CH 64 Systemic Lupus Erythematosus
exam questions with complete solutions
2024
Whichkpatientkshouldktheknursekexpectktokbekatkthekhighestkriskkforksystemicklu
puskerythematosusk(SLE)?
a.kAk24-year-oldkwhitekfemale
b.kAk55-year-oldkHispanickmale
c.kAk28-year-oldkAsiankAmericankfemale
d.kAk30-year-oldkAfricankAmericankmalek-kANS✓✓-ANS:kC
SLEkiskakcomplexkdisorderkaffectingk250,000kpeoplekinkthekUnitedkStates,kwithkw
omenk6ktok10ktimeskmoreklikelyktokdevelopkthiskdisorderkthankmen.kThekAsiankA
mericankfemalekiskatkakhigherkriskkforkSLEkthankthekAfricankAmericankandkHispa
nickmaleskbecausekshekiskfemale.kShekiskalsokatkakhigherkriskkthankthekwhitekfe
malekbecausekwhitekfemaleskarekatkaklowerkriskkthankAsiankAmericankfemales.
Survivalkinkpatientskwithksystemicklupuskerythematosusk(SLE)kiskdependentkonk
whichkfactors?kSelectkallkthatkapply.
a.kAge
b.kSex
c.kRace
d.kComorbidkconditions
e.kNonsteroidalkantiinflammatorykdrugk(NSAID)kusek-kANS✓✓-ANS:kAkBkCkD
AkmajorkchallengekinkSLEktreatmentkiskmanagingkactivekdiseasekwhilekpreventin
gkcomplications.kSurvivalkappearsktokbekinfluencedkbykseveralkfactors,kincluding
kcomorbidkconditions,krace,kage,ksex,kandksocioeconomickstatus.kNSAIDkusekisk
akmainstaykofkdrugktherapykinkthektreatmentkofkarthritiskassociatedkwithkSLE,kno
tkankinfluencingkfactorkforksurvival.
Whichkdiagnosticklaboratorykstudieskarekutilizedkinkthekevaluationkofksystemicklu
puskerythematosusk(SLE)?kSelectkallkthatkapply.
a.kUrinalysis
b.kChestkx-ray
,c.kSerumkcomplement
d.kElectrocardiogramk(ECG)
e.kCompletekbloodkcellkcountk(CBC)k-kANS✓✓-ANS:kAkCkE
AkCBC,kserumkcomplement,kandkurinalysiskarekallkdiagnosticklaboratorykstudiesk
usedktokevaluatekSLE.kAkchestkx-
raykandkankECGkarekusefulkinkdiagnostickassessmentkofkSLE,kbutkthesekareknotkl
aboratorykstudies.
Tokdiagnosekakpatientkwithksystemicklupuskerythematosusk(SLE),kthekpatientkmu
stkmeetkhowkmanykofkthekdistinctkcriteriakeitherksimultaneouslykorkinksequentialk
evaluation?
akThree
b.kFour
c.kFive
d.kSixk-kANS✓✓-ANS:kB
PatientskarekdiagnosedkwithkSLEkifktheykhavekfourkofkthekcriteriakforkthekdisease
keitherksimultaneouslykorkinksequentialkobservationksincektherekisknokspecifickdi
agnosticktestkforkSLE.kMeetingkthreekisktookfew,kandkmeetingkfivekorksixkisksubs
umedkinkmeetingkfour.
Akcommonkdiagnostickfeaturekofksystemicklupuskerythematosusk(SLE)kiskthekmal
arkrash,kwhichkiskcharacterizedkbykwhatkfeatures?
a.kPainlesskoralkulcerations
b.kSkinkrashkaskankunusualkreactionktoklight
c.kFixedkerythema,kflatkorkraised,kusuallykinkakbutterflykpattern
d.kRaisedkpatcheskwithkscalingkfollicularkpluggingkandkscarringkinkolderklesionsk
-kANS✓✓-ANS:kC
Akmalarkrashkiskakfixedkerythemakthatkiskeitherkflatkorkraised,kalsokknownkaskakb
utterflykrash.kRaisedkpatcheskwithkscalingkfollicularkpluggingkiskassociatedkwithk
discoidkrash,kwhichkiskalsokfoundkinkSLE;kPhotosensitivitykiskakskinkrashkaskank
unusualkreactionktoklightkwhichkcankbekfoundkinkSLE.kPainlesskoralkulcerationsk
arekalsokakhallmarkkofkSLEkbutkareknotkakfeaturekofkthekmalarkrash.
