NRS 3015: Exam #2 Practice Questions
1. A nurse is reviewing the plan of care for a client who a, c, e
has systemic lupus erythematosus (SLE). The client
reports fatigue, joint tenderness, swelling, + difficulty
urinating. Which of the following laboratory findings
should the nurse anticipate? (Select all that apply.)
a. Positive ANA titer
b. Increased hemoglobin
c. 2+ urine protein
d. Increased serum C3 and C4
e. Elevated BUN
2. A nurse is teaching a client who has SLE about c
self-care. Which of the following statements by the
client indicates an understanding of the teaching?
a. "I should limit my time to 10 minutes in the tanning
bed."
b. "I will apply powder to any skin rash."
c. "I should use a mild hair shampoo."
d. "I will inspect my skin once a month for rashes."
3. A nurse is caring for a client who has SLE and is experi- b
encing an episode of Raynaud's phenomenon. Which
of the following findings should the nurse anticipate?
a. Swelling of the joints of the fingers
b. Pallor of the toes w/ cold exposure
c. Feet that become reddened w/ ambulation
d. Client report of intense feeling of heat in the fingers
4. A nurse is assessing a client who has a new diagnosis d
of SLE. Which of the following findings should the
, NRS 3015: Exam #2 Practice Questions
nurse expect?
a. Weight gain
b. Petechiae on thighs
c. Systolic murmur
d. Alopecia
5. A nurse is discussing gout with a client who is con- a, b,e
cerned about developing the disorder. Which of the
following findings should the nurse identify as risk
factors for this disease? (Select all that apply.)
a. Diuretic use
b. Obesity
c. Deep sleep deprivation
d. Depression
e. Cardiovascular disease
6. A nurse is reviewing the laboratory data of a client d
who reports manifestations suggesting systemic lu-
pus erythematosus (SLE). The nurse should expect an
increase in which of the following parameters for a
client who has SLE?
a. Platelet count
b. RBC count
c. Hct
d. Erythrocyte sedimentation rate (ESR)
7. A nurse is teaching a client who has Raynaud's dis- a
ease. Which of the following pieces of information
should the nurse include in the teaching?
, NRS 3015: Exam #2 Practice Questions
a. Protect against the cold by wearing layers of cloth-
ing
b. Begin an exercise program of 2-mile walks once per
week
c. Increase vitamin A in the diet
d. Elevate the hands above heart level when resting
8. A nurse is planning care for a client who has acute sys- a
temic lupus erythematosus (SLE) and is scheduled to
begin treatment for systemic manifestations. Which
of the following types of medications should the nurse
plan to administer?
a. Corticosteroids
b. Antimalarials
c. Antidepressants
d. Opioids
9. A nurse is caring for a client who has systemic lupus c
erythematosus (SLE) and is concerned about skin le-
sions on her face and neck. The client asks the nurse,
"What should I do about these spots?" Which of the
following responses should the nurse give?
a. "Keep the lesions covered with a light sterile dress-
ing when going outdoors."
b. "Rub lesions with a washcloth to dry after wash-
ing."
c. "Apply moisturizing after bathing the lesions with
warm water."
d. "Apply antibiotic cream twice per day until scabs
form on the lesions."
, NRS 3015: Exam #2 Practice Questions
10. A nurse is providing discharge teaching to a client who a
has a new diagnosis of systemic lupus erythematosus
(SLE). Which of the following statements by the client
indicates an understanding of the teaching?
a. "I will need to take methotrexate, even if I'm in
remission."
b. I'm thankful that this type of lupus only affects the
skin."
c. "Each day, I should apply a sunblock with a sun
protection factor of 15."
d. "A mild fever is common with SLE and usually does
not require medical intervention."
11. A nurse is teaching a client who was recently diag- c
nosed with Raynaud's disease about preventing the
onset of manifestations. Which of the following state-
ments by the client indicates an understanding of the
teaching?
a. "I should limit my exposure to sunlight."
b. "I should avoid drinking alcohol."
c. "I should not smoke."
d. "I should limit intake of foods that are high in
purine."
12. A nurse is teaching a client with systemic lupus erythe- c
matosus who has a new prescription of prednisone.
