NUR265 EXAM 1 COMPREHENSIVE STUDY
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Lupus: Indication of flare. Answer: Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
◉ Lupus: Interventions. Answer: -Falls precautions
-treat pain with tylenol and NSAIDS (monitor kidney function)
-AVOID SUNLIGHT
-REPORT FLARE IMMEDIATELY
-clean skin with mild soap and pat dry and apply lotion
◉ Lupus: medical management. Answer: -hydroxychloroquine(anti-
malarial) decreases absorption of UV light
◉ Scleroderma. Answer: inflammatory, autoimmune connective
tissue disease
,◉ Scleroderma: Hallmark Sign. Answer: Hard, leather-like
edematous skin
Late: esophageal dismotility
◉ Scleroderma: Assess. Answer: Swallow safety--esophageal
dysmotility (ASPIRATION)
O2
circulation
skin
◉ Scleroderma: Interventions. Answer: aspiration precautions (keep
HOB at 60 degrees during meals and after)
skin protection measures
small frequent meals--avoid caffeine and alcohol
-avoid spices, caffeine and pepper
◉ fibromyalgia: S/sx. Answer: extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
,◉ fibromyalgia: Assess. Answer: pain level
extreme fatigue
GI symptoms
◉ Fibromyalgia: Interventions. Answer: NSAIDS
Nuerontin (gabapentin)
Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking,
swimming, rowing, water exercise)
◉ Lyme Disease: Hallmark sign. Answer: stage 1: "bulls eye rash"
and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
◉ Lyme Disease: Assess. Answer: Skin
history of tick bites
◉ Lyme Disease: Interventions. Answer: prevention!
Insect repellant with DEET
, early stage--doxycycline antibiotics ORAL
late stage--Iv antibiotics (ceftriaxone)
avoid tall grass
wear light colored clothing
have pets wear tick collars
◉ Allergic Reaction Priority. Answer: STOP THE
INFUSION/ELIMINATE the trigger, then STOP the immune response
Give Epi
maintain airway
◉ Latex allergy: risks. Answer: -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
◉ Anaphylactic shock. Answer: AIRWAY--give epi IV or IM STAT and
intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Lupus: Indication of flare. Answer: Fever and fatigue
*also assess BUN function
*c reactive protein remains normal
◉ Lupus: Interventions. Answer: -Falls precautions
-treat pain with tylenol and NSAIDS (monitor kidney function)
-AVOID SUNLIGHT
-REPORT FLARE IMMEDIATELY
-clean skin with mild soap and pat dry and apply lotion
◉ Lupus: medical management. Answer: -hydroxychloroquine(anti-
malarial) decreases absorption of UV light
◉ Scleroderma. Answer: inflammatory, autoimmune connective
tissue disease
,◉ Scleroderma: Hallmark Sign. Answer: Hard, leather-like
edematous skin
Late: esophageal dismotility
◉ Scleroderma: Assess. Answer: Swallow safety--esophageal
dysmotility (ASPIRATION)
O2
circulation
skin
◉ Scleroderma: Interventions. Answer: aspiration precautions (keep
HOB at 60 degrees during meals and after)
skin protection measures
small frequent meals--avoid caffeine and alcohol
-avoid spices, caffeine and pepper
◉ fibromyalgia: S/sx. Answer: extreme fatigure
GI symptoms
dysuria
blurred vision
forgetfulness
,◉ fibromyalgia: Assess. Answer: pain level
extreme fatigue
GI symptoms
◉ Fibromyalgia: Interventions. Answer: NSAIDS
Nuerontin (gabapentin)
Lyrica (pregabalin)
SNRI and tricyclic antidepressants (amitriptyline)
promote sleep and low impact exercise (stretching, walking,
swimming, rowing, water exercise)
◉ Lyme Disease: Hallmark sign. Answer: stage 1: "bulls eye rash"
and flu-like symptoms
Stage 2: facial paralysis, carditis, meningitis
◉ Lyme Disease: Assess. Answer: Skin
history of tick bites
◉ Lyme Disease: Interventions. Answer: prevention!
Insect repellant with DEET
, early stage--doxycycline antibiotics ORAL
late stage--Iv antibiotics (ceftriaxone)
avoid tall grass
wear light colored clothing
have pets wear tick collars
◉ Allergic Reaction Priority. Answer: STOP THE
INFUSION/ELIMINATE the trigger, then STOP the immune response
Give Epi
maintain airway
◉ Latex allergy: risks. Answer: -frequent use of latex condoms
-healthcare workers
-allergy to avocados, bananas, and some nuts
◉ Anaphylactic shock. Answer: AIRWAY--give epi IV or IM STAT and
intubate if needed
BREATHING--apply O2; mechanically ventilate
CIRCULATION--monitor for distributive shock; give fluids
