RN TARGETED MEDICAL SURGICAL NEUROSENSORY AND
MUSCULOSKELETAL NEWEST 2024 ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
A nurse is providing teaching to a client who has systemic lupus erythematosus. Which of the following
statements by the client indicates an understanding of the teaching?
A.. I should use a sunscreen with a SPF of at least 15
B. Long-term immunosuppressive therapy could cure this disease
C. I should wear gloves when it is cold outside
D. SLE should not affect my lungs or breathing - answer-C. I should wear gloves when it is cold outside
Raynaud's phenomenon commonly accompanies SLE and can cause painful vasoconstriction in the
client's fingers when exposed to cold temperatures
A nurse is reviewing the laboratory report for a client who has hodgkin's lymphoma. Which of the
following findings should the nurse expect?
A. overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
C. Epstein-Barr virus
D. Overproduction of blast phase cells - answer-B. Reed sternberg cells
The nurse should expect to find Reed-Sternberg cells, which are cancer cells specific to a client who has
Hodgkin's lymphoma, in the client's lymph nodes.
A nurse is providing teaching to a client who takes an oral contraceptive and has a new prescription for
amoxicillin. Which of the following statements by the client indicates an understanding of the teaching?
A. I will use a backup method of birth control while I am taking this medication
B. I should take this medication on an empty stomach
C. I should expect to have constipation while taking this medication
D. I will keep taking this medication until I feel better - answer-A. I will use a backup method of birth
control while I am taking this medication
The nurse should inform the client that antibiotics accelerate the elimination of oral contraceptives,
making them less effective.
,A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse
report to the provider immediately?
A. Negative blood culture
B. Left shift in WBC differential
C. Oxygen saturation 93%
D. Crackles heard on auscultation - answer-B. Left shift in WBC differential
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a left shift in the client's WBC differential, which indicates that the pneumonia is of
bacterial origin, rather than viral. The left shift can be a manifestation of sepsis, and the nurse should
report this finding to the provider.
A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for
intervention?
A. The client's grandchild is visiting and telling the client about the first day of kindergarten
B. The client has a grilled ham and cheese sandwich, a banana, and yogurt on their lunch tray
C. The client's family brings in a silk flower arrangement
D. The client's assistive personnel places paper cups and plastic utensils in the client's room - answer-
A. The client's grandchild is visiting and telling the client about the first day of kindergarten
The nurse should limit the client's visitors to healthy adults. A visit from a child who is attending school
can place the client at risk for infection due to the client's immunocompromised status.
A nurse is providing teaching to a client who has Hodkin's lymphoma and is undergoing external
radiation treatment. Which of the following instructions should the nurse include?
A. Use an antibacterial soap to cleanse the skin
B. Wash the ink marking off when showering
C. Rub the skin with a towel when drying
D. Avoid direct sun exposure to the skin - answer-D. Avoid direct sun exposure to the skin
The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to
sunburn due to the external radiation.
, A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the
following risk factors should the nurse include in the teaching?
A. Light skin pigmentation
B. Psoriasis
C. History of frostbite
D. Immunodeficiency disorder - answer-A. Light skin pigmentation
The nurse should inform the clients that light skin pigmentation is a risk factor for the development of
skin cancer
A nursing is educating a client who is scheduled for a kidney transplant. Which of the following
information about hyperacute rejection should the nurse include in the teaching?
A. Hyperacute rejection can occur during the first few weeks after the transplant
B. If hyperacute rejection occurs, the kidney can become enlarged
C. The organ will need to be removed if hyperacute rejection occurs
D. Immunosuppressive therapy is given to reverse hyperacute rejection - answer-C. The organ will
need to be removed if hyperacute rejection occurs
Removing the transplanted organ is the only treatment for hyperacute rejection, due to the widespread
clotting cascade that leads to ischemic necrosis of the transplant kidney
A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse
report to the provider?
A. an asymmetrical papule that is pigmented
B. A patch of silvery-white scales with a red epidermal base
C. A collection of irregular, dry papules that are black
D. An elevated red lesion that arises from a scar - answer-A. An asymmetrical papule that is pigmented
The nurse should identify an asymmetrical papule that is pigmented as an indication of malignant
melanoma. The nurse should report the client's skin change to the provider.