Whatkmarkerkiskfoundkinkakmajoritykofkpatientskdiagnosedkwithksystemicklupuske
rythematosusk(SLE)?
a.kC-reactivekproteink(CRP)
, b.kAntinuclearkantibodyk(ANA)
c.kCarcinoembryonickantigenk(CEA)
d.kErythrocyteksedimentationkratek(ESR)k-kANS✓✓-ANS:kB
OfkthosekdiagnosedkwithkSLE,k97%khavekANAkinktheirkblood.kESRkandkCRPkarek
markerskofkinflammationkthatkmaykbekusedktokmonitorkdiseasekactivitykandkeffec
tivenesskofktherapy.kCEAkiskakbloodkmarkerkthatkiskusefulkinkdiagnosingksomekc
ancers;kitkiskunrelatedktokSLE.
Whatkenvironmentalkfactorskarekbelievedktokcontributektokthekoccurrencekofksyst
emicklupuskerythematosusk(SLE)?kSelectkallkthatkapply.
a.kStress
b.kHormones
c.kViralkinfections
d.kUltravioletk(UV)klightkexposure
e.kExposurektokchemicalskandktoxinsk-kANS✓✓-ANS:kAkCkDkE
Environmentalkexposurektoksomekchemicalskorktoxins,kUVklight,kviralkinfections,k
andkstresskcankstimulatekimmunekhyperactivitykwhichkmayktriggerkSLE.kHormon
eskarekalsokknownktokplaykakrolekinktheketiologykofkSLE,kbutktheykareknotkankenv
ironmentalkfactor.
Akpatientkwithksystemicklupuskerythematosuskhaskdevelopedkosteoporosiskrelat
edktokthekdiseasekprocess.kWhichkdrugktherapykdoesktheknursekanticipatekthekpa
tientkwillkbekprescribed?
a.kTacrolimus
b.kPrasterone
c.kAzathioprine
d.kPimecrolimusk-kANS✓✓-ANS:kB
Prasteronekiskakhormonekusedktoktreatklupus-
inducedkosteoporosis.kTacrolimuskandkpimecrolimuskarekusedktoktreatkintegume
ntaryksymptomskofkbutterflykrashkandkdiscoidklesionkinksystemicklupuskerythem
atosusk(SLE).kAzathioprinekiskusedktokreducekthekneedkforklong-
termkcorticosteroidktherapykinkSLEkpatients.
Akpatientkvoiceskconcernsktoktheknursekaboutktakingkprocainamide,kstatingkthatk
akfriendkwaskrecentlykhospitalizedkforkdrug-
exam questions with complete solutions
2024
Whichkpatientkshouldktheknursekexpectktokbekatkthekhighestkriskkforksystemicklu
puskerythematosusk(SLE)?
a.kAk24-year-oldkwhitekfemale
b.kAk55-year-oldkHispanickmale
c.kAk28-year-oldkAsiankAmericankfemale
d.kAk30-year-oldkAfricankAmericankmalek-kANS✓✓-ANS:kC
SLEkiskakcomplexkdisorderkaffectingk250,000kpeoplekinkthekUnitedkStates,kwithkw
omenk6ktok10ktimeskmoreklikelyktokdevelopkthiskdisorderkthankmen.kThekAsiankA
mericankfemalekiskatkakhigherkriskkforkSLEkthankthekAfricankAmericankandkHispa
nickmaleskbecausekshekiskfemale.kShekiskalsokatkakhigherkriskkthankthekwhitekfe
malekbecausekwhitekfemaleskarekatkaklowerkriskkthankAsiankAmericankfemales.
Survivalkinkpatientskwithksystemicklupuskerythematosusk(SLE)kiskdependentkonk
whichkfactors?kSelectkallkthatkapply.
a.kAge
b.kSex
c.kRace
d.kComorbidkconditions
e.kNonsteroidalkantiinflammatorykdrugk(NSAID)kusek-kANS✓✓-ANS:kAkBkCkD
AkmajorkchallengekinkSLEktreatmentkiskmanagingkactivekdiseasekwhilekpreventin
gkcomplications.kSurvivalkappearsktokbekinfluencedkbykseveralkfactors,kincluding
kcomorbidkconditions,krace,kage,ksex,kandksocioeconomickstatus.kNSAIDkusekisk
akmainstaykofkdrugktherapykinkthektreatmentkofkarthritiskassociatedkwithkSLE,kno
tkankinfluencingkfactorkforksurvival.
Whichkdiagnosticklaboratorykstudieskarekutilizedkinkthekevaluationkofksystemicklu
puskerythematosusk(SLE)?kSelectkallkthatkapply.
a.kUrinalysis
b.kChestkx-ray
,c.kSerumkcomplement
d.kElectrocardiogramk(ECG)
e.kCompletekbloodkcellkcountk(CBC)k-kANS✓✓-ANS:kAkCkE
AkCBC,kserumkcomplement,kandkurinalysiskarekallkdiagnosticklaboratorykstudiesk
usedktokevaluatekSLE.kAkchestkx-
raykandkankECGkarekusefulkinkdiagnostickassessmentkofkSLE,kbutkthesekareknotkl
aboratorykstudies.
