Nur 242 exam 6 Questions and Correct
Answers, With Complete Solution. Updated
2024/2025.
On reviewing the x-ray report of a client with rheumatoid arthritis, the nurse
learns that three small joints are involved. Which score will the nurse assign the
client for joint involvement?
2. According to the diagnostic criteria for rheumatoid arthritis, involvement of one to
three small joints (with or without large-joint involvement) is given a score of 2.
Involvement of two to 10 large joints is given a score of 1. Involvement of four to 10
small joints (with or without large-joint involvement) is given a score of 3. Involvement of
more than 10 joints (and at least one small joint) is given a score of 5.
Which surgery is used as a prophylactic measure and as a palliative treatment for
clients with rheumatoid arthritis (RA)?
Synovectomy
The nurse is coordinating care for a client with severe rheumatoid arthritis. Which
health team perspective for planning care would promote the client's self-reliance
and independence?
Developing a positive attitude toward the eventual outcome
The nurse develops a teaching plan for a client with rheumatoid arthritis. Which
information would the nurse include in the plan about ways to reduce joint
stress?
If experiencing pain after 1 to 2 hours of activity, actively take measures to address the
pain.
Which client has findings consistent with rheumatoid arthritis?
ESR 65 mm/hour (Erythrocyte sedimentation rate (ESR) is a nonspecific index of
inflammation. Its normal value is less than 30 mm/hr. Client D, who has elevated levels
of ESR to 65 mm/hr, may present with rheumatoid arthritis, osteomyelitis, rheumatic
fever, or respiratory tract infections)
client admitted to the hospital with an acute episode of rheumatoid arthritis (RA)
asks why physical therapy has not been prescribed. Which response would the
nurse make
Your joints are still inflamed, and physical therapy can be harmful
Which finding would the nurse expect to identify in a client who has osteoarthritis
that would not be present in clients with rheumatoid arthritis?
Heberden nodes (Heberden nodules are the bony or cartilaginous enlargements of the
distal interphalangeal joints that are associated with osteoarthritis. Ulnar drift, swan-
neck deformity, and boutonnière deformity occur with rheumatoid arthritis)
A client with rheumatoid arthritis arrives in the clinic stating, "I don't take any
medications because they are too expensive." The client reports that family
members are arranging for the medications to be obtained from another country.
Which action would the nurse take first?
, Discuss alternative solutions with the client
A client who has rheumatoid arthritis reports that pain with exercising has
increased. Which suggestion would the nurse provide to the client to decrease
pain? I'm
Decrease the number of repetitions of the exercises (Exercise should be performed to
tolerance only; limiting the amount of exercise should decrease pain. To relax the joints,
the client should take a hot shower versus a tub bath. Furthermore, it will be difficult for
a client with stiff joints to get into a typical bathtub. Ice should never be placed against
the skin without a layer of protection; further damage or frostbite could occur. Ceasing
exercise for a day will increase stiffness)
A client who has rheumatoid arthritis participates in an individualized exercise
program at the extended care facility where the client resides. Which statement
from the client indicates to the nurse that the client understands the purpose of
the program?
I do one set of exercises slowly after breakfast, then I space the rest of them throughout
the day. ( spacing activity protects joints)
The nurse is providing discharge teaching to a client who was hospitalized for
exacerbation of rheumatoid arthritis. Which statement by the client indicates
correct understanding of the treatment plan?
I will reduce the number of exercise repetitions when I have pain.
A regimen of rest, exercise, and physical therapy is prescribed for a client with
rheumatoid arthritis. Which purpose of the regimen would the nurse teach to the
client?
Preventing additional joint damage
A nurse is creating a plan of care for a client with rheumatoid arthritis who has
severe pain and swelling of the hand joints. Which details about range-of-motion
exercises would the plan include?
Applying heat or cold before the exercises
Which outcome is likely if direct pressure is applied to the joints of a client who
has an acute episode of rheumatoid arthritis?
Pain
An older client is admitted to a nursing home. The client is incontinent of urine.
The client's rheumatoid arthritis contributes to severely painful joints. Which
client need would the nurse identify as the primary consideration in the care of
this client?
Relief of pain
A client with severe chronic rheumatoid arthritis reports that pain lasts for 2 to 3
hours after exercising. Which information would the nurse teach the client?
Decrease the time and number of exercise repetitions
Which intervention would the nurse teach the client who has rheumatoid arthritis
to alternate with periods of rest?
Active exercises
Which laboratory test would the nurse review for a client suspected to have
rheumatoid arthritis?
