NURS A Exam Review Questions Concept #9
Which statement by the patient with gout indicates that further teaching is needed?
"I can drink alcohol if I limit the number of beers I drink."
You are counseling a patient who has just tested negative for a possible HIV exposure. Which of the following statements indicates your teaching has been effective?
"I need to get tested again in 6 months."
A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining a normal weight. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?
"I will add high-protein foods to my diet"
A nurse is providing teaching for a client who has stage 3 HIV disease. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?
"I will cook vegetables before eating them"
Which statement by the patient with fibromyalgia indicates that teaching has been effective?
"It's frustrating, but I understand that fibromyalgia typically presents with a normal physical examination with no evidence of joint or muscle inflammation."
A nurse is teaching a client who has MS and a new prescription for baclofen. Which of the following statements should the nurse include in the teaching?
"This medication can cause you to experience dizziness"
A nurse is teaching a client who has a new diagnosis of rheumatoid arthritis. Which of the following statements should the nurse include in the teaching?
"You can experience morning stiffness when you get out of bed"
The nurse questions which order for the patient with cardiomyopathy?
ACE inhibitors
A nurse is caring for a patient with a diagnosis of MI. The patient calls the nurse because he is experiencing chest pain. The nurse administers an SL nitroglycerin tablet as prescribed. After 5 minutes, the chest pain is unrelieved by the nitroglycerin. The next nursing action is which of the following?
Administer another nitroglycerin tablet
A nurse is screening patients for their risk of developing HIV. The nurse should consider which patient at greatest risk?
African American man
A nurse is assessing a client who has a new diagnosis of SLE. Which of the following findings should the nurse expect?
Alopecia
A nurse is teaching a client who has SLE about self-care. Which of the following statements by the client indicates an understanding of the teaching?
I should use a mild hair shampoo
The rheumatology nurse is screening lupus patients for the risk of developing lupus nephritis. The nurse should consider which patient at greatest risk?
A 22-year-old African American female presents to the clinic after missing her last two appointments. She does not regularly take her hydroxychloroquine (Plaquenil) or her BP medication. Today she complains that her feet started to swell about 2 weeks ago. Her BP is 158/90 mm Hg, +2 pedal edema. Serum creatinine 2.1, GFR 35, proteinuria 3+.
The nurse recognizes which patient to be at the highest risk for developing SLE?
A 30-year-old African American female
The nurse recognizes which patient with scleroderma to be at the highest risk for morbidity and mortality?
A 32-year-old Caucasian female presenting with thickened skin on her trunk
The nurse recognizes which patient to be at greatest risk for developing osteoarthritis?
A 65-year-old obese African American female
The nurse understands the correct statement about HIV disease is which of the following?
A CD4+ count of 200 cells/μL or less increases the chances for opportunistic infections.
The patient with a PA catheter has a low pulmonary artery occlusive pressure. On the basis of this information, what intervention should the nurse anticipate?
A fluid bolus to help increase preload
Which of the following HIV+ patients is at greatest risk of developing TB? A patient with:
A positive PPD
The nurse knows that which of following statements regarding laboratory values and RA are true? (Select all that apply.)
An elevated CRP is indicative of inflammation but is not specific only for RA. Certain DMARD therapy may cause laboratory abnormalities such as elevated liver enzymes, thrombocytopenia, and leukocytopenia Approximately 25% to 30% of patients who have RA do not have a positive rheumatoid factor.
A 68-year-old male presents to the emergency department with complaints of crushing chest pain that radiates to the left shoulder. The patient is diagnosed with AMI. Admission orders include oxygen 2 L via nasal cannula, blood work, chest x-ray, 12-lead ECG, and SL nitroglycerin. What should be the nurse's first action?
Apply oxygen
A nurse is beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect?
Areas of paresthesia Involuntary eye movements Ataxia
Prior to inserting an arterial line in the right radial artery, the provider performs an Allen test. The nurse anticipates what intervention if the Allen test is negative?
Assessment of the circulation through the left ulnar artery
The nurse monitors for which clinical manifestations in the patient diagnosed with osteoarthritis? (Select all that apply.)
Decreased range of motion of affected joint Warmth and swelling of affected joints Heberden's nodes
A nurse in the clinic has assessed several patients. It is a priority for the nurse to suggest follow-up to which of the following patients? The patient that reports:
Difficulty swallowing food for 3 days
A nurse is discussing gout with a client who is concerned about developing the disorder. Which of the following findings should the nurse identify as risk factors for this disease?
Diuretic use Obesity Cardiovascular disease
The nurse has received the following provider orders for a patient in cardiogenic shock with a blood pressure of 70/35 mm Hg. Which order should the nurse implement first?
Dopamine IV drop
A nurse is caring for a client who has rheumatoid arthritis. Which of the following laboratory tests are used to diagnose the disease?
