediated immunity is the problem? Suppressor T cells
A nurse is assessing a client for acute rejection of a kidney transplant. What assessment finding
requires the most rapid communication with the provider? Creatinine of 3.9 mg/dL
A nurse in the family clinic is teaching a client newly diagnosed with osteoarthritis (OA) about
drugs used to treat the disease. For which medication does the nurse plan primary teaching?
Acetaminophen (Tylenol)
An older client has returned to the surgical unit after a total hip replacement. The client is confused
and restless. What intervention by the nurse is most important to prevent injury?
Use an abduction pillow.
The nurse on the postoperative inpatient unit assesses a client after a total hip replacement. The
client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While
a co-worker calls the surgeon, what action by the nurse is best?
Assess neurovascular status in both legs.
A nurse works in the rheumatology clinic and sees clients with rheumatoid arthritis (RA). Which
client should the nurse see first?
Client with a red, hot, swollen right wrist
A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having elective
surgery. The client reports that one arm feels like “pins and needles” and that the neck is very
painful since returning from surgery. What action by the nurse is best?
Notify the provider immediately.
The nurse working in the rheumatology clinic is seeing clients with rheumatoid arthritis (RA).
What assessment would be most important for the client whose chart contains the diagnosis of
Sjögren’s syndrome? Visual acuity
, The nurse is working with a client who has rheumatoid arthritis (RA). The nurse has identified the
priority problem of poor body image for the client. What finding by the nurse indicates goals for
this client problem are being met? Attends meetings of a book club
The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA). Which
client should the nurse see first? Client with a fever and cough who is taking tofacitinib (Xeljanz)
A client is started on etanercept (Enbrel). What teaching by the nurse is most appropriate?
Giving subcutaneous injections
A client who has had systemic lupus erythematosus (SLE) for many years is in the clinic reporting
hip pain with ambulation. Which action by the nurse is best? Assess medication records for steroid
use.
The nurse on an inpatient rheumatology unit receives a hand-off report on a client with an acute
exacerbation of systemic lupus erythematosus (SLE). Which reported laboratory value requires the
nurse to assess the client further? Creatinine: 3.9 mg/dL
A client with systemic lupus erythematosus (SLE) was recently discharged from the hospital after
an acute exacerbation. The client is in the clinic for a follow-up visit and is distraught about the
possibility of another hospitalization disrupting the family. What action by the nurse is best?
Help the client create backup plans to minimize disruption.
The nurse is teaching a client with gout dietary strategies to prevent exacerbations or other
problems. Which statement by the nurse is most appropriate? “Drink 1 to 2 liters of water each
day.”
A client in the orthopedic clinic has a self-reported history of osteoarthritis. The client reports a
low-grade fever that started when the weather changed and several joints started “acting up,”
especially both hips and knees. What action by the nurse is best? Assess the client for the
presence of subcutaneous nodules or Baker’s cysts.
A nurse is caring for a client after joint replacement surgery. What action by the nurse is most
important to prevent wound infection? Use aseptic technique for dressing changes.
A nurse is discharging a client after a total hip replacement. What statement by the client
indicates good potential for self-management? “I will not sit with my legs crossed.”
A client recently diagnosed with systemic lupus erythematosus (SLE) is in the clinic for a
follow-up visit. The nurse evaluates that the client practices good self-care when the client makes
which statement? “I always wear long sleeves, pants, and a hat when outdoors.”