The nurse should instruct the client to monitor for
which of the following adverse effects of this medica-
tion?
a. Hypoglycemia
1. A nurse is reviewing the plan of care for a client who a, c, e
has systemic lupus erythematosus (SLE). The client
reports fatigue, joint tenderness, swelling, + difficulty
urinating. Which of the following laboratory findings
should the nurse anticipate? (Select all that apply.)
a. Positive ANA titer
b. Increased hemoglobin
c. 2+ urine protein
d. Increased serum C3 and C4
e. Elevated BUN
2. A nurse is teaching a client who has SLE about c
self-care. Which of the following statements by the
client indicates an understanding of the teaching?
a. "I should limit my time to 10 minutes in the tanning
bed."
b. "I will apply powder to any skin rash."
c. "I should use a mild hair shampoo."
d. "I will inspect my skin once a month for rashes."
3. A nurse is caring for a client who has SLE and is experi- b
encing an episode of Raynaud's phenomenon. Which
of the following findings should the nurse anticipate?
a. Swelling of the joints of the fingers
b. Pallor of the toes w/ cold exposure
c. Feet that become reddened w/ ambulation
d. Client report of intense feeling of heat in the fingers
4. A nurse is assessing a client who has a new diagnosis d
of SLE. Which of the following findings should the
, NRS 3015: Exam #2 Practice Questions
nurse expect?
a. Weight gain
b. Petechiae on thighs
c. Systolic murmur
d. Alopecia
5. A nurse is discussing gout with a client who is con- a, b,e
cerned about developing the disorder. Which of the
following findings should the nurse identify as risk
factors for this disease? (Select all that apply.)
a. Diuretic use
b. Obesity
c. Deep sleep deprivation
d. Depression
e. Cardiovascular disease
6. A nurse is reviewing the laboratory data of a client d
who reports manifestations suggesting systemic lu-
pus erythematosus (SLE). The nurse should expect an
increase in which of the following parameters for a
client who has SLE?
a. Platelet count
b. RBC count
c. Hct
d. Erythrocyte sedimentation rate (ESR)
7. A nurse is teaching a client who has Raynaud's dis- a
ease. Which of the following pieces of information
should the nurse include in the teaching?
, NRS 3015: Exam #2 Practice Questions
a. Protect against the cold by wearing layers of cloth-
ing
b. Begin an exercise program of 2-mile walks once per
week
c. Increase vitamin A in the diet
d. Elevate the hands above heart level when resting
8. A nurse is planning care for a client who has acute sys- a
temic lupus erythematosus (SLE) and is scheduled to
begin treatment for systemic manifestations. Which
of the following types of medications should the nurse
plan to administer?
a. Corticosteroids
b. Antimalarials
c. Antidepressants
d. Opioids
9. A nurse is caring for a client who has systemic lupus c
erythematosus (SLE) and is concerned about skin le-
sions on her face and neck. The client asks the nurse,
"What should I do about these spots?" Which of the
following responses should the nurse give?
a. "Keep the lesions covered with a light sterile dress-
ing when going outdoors."
b. "Rub lesions with a washcloth to dry after wash-
ing."
c. "Apply moisturizing after bathing the lesions with
warm water."
d. "Apply antibiotic cream twice per day until scabs
form on the lesions."
, NRS 3015: Exam #2 Practice Questions
10. A nurse is providing discharge teaching to a client who a
has a new diagnosis of systemic lupus erythematosus
(SLE). Which of the following statements by the client
indicates an understanding of the teaching?
a. "I will need to take methotrexate, even if I'm in
remission."
b. I'm thankful that this type of lupus only affects the
skin."
c. "Each day, I should apply a sunblock with a sun
protection factor of 15."
d. "A mild fever is common with SLE and usually does
not require medical intervention."
11. A nurse is teaching a client who was recently diag- c
nosed with Raynaud's disease about preventing the
onset of manifestations. Which of the following state-
ments by the client indicates an understanding of the
teaching?
a. "I should limit my exposure to sunlight."
b. "I should avoid drinking alcohol."
c. "I should not smoke."
d. "I should limit intake of foods that are high in
purine."
12. A nurse is teaching a client with systemic lupus erythe- c
matosus who has a new prescription of prednisone.
The nurse should instruct the client to monitor for
which of the following adverse effects of this medica-
tion?
a. Hypoglycemia
