NUR 2571 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 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.
