Lupus NCLEX exam questions with
complete solutions 2024
1.kAk26-year-
oldkwomankhaskbeenkdiagnosedkwithkearlyksystemicklupuskerythematosusk(SLE)
kinvolvingkherkjoints.kInkteachingkthekpatientkaboutkthekdisease,ktheknursekinclud
eskthekinformationkthatkSLEkiska(n):
A.kHereditarykdisorderkofkwomenkbutkusuallykdoesknotkshowkclinicalksymptomsk
unlesskakwomankbecomeskpregnant.
B.kAutoimmunekdiseasekofkwomenkinkwhichkantibodieskarekformedkthatkdestroyk
allknucleatedkcellskinkthekbody.
C.kDisorderkofkimmunekfunction,kbutkitkiskextremelykvariablekinkitskcourse,kandkt
herekisknokwayktokpredictkitskprogression.
D.kDiseasekthatkcauseskproductionkofkantibodieskthatkbindkwithkcellularkestrogen
kreceptors,kcausingkankinflammatorykresponse.k-kANS✓✓-1.kAnswer:kC
Rationale:kSLEkhaskankunpredictablekcourse,kevenkwithkappropriatektreatment.k
WomenkarekmorekatkriskkforkSLE,kbutkitkisknotkconfinedkexclusivelyktokwomen.kC
linicalksymptomskmaykworsenkduringkpregnancykbutkareknotkconfinedktokpregna
ncykorkthekperinatalkperiod.kAllknucleatedkcellskareknotkdestroyedkbykthekantinuc
learkantibodies.kThekinflammationkinkSLEkisknotkcausedkbykantibodykbindingktokc
ellularkestrogenkreceptors.
2.kAkpatientkwithkankacutekexacerbationkofksystemicklupuskerythematosusk(SLE)k
iskhospitalizedkwithkincapacitatingkfatigue,kacutekhandkandkwristkpain,kandkprotei
nuria.kThekhealthkcarekproviderkprescribeskprednisonek(Deltasone)k40kmgktwicek
daily.kWhichknursingkactionkshouldkbekincludedkinkthekplankofkcare?
A.kInstitutekseizurekprecautions.
B.kReorientktoktimekandkplacekPRN.
C.kMonitorkintakekandkoutput.
D.kPlacekonkcardiackmonitor.k-kANS✓✓-2.kAnswer:kC
Rationale:kLupusknephritiskiskakcommonkcomplicationkofkSLE,kandkwhenkthekpat
ientkisktakingkcorticosteroids,kitkiskespeciallykimportantktokmonitorkrenalkfunction
.kTherekisknokindicationkthatkthekpatientkiskexperiencingkanyknervousksystemkork
cardiackproblemskwithkthekSLE.
3.kAkpatientkwithksystemicklupuskerythematosusk(SLE)kwhokhaskakfacialkrashkan
dkalopeciaktellsktheknurse,k"IkhatekthekwaykIklook!
kIkneverkgokanyplacekexceptkherektokthekhealthkclinic."kAnkappropriateknursingkd
iagnosiskforkthekpatientkis:
, A.kActivitykintolerancekrelatedktokfatiguekandkinactivity.
B.kImpairedkskinkintegritykrelatedktokitchingkandkskinksloughing.
C.kSocialkisolationkrelatedktokembarrassmentkaboutkthekeffectskofkSLE.
D.kImpairedksocialkinteractionkrelatedktoklackkofksocialkskills.k-kANS✓✓-
3.kAnswer:kC
Rationale:kThekpatient'skstatementkaboutknotkgoingkanyplacekbecausekofkhatingk
thekwaykhekorksheklooksksupportskthekdiagnosiskofksocialkisolationkbecausekofke
mbarrassmentkaboutkthekeffectskofkthekSLE.kActivitykintolerancekiskakpossiblekpr
oblemkforkpatientskwithkSLE,kbutkthekinformationkaboutkthiskpatientkdoesknotksu
pportkthiskaskakdiagnosis.kThekrashkwithkSLEkisknonpruritic.kTherekisknokevidenc
ekofklackkofksocialkskillskforkthiskpatient.
4.kAkpatientkwithkpolyarthralgiakwithkjointkswellingkandkpainkiskbeingkevaluatedkf
orksystemicklupuskerythematosusk(SLE).kTheknursekknowskthatkthekserumktestkr
esultkthatkiskthekmostkspecifickforkSLEkiskthekpresencekof:
A.kRheumatoidkfactor.