Antinuclear antibody
Answers, With Complete Solution. Updated
2024/2025.
On reviewing the x-ray report of a client with rheumatoid arthritis, the nurse
learns that three small joints are involved. Which score will the nurse assign the
client for joint involvement?
2. According to the diagnostic criteria for rheumatoid arthritis, involvement of one to
three small joints (with or without large-joint involvement) is given a score of 2.
Involvement of two to 10 large joints is given a score of 1. Involvement of four to 10
small joints (with or without large-joint involvement) is given a score of 3. Involvement of
more than 10 joints (and at least one small joint) is given a score of 5.
Which surgery is used as a prophylactic measure and as a palliative treatment for
clients with rheumatoid arthritis (RA)?
Synovectomy
The nurse is coordinating care for a client with severe rheumatoid arthritis. Which
health team perspective for planning care would promote the client's self-reliance
and independence?
Developing a positive attitude toward the eventual outcome
The nurse develops a teaching plan for a client with rheumatoid arthritis. Which
information would the nurse include in the plan about ways to reduce joint
stress?
If experiencing pain after 1 to 2 hours of activity, actively take measures to address the
pain.
Which client has findings consistent with rheumatoid arthritis?
ESR 65 mm/hour (Erythrocyte sedimentation rate (ESR) is a nonspecific index of
inflammation. Its normal value is less than 30 mm/hr. Client D, who has elevated levels
of ESR to 65 mm/hr, may present with rheumatoid arthritis, osteomyelitis, rheumatic
fever, or respiratory tract infections)
client admitted to the hospital with an acute episode of rheumatoid arthritis (RA)
asks why physical therapy has not been prescribed. Which response would the
nurse make
Your joints are still inflamed, and physical therapy can be harmful
Which finding would the nurse expect to identify in a client who has osteoarthritis
that would not be present in clients with rheumatoid arthritis?
Heberden nodes (Heberden nodules are the bony or cartilaginous enlargements of the
distal interphalangeal joints that are associated with osteoarthritis. Ulnar drift, swan-
neck deformity, and boutonnière deformity occur with rheumatoid arthritis)
A client with rheumatoid arthritis arrives in the clinic stating, "I don't take any
medications because they are too expensive." The client reports that family
members are arranging for the medications to be obtained from another country.
Which action would the nurse take first?
, Discuss alternative solutions with the client
A client who has rheumatoid arthritis reports that pain with exercising has
increased. Which suggestion would the nurse provide to the client to decrease
pain? I'm
Decrease the number of repetitions of the exercises (Exercise should be performed to
tolerance only; limiting the amount of exercise should decrease pain. To relax the joints,
the client should take a hot shower versus a tub bath. Furthermore, it will be difficult for
a client with stiff joints to get into a typical bathtub. Ice should never be placed against
the skin without a layer of protection; further damage or frostbite could occur. Ceasing
exercise for a day will increase stiffness)
A client who has rheumatoid arthritis participates in an individualized exercise
program at the extended care facility where the client resides. Which statement
from the client indicates to the nurse that the client understands the purpose of
the program?
I do one set of exercises slowly after breakfast, then I space the rest of them throughout
the day. ( spacing activity protects joints)
The nurse is providing discharge teaching to a client who was hospitalized for
exacerbation of rheumatoid arthritis. Which statement by the client indicates
correct understanding of the treatment plan?
I will reduce the number of exercise repetitions when I have pain.
A regimen of rest, exercise, and physical therapy is prescribed for a client with
rheumatoid arthritis. Which purpose of the regimen would the nurse teach to the
client?
Preventing additional joint damage
A nurse is creating a plan of care for a client with rheumatoid arthritis who has
severe pain and swelling of the hand joints. Which details about range-of-motion
exercises would the plan include?
Applying heat or cold before the exercises
Which outcome is likely if direct pressure is applied to the joints of a client who
has an acute episode of rheumatoid arthritis?
Pain
An older client is admitted to a nursing home. The client is incontinent of urine.
The client's rheumatoid arthritis contributes to severely painful joints. Which
client need would the nurse identify as the primary consideration in the care of
this client?
Relief of pain
A client with severe chronic rheumatoid arthritis reports that pain lasts for 2 to 3
hours after exercising. Which information would the nurse teach the client?
Decrease the time and number of exercise repetitions
Which intervention would the nurse teach the client who has rheumatoid arthritis
to alternate with periods of rest?
Active exercises
Which laboratory test would the nurse review for a client suspected to have
rheumatoid arthritis?
Antinuclear antibody