MUSCULOSKELETAL NEWEST 2024 ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A
A nurse is providing teaching to a client who has systemic lupus erythematosus. Which of the following
statements by the client indicates an understanding of the teaching?
A.. I should use a sunscreen with a SPF of at least 15
B. Long-term immunosuppressive therapy could cure this disease
C. I should wear gloves when it is cold outside
D. SLE should not affect my lungs or breathing - answer-C. I should wear gloves when it is cold outside
Raynaud's phenomenon commonly accompanies SLE and can cause painful vasoconstriction in the
client's fingers when exposed to cold temperatures
A nurse is reviewing the laboratory report for a client who has hodgkin's lymphoma. Which of the
following findings should the nurse expect?
A. overgrowth of B-lymphocyte plasma cells
B. Reed-Sternberg cells
C. Epstein-Barr virus
D. Overproduction of blast phase cells - answer-B. Reed sternberg cells
The nurse should expect to find Reed-Sternberg cells, which are cancer cells specific to a client who has
Hodgkin's lymphoma, in the client's lymph nodes.
A nurse is providing teaching to a client who takes an oral contraceptive and has a new prescription for
amoxicillin. Which of the following statements by the client indicates an understanding of the teaching?
A. I will use a backup method of birth control while I am taking this medication
B. I should take this medication on an empty stomach
C. I should expect to have constipation while taking this medication
D. I will keep taking this medication until I feel better - answer-A. I will use a backup method of birth
control while I am taking this medication
The nurse should inform the client that antibiotics accelerate the elimination of oral contraceptives,
making them less effective.
,A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse
report to the provider immediately?
A. Negative blood culture
B. Left shift in WBC differential
C. Oxygen saturation 93%
D. Crackles heard on auscultation - answer-B. Left shift in WBC differential
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a left shift in the client's WBC differential, which indicates that the pneumonia is of
bacterial origin, rather than viral. The left shift can be a manifestation of sepsis, and the nurse should
report this finding to the provider.
A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for
intervention?
A. The client's grandchild is visiting and telling the client about the first day of kindergarten
B. The client has a grilled ham and cheese sandwich, a banana, and yogurt on their lunch tray
C. The client's family brings in a silk flower arrangement
D. The client's assistive personnel places paper cups and plastic utensils in the client's room - answer-
A. The client's grandchild is visiting and telling the client about the first day of kindergarten
The nurse should limit the client's visitors to healthy adults. A visit from a child who is attending school
can place the client at risk for infection due to the client's immunocompromised status.
A nurse is providing teaching to a client who has Hodkin's lymphoma and is undergoing external
radiation treatment. Which of the following instructions should the nurse include?
A. Use an antibacterial soap to cleanse the skin
B. Wash the ink marking off when showering
C. Rub the skin with a towel when drying
D. Avoid direct sun exposure to the skin - answer-D. Avoid direct sun exposure to the skin
The nurse should instruct the client to avoid sun exposure because the client's skin is sensitive to
sunburn due to the external radiation.
, A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the
following risk factors should the nurse include in the teaching?
A. Light skin pigmentation
B. Psoriasis
C. History of frostbite
D. Immunodeficiency disorder - answer-A. Light skin pigmentation
The nurse should inform the clients that light skin pigmentation is a risk factor for the development of
skin cancer
A nursing is educating a client who is scheduled for a kidney transplant. Which of the following
information about hyperacute rejection should the nurse include in the teaching?
A. Hyperacute rejection can occur during the first few weeks after the transplant
B. If hyperacute rejection occurs, the kidney can become enlarged
C. The organ will need to be removed if hyperacute rejection occurs
D. Immunosuppressive therapy is given to reverse hyperacute rejection - answer-C. The organ will
need to be removed if hyperacute rejection occurs
Removing the transplanted organ is the only treatment for hyperacute rejection, due to the widespread
clotting cascade that leads to ischemic necrosis of the transplant kidney
A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse
report to the provider?
A. an asymmetrical papule that is pigmented
B. A patch of silvery-white scales with a red epidermal base
C. A collection of irregular, dry papules that are black
D. An elevated red lesion that arises from a scar - answer-A. An asymmetrical papule that is pigmented
The nurse should identify an asymmetrical papule that is pigmented as an indication of malignant
melanoma. The nurse should report the client's skin change to the provider.