ESR ANA Titer WBC Count
You are providing care for a patient newly diagnosed with HIV. Which nursing intervention is an essential priority in your plan of care?
Evaluating behaviors for depression
A patient states she has recently been treated for gonorrhea. Her last HIV test was 18 months ago. When you review the orders, you notice that an HIV test has been ordered. What do you do?
Explain that the test has been ordered and she can opt out.
On the basis of the patient's diagnosis of cardiomyopathy, which condition should the nurse anticipate as a potential problem?
Heart failure
What action of IABP therapy supports cardiac function?
Inflating the balloon during diastole, improving coronary circulation
The nurse monitors for which clinical manifestations in the patient diagnosed with osteoarthritis? (Select all that apply.)
Joint pain Joint swelling Unsteady gait
In reviewing the above orders, it is a priority for the nurse to follow up with the provider about which order?
Lasix
The nurse has received the following orders for a patient with AIDS who has recently been admitted to the unit. Which order should the nurse question?
Live virus influenza vaccine
A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect?
Loss of cognitive function
The charge nurse is reviewing prescriptions for a new patient who was admitted for shortness of breath and also has RA. It is a priority for the nurse to follow up with the provider about which order?
Methotrexate 25 mg by mouth every p.m.
Which of the following statements regarding viral replication is correct?
Must use host white blood cells for viral proliferation
The nurse is reviewing the laboratory results of her patient and notes that a cardiac troponin level was drawn. This test was drawn to determine which diagnosis?
Myocardial infarction
When comparing osteoarthritis to RA, the nurse recognizes which of the following statements to be true? (Select all that apply.)
Osteoarthritic pain tends to get worse with activity, but RA gets better with activity. Patients with RA are at risk for developing extraarticular manifestations such as eye inflammation and lung disease, whereas osteoarthritis affects only joints and surrounding structures. Patients with osteoarthritis typically have morning stiffness lasting less than 30 minutes, whereas RA patients typically complain of morning stiffness lasting greater than 30 minutes.
The nurse understands that a/an _________ is used in the evaluation of cardiogenic shock.
PA catheter
The nurse assesses for which initial clinical manifestation in the patient diagnosed with gout?
Pain and inflammation in the great toe
A nurse is caring for a client who has SLE and is experiencing an episode of Raynaud's phenomenon. Which of the following findings should the nurse anticipate?
Pallor of toes with cold exposure
A nurse is an outpatient clinic is assessing a client who reports night swears and fatigue. The client reports having a cough along with nausea and diarrhea. Their temperature is 38.1 orally. The client is concerned about the possibility of having HIV. Which of the following actions should the nurse take?
Perform a physical assessment Determine when manifestations began Obtain a sexual history
A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors associated with this virus?
Perinatal exposure Older adult women Occupational exposure
The nurse understands which of the following are symptoms of HCM? (Select all that apply.)
Poor filling Decreased cardiac output Impaired diastolic function
A nurse is reviewing the plan of care for a client who has systemic lupus erythematosus (SLE). The client reports fatigue, joint tenderness, swelling and difficulty urinating. Which of the following laboratory findings should the nurse anticipate?
Positive ANA titer 2+ urine protein Elevated BUN
A patient newly diagnosed with HIV asks about community support groups. What should the nurse do?
Provide a list of groups in a neighboring community
When assessing a patient who has scleroderma, the nurse recognizes which body system should be very carefully examined for evidence of impending complications?
Pulmonary
A nurse is caring for a patient in the emergency department. The patient asks for an HIV test. The nurse explains that a screening test can provide quick results and determine whether more testing is necessary. That test is a:
Rapid test
A nurse is working in an outpatient clinic is assessing a client who has rheumatoid arthritis (RA). The client reports increased joint tenderness and swelling. Which of the following findings should the nurse expect?
Recent influenza Decreased range of motion Pain at rest
In assessing the patient with scleroderma for pending renal crisis, which findings require an intervention by the nurse? (Select all that apply.)
Significant weight gain Blood pressure 174/100 mm Hg Creatinine 1.9 mg/dL
The nurse includes which information in the teaching plan about the management of fibromyalgia? (Select all that apply.)
Stress management techniques are important tools Daily exercise can help control fibromyalgia symptoms Antidepressant medications may decrease pain as well as depression
The charge nurse is monitoring the care of several critically ill patients in the ICU. Which patient requires immediate intervention by the provider?
The patient with a PA catheter remaining in the wedge position
The nurse is managing the care of a patient with an arterial line. Which assessment finding warrants immediate intervention by the nurse?
Tubing disconnected from the arterial line
The nurse monitors for which complications in patients with cardiomyopathy? (Select all that apply.)
Ventricular dysrhythmias Stroke Pulmonary embolism
A nurse is caring for a client who is suspected of having HIV. The nurse should identify that which of the following diagnostic tests and laboratory values are used to confirm HIV infection?
Western blot Indirect immunofluorescence assay