Tokdiagnosekakpatientkwithksystemicklupuskerythematosusk(SLE),kthekpatientkmu
stkmeetkhowkmanykofkthekdistinctkcriteriakeitherksimultaneouslykorkinksequentialk
evaluation?
akThree
b.kFour
c.kFive
d.kSixk-kANS✓✓-ANS:kB
PatientskarekdiagnosedkwithkSLEkifktheykhavekfourkofkthekcriteriakforkthekdisease
keitherksimultaneouslykorkinksequentialkobservationksincektherekisknokspecifickdi
agnosticktestkforkSLE.kMeetingkthreekisktookfew,kandkmeetingkfivekorksixkisksubs
umedkinkmeetingkfour.
Akcommonkdiagnostickfeaturekofksystemicklupuskerythematosusk(SLE)kiskthekmal
arkrash,kwhichkiskcharacterizedkbykwhatkfeatures?
a.kPainlesskoralkulcerations
b.kSkinkrashkaskankunusualkreactionktoklight
c.kFixedkerythema,kflatkorkraised,kusuallykinkakbutterflykpattern
d.kRaisedkpatcheskwithkscalingkfollicularkpluggingkandkscarringkinkolderklesionsk
-kANS✓✓-ANS:kC
Akmalarkrashkiskakfixedkerythemakthatkiskeitherkflatkorkraised,kalsokknownkaskakb
utterflykrash.kRaisedkpatcheskwithkscalingkfollicularkpluggingkiskassociatedkwithk
discoidkrash,kwhichkiskalsokfoundkinkSLE;kPhotosensitivitykiskakskinkrashkaskank
unusualkreactionktoklightkwhichkcankbekfoundkinkSLE.kPainlesskoralkulcerationsk
arekalsokakhallmarkkofkSLEkbutkareknotkakfeaturekofkthekmalarkrash.
Whatkmarkerkiskfoundkinkakmajoritykofkpatientskdiagnosedkwithksystemicklupuske
rythematosusk(SLE)?
a.kC-reactivekproteink(CRP)
, b.kAntinuclearkantibodyk(ANA)
c.kCarcinoembryonickantigenk(CEA)
d.kErythrocyteksedimentationkratek(ESR)k-kANS✓✓-ANS:kB
OfkthosekdiagnosedkwithkSLE,k97%khavekANAkinktheirkblood.kESRkandkCRPkarek
markerskofkinflammationkthatkmaykbekusedktokmonitorkdiseasekactivitykandkeffec
tivenesskofktherapy.kCEAkiskakbloodkmarkerkthatkiskusefulkinkdiagnosingksomekc
ancers;kitkiskunrelatedktokSLE.
Whatkenvironmentalkfactorskarekbelievedktokcontributektokthekoccurrencekofksyst
emicklupuskerythematosusk(SLE)?kSelectkallkthatkapply.
a.kStress
b.kHormones
c.kViralkinfections
d.kUltravioletk(UV)klightkexposure
e.kExposurektokchemicalskandktoxinsk-kANS✓✓-ANS:kAkCkDkE
Environmentalkexposurektoksomekchemicalskorktoxins,kUVklight,kviralkinfections,k
andkstresskcankstimulatekimmunekhyperactivitykwhichkmayktriggerkSLE.kHormon
eskarekalsokknownktokplaykakrolekinktheketiologykofkSLE,kbutktheykareknotkankenv
ironmentalkfactor.
Akpatientkwithksystemicklupuskerythematosuskhaskdevelopedkosteoporosiskrelat
edktokthekdiseasekprocess.kWhichkdrugktherapykdoesktheknursekanticipatekthekpa
tientkwillkbekprescribed?
a.kTacrolimus
b.kPrasterone
c.kAzathioprine
d.kPimecrolimusk-kANS✓✓-ANS:kB
Prasteronekiskakhormonekusedktoktreatklupus-
inducedkosteoporosis.kTacrolimuskandkpimecrolimuskarekusedktoktreatkintegume
ntaryksymptomskofkbutterflykrashkandkdiscoidklesionkinksystemicklupuskerythem
atosusk(SLE).kAzathioprinekiskusedktokreducekthekneedkforklong-
termkcorticosteroidktherapykinkSLEkpatients.
Akpatientkvoiceskconcernsktoktheknursekaboutktakingkprocainamide,kstatingkthatk
akfriendkwaskrecentlykhospitalizedkforkdrug-