B.kAnti-Smithkantibodyk(Anti-Sm).
C.kAntinuclearkantibodyk(ANA).
D.kLupuskerythematosusk(LE)kcellkprep.k-kANS✓✓-4.kAnswer:kB
Rationale:kThekanti-
SmkiskantibodykfoundkalmostkexclusivelykinkSLE.kThekotherkbloodktestskarekalso
kusedkinkscreeningkbutkareknotkaskspecificktokSLE.
5.kFollowingkinstructionkforkakpatientkwithknewlykdiagnosedksystemicklupuskeryt
hematosusk(SLE),ktheknursekdetermineskthatkteachingkaboutkthekdiseasekhaskbe
enkeffectivekwhenkthekpatientksays:
A.k"Ikshouldkexpectktokhavekaklowkfeverkallkthektimekwithkthiskdisease."
B.k"Ikneedktokrestrictkmykexposurektoksunlightktokpreventkankacutekonsetkofksym
ptoms."
C.k"Ikshouldktryktokignorekmyksymptomskaskmuchkaskpossiblekandkhavekakpositi
vekoutlook."
D.k"IkcankexpectkaktemporarykimprovementkinkmyksymptomskifkIkbecomekpregna
nt."k-kANS✓✓-5.kAnswer:kB
Rationale:kSunkexposurekiskassociatedkwithkSLEkexacerbation,kandkpatientsksho
uldkuseksunscreenkwithkankSPFkofkatkleastk15kandkstaykoutkofktheksunkbetweenk1
1:00kAMkandk3:00kPM.kLow-
gradekfeverkmaykoccurkwithkankexacerbationkbutkshouldknotkbekexpectedkallkthek
time.kAkpositivekattitudekmaykdecreasekthekincidencekofkSLEkexacerbations,kbutk
patientskarektaughtktokself-
monitorkforksymptomskthatkmightkindicatekchangeskinkthekdiseasekprocess.kSym
ptomskmaykworsenkduringkpregnancykandkespeciallykduringkthekpostpartumkperi
od.
complete solutions 2024
1.kAk26-year-
oldkwomankhaskbeenkdiagnosedkwithkearlyksystemicklupuskerythematosusk(SLE)
kinvolvingkherkjoints.kInkteachingkthekpatientkaboutkthekdisease,ktheknursekinclud
eskthekinformationkthatkSLEkiska(n):
A.kHereditarykdisorderkofkwomenkbutkusuallykdoesknotkshowkclinicalksymptomsk
unlesskakwomankbecomeskpregnant.
B.kAutoimmunekdiseasekofkwomenkinkwhichkantibodieskarekformedkthatkdestroyk
allknucleatedkcellskinkthekbody.
C.kDisorderkofkimmunekfunction,kbutkitkiskextremelykvariablekinkitskcourse,kandkt
herekisknokwayktokpredictkitskprogression.
D.kDiseasekthatkcauseskproductionkofkantibodieskthatkbindkwithkcellularkestrogen
kreceptors,kcausingkankinflammatorykresponse.k-kANS✓✓-1.kAnswer:kC
Rationale:kSLEkhaskankunpredictablekcourse,kevenkwithkappropriatektreatment.k
WomenkarekmorekatkriskkforkSLE,kbutkitkisknotkconfinedkexclusivelyktokwomen.kC
linicalksymptomskmaykworsenkduringkpregnancykbutkareknotkconfinedktokpregna
ncykorkthekperinatalkperiod.kAllknucleatedkcellskareknotkdestroyedkbykthekantinuc
learkantibodies.kThekinflammationkinkSLEkisknotkcausedkbykantibodykbindingktokc
ellularkestrogenkreceptors.
2.kAkpatientkwithkankacutekexacerbationkofksystemicklupuskerythematosusk(SLE)k
iskhospitalizedkwithkincapacitatingkfatigue,kacutekhandkandkwristkpain,kandkprotei
nuria.kThekhealthkcarekproviderkprescribeskprednisonek(Deltasone)k40kmgktwicek
daily.kWhichknursingkactionkshouldkbekincludedkinkthekplankofkcare?
A.kInstitutekseizurekprecautions.
