NUR 2520 MegSurg 2 Exam 3 Practice Questions With
Complete Solutions
*A 25-yr-old female patient with systemic lupus erythematosus
(SLE) who has a facial rash
and alopecia tells the nurse, "I never leave my house because I
hate the way I look." The nurse will plan interventions with the
patient to address the nursing diagnosis of*
a. social isolation.
b. activity intolerance.
c. impaired skin integrity.
d. impaired social interaction. Correct Answers A
*A 29-yr-old woman is taking methotrexate to treat rheumatoid
arthritis. Which information
from the patient's health history is important for the nurse to
report to the health care
provider related to the methotrexate?*
a. The patient had a history of infectious mononucleosis as a
teenager.
b. The patient is trying to get pregnant before her disease
becomes more severe.
c. The patient has a family history of age-related macular
degeneration of the retina.
d. The patient has been using large doses of vitamins and health
foods to treat the RA. Correct Answers B
*A 54-yr-old woman who recently reached menopause and has a
family history of osteoporosis is diagnosed with osteopenia
following densitometry testing. In teaching the woman, the
nurse explains that*
,a. with a family history of osteoporosis, there is no way to
prevent or slow bone resorption.
b. estrogen replacement therapy must be started to prevent rapid
progression to
osteoporosis.
c. continuous, low-dose corticosteroid treatment is effective in
stopping the course of
osteoporosis.
d. calcium loss from bones can be slowed by increasing calcium
intake and weight-bearing exercise. Correct Answers D
*A factory line worker has repetitive strain syndrome in the left
elbow. The nurse will plan to teach the patient about*
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements. Correct Answers D
*A high school teacher with ulnar drift caused by rheumatoid
arthritis (RA) is scheduled for
arthroplasty of several joints in the left hand. Which patient
statement to the nurse indicates a realistic expectation for the
surgery?*
a. "This procedure will correct the deformities in my fingers."
b. "I will not have to do as many hand exercises after the
surgery."
c. "I will be able to use my fingers with more flexibility to grasp
things."
d. "My fingers will appear more normal in size and shape after
this surgery." Correct Answers C
,*A new clinic patient with joint swelling and pain is being tested
for systemic lupus
erythematosus. Which test will provide the most specific
findings for the nurse to review?*
a. Rheumatoid factor (RF)
b. Antinuclear antibody (ANA)
c. Anti-Smith antibody (Anti-Sm)
d. Lupus erythematosus (LE) cell prep Correct Answers C
*A nurse who works on the orthopedic unit has just received
change-of-shift report. Which
patient should the nurse assess first?*
a. Patient who reports foot pain after hammertoe surgery
b. Patient who has not voided 10 hours after a laminectomy
c. Patient with low back pain and a positive straight-leg-raise
test
d. Patient with osteomyelitis who has a temperature of 100.5° F
(38.1° C) Correct Answers B
*A patient arrived at the emergency department after tripping
over a rug and falling at home. Which finding is most important
for the nurse to communicate to the health care provider?*
a. There is bruising at the shoulder area.
b. The patient reports arm and shoulder pain.
c. The right arm appears shorter than the left.
d. There is decreased shoulder range of motion. Correct
Answers C
*A patient being seen in the clinic has rheumatoid nodules on
the elbows. Which action will the nurse take?*
a. Draw blood for rheumatoid factor analysis.
, b. Teach the patient about injections for the nodules.
c. Assess the nodules for skin breakdown or infection.
d. Discuss the need for surgical removal of the nodules. Correct
Answers C
*A patient complains of shoulder pain when the nurse moves the
patient's arm behind the back.
Which question should the nurse ask?*
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a shirt?"
c. "Are you able to sleep through the night without waking?"
d. "Do you ever have trouble lowering yourself to the toilet?"
Correct Answers B
*A patient has a new order for magnetic resonance imaging
(MRI) to evaluate possible left femur osteomyelitis after hip
arthroplasty surgery. Which information indicates the nurse
should consult with the health care provider before scheduling
the MRI?*
a. The patient has a pacemaker
b. The patient is claustrophobic
c. The patient wears a hearing aid
d. The patient is allergic to shellfish Correct Answers A
*A patient has scleroderma manifested by CREST (calcinosis,
Raynaud's phenomenon,
esophageal dysfunction, sclerodactyly, and telangiectasia)
syndrome. Which action will the
nurse include in the plan of care?*
a. Avoid use of capsaicin cream on hands.
b. Keep the environment warm and draft free.
Complete Solutions
*A 25-yr-old female patient with systemic lupus erythematosus
(SLE) who has a facial rash
and alopecia tells the nurse, "I never leave my house because I
hate the way I look." The nurse will plan interventions with the
patient to address the nursing diagnosis of*
a. social isolation.
b. activity intolerance.
c. impaired skin integrity.
d. impaired social interaction. Correct Answers A
*A 29-yr-old woman is taking methotrexate to treat rheumatoid
arthritis. Which information
from the patient's health history is important for the nurse to
report to the health care
provider related to the methotrexate?*
a. The patient had a history of infectious mononucleosis as a
teenager.
b. The patient is trying to get pregnant before her disease
becomes more severe.
c. The patient has a family history of age-related macular
degeneration of the retina.
d. The patient has been using large doses of vitamins and health
foods to treat the RA. Correct Answers B
*A 54-yr-old woman who recently reached menopause and has a
family history of osteoporosis is diagnosed with osteopenia
following densitometry testing. In teaching the woman, the
nurse explains that*
,a. with a family history of osteoporosis, there is no way to
prevent or slow bone resorption.
b. estrogen replacement therapy must be started to prevent rapid
progression to
osteoporosis.
c. continuous, low-dose corticosteroid treatment is effective in
stopping the course of
osteoporosis.
d. calcium loss from bones can be slowed by increasing calcium
intake and weight-bearing exercise. Correct Answers D
*A factory line worker has repetitive strain syndrome in the left
elbow. The nurse will plan to teach the patient about*
a. surgical options.
b. elbow injections.
c. wearing a left wrist splint.
d. modifying arm movements. Correct Answers D
*A high school teacher with ulnar drift caused by rheumatoid
arthritis (RA) is scheduled for
arthroplasty of several joints in the left hand. Which patient
statement to the nurse indicates a realistic expectation for the
surgery?*
a. "This procedure will correct the deformities in my fingers."
b. "I will not have to do as many hand exercises after the
surgery."
c. "I will be able to use my fingers with more flexibility to grasp
things."
d. "My fingers will appear more normal in size and shape after
this surgery." Correct Answers C
,*A new clinic patient with joint swelling and pain is being tested
for systemic lupus
erythematosus. Which test will provide the most specific
findings for the nurse to review?*
a. Rheumatoid factor (RF)
b. Antinuclear antibody (ANA)
c. Anti-Smith antibody (Anti-Sm)
d. Lupus erythematosus (LE) cell prep Correct Answers C
*A nurse who works on the orthopedic unit has just received
change-of-shift report. Which
patient should the nurse assess first?*
a. Patient who reports foot pain after hammertoe surgery
b. Patient who has not voided 10 hours after a laminectomy
c. Patient with low back pain and a positive straight-leg-raise
test
d. Patient with osteomyelitis who has a temperature of 100.5° F
(38.1° C) Correct Answers B
*A patient arrived at the emergency department after tripping
over a rug and falling at home. Which finding is most important
for the nurse to communicate to the health care provider?*
a. There is bruising at the shoulder area.
b. The patient reports arm and shoulder pain.
c. The right arm appears shorter than the left.
d. There