Test Question Bank (Exam 1, Exam 2,
Exam 3, Final Exam
Chamberlain College of Nursing NR283
Pathophysiology 100 % Verified Answers
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Test Question Bank (Exam 1, Exam 2,
Exam 3, Final Exam, 300 Q/A):
What physiologic processes must the nurse remember while planning care for a client with
indirect healing of a fracture? Select all that apply.
1
Callus formation occurs.
2
Scar tissue is formed.
3
Solid bone is remodeled.
4
New bone is eventually formed.
5
Adjacent bone cortices are in direct contac
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Indirect healing is characterized by callus formation, remodeling of solid bone, and eventual
formation of new bone tissue. Direct healing occurs when adjacent bones' cortices are in
contact with one another. Bone is one of the only tissue types that form new complete
tissue, not scar tissue, when they heal. (Liver tissue is the other type with this capability.)
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Test Question Bank (Exam 1, Exam 2,
Exam 3, Final Exam
Which treatment options should the nurse include in the plan of care for clients with
rheumatoid arthritis (RA)? Select all that apply.
1
Nonsteroidal anti-inflammatory drugs
2
Occupational therapy
3
Assistive devices
4
Physical therapy
5
Methotrexate
6
Antibiotics
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Treatment options for RA include nonsteroidal anti-inflammatory drugs, glucocorticoids,
occupational and physical therapy, and assistive devices. Methotrexate remains the first line
of treatment for RA. Antibiotics are given for osteomyelitis, not RA.
A client has osteoarthritis in the hands. Which clinical manifestations will the nurse observe
upon assessment? Select all that apply.
1
Ulnar drift
2
Joint swelling
3
Joint stiffness
4
Joint tenderness
5
Heberden nodes
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Test Question Bank (Exam 1, Exam 2,
Exam 3, Final Exam
6
Subcutaneous nodule
2345
Clinical manifestations of osteoarthritis include joint stiffness, increased pain with
movement, joint tenderness and swelling as well as joint deformity, and Heberden nodes.
Ulnar drift and subcutaneous nodules are associated with rheumatoid arthritis of the hand.
A client is admitted for suspected rheumatoid arthritis (RA). Which diagnostic test is
recommended for diagnosing RA?
1
Complete blood count
2
Dual x-ray absorptiometry
3
Serum alkaline phosphatase
4
Anti-citrullinated protein antibody (ACPA
4
Research has found that the autoantibodies rheumatoid factor and ACPA can be present for
years to decades before synovial or radiographic involvement becomes apparent. ACPA is a
much more specific serum marker for rheumatoid arthritis than rheumatoid factor. Serum
alkaline phosphatase levels are elevated in bone lytic tumors and significantly elevated in
osteosarcoma. Dual x-ray absorptiometry is the current gold standard for detecting and
monitoring osteoporosis. Complete blood count does not help diagnose rheumatoid
arthritis.
A client is diagnosed with ankylosing spondylitis. Which assessment data support this
diagnosis? Select all that apply.
1
Low back pain
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Test Question Bank (Exam 1, Exam 2,
Exam 3, Final Exam
2
A 20-year-old man
3
Normal back curvature
4
Pain lessens with rest
5
Daily bouts of indigestion
6
Restricted, painful forward flexion and rotatio
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Ankylosing spondylitis presents with low back pain and has an onset in young men in their
teens and early twenties. Forward flexion, rotation, and lateral flexion of the spine are
restricted and painful. Physical examinations reveal a loss of the normal lordosis (curvature)
of the spine. It is common for men to present with back pain relieved by exercise.
Gastrointestinal involvement is not typical.
A client has bone destruction. Which bone destruction patterns are typical? Select all that
apply.
1
Circular
2
Permeative
3
Moth-eaten
4
Asymmetric
5
Geographic
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