B.kReorientktoktimekandkplacekPRN.
C.kMonitorkintakekandkoutput.
D.kPlacekonkcardiackmonitor.k-kANS✓✓-2.kAnswer:kC
Rationale:kLupusknephritiskiskakcommonkcomplicationkofkSLE,kandkwhenkthekpat
ientkisktakingkcorticosteroids,kitkiskespeciallykimportantktokmonitorkrenalkfunction
.kTherekisknokindicationkthatkthekpatientkiskexperiencingkanyknervousksystemkork
cardiackproblemskwithkthekSLE.
3.kAkpatientkwithksystemicklupuskerythematosusk(SLE)kwhokhaskakfacialkrashkan
dkalopeciaktellsktheknurse,k"IkhatekthekwaykIklook!
kIkneverkgokanyplacekexceptkherektokthekhealthkclinic."kAnkappropriateknursingkd
iagnosiskforkthekpatientkis:
, A.kActivitykintolerancekrelatedktokfatiguekandkinactivity.
B.kImpairedkskinkintegritykrelatedktokitchingkandkskinksloughing.
C.kSocialkisolationkrelatedktokembarrassmentkaboutkthekeffectskofkSLE.
D.kImpairedksocialkinteractionkrelatedktoklackkofksocialkskills.k-kANS✓✓-
3.kAnswer:kC
Rationale:kThekpatient'skstatementkaboutknotkgoingkanyplacekbecausekofkhatingk
thekwaykhekorksheklooksksupportskthekdiagnosiskofksocialkisolationkbecausekofke
mbarrassmentkaboutkthekeffectskofkthekSLE.kActivitykintolerancekiskakpossiblekpr
oblemkforkpatientskwithkSLE,kbutkthekinformationkaboutkthiskpatientkdoesknotksu
pportkthiskaskakdiagnosis.kThekrashkwithkSLEkisknonpruritic.kTherekisknokevidenc
ekofklackkofksocialkskillskforkthiskpatient.
4.kAkpatientkwithkpolyarthralgiakwithkjointkswellingkandkpainkiskbeingkevaluatedkf
orksystemicklupuskerythematosusk(SLE).kTheknursekknowskthatkthekserumktestkr
esultkthatkiskthekmostkspecifickforkSLEkiskthekpresencekof:
A.kRheumatoidkfactor.
B.kAnti-Smithkantibodyk(Anti-Sm).
C.kAntinuclearkantibodyk(ANA).
D.kLupuskerythematosusk(LE)kcellkprep.k-kANS✓✓-4.kAnswer:kB
Rationale:kThekanti-
SmkiskantibodykfoundkalmostkexclusivelykinkSLE.kThekotherkbloodktestskarekalso
kusedkinkscreeningkbutkareknotkaskspecificktokSLE.
5.kFollowingkinstructionkforkakpatientkwithknewlykdiagnosedksystemicklupuskeryt
hematosusk(SLE),ktheknursekdetermineskthatkteachingkaboutkthekdiseasekhaskbe
enkeffectivekwhenkthekpatientksays:
A.k"Ikshouldkexpectktokhavekaklowkfeverkallkthektimekwithkthiskdisease."
B.k"Ikneedktokrestrictkmykexposurektoksunlightktokpreventkankacutekonsetkofksym
ptoms."
C.k"Ikshouldktryktokignorekmyksymptomskaskmuchkaskpossiblekandkhavekakpositi
vekoutlook."
D.k"IkcankexpectkaktemporarykimprovementkinkmyksymptomskifkIkbecomekpregna
nt."k-kANS✓✓-5.kAnswer:kB
Rationale:kSunkexposurekiskassociatedkwithkSLEkexacerbation,kandkpatientsksho
uldkuseksunscreenkwithkankSPFkofkatkleastk15kandkstaykoutkofktheksunkbetweenk1
1:00kAMkandk3:00kPM.kLow-
gradekfeverkmaykoccurkwithkankexacerbationkbutkshouldknotkbekexpectedkallkthek
time.kAkpositivekattitudekmaykdecreasekthekincidencekofkSLEkexacerbations,kbutk
patientskarektaughtktokself-
monitorkforksymptomskthatkmightkindicatekchangeskinkthekdiseasekprocess.kSym
ptomskmaykworsenkduringkpregnancykandkespeciallykduringkthekpostpartumkperi
od.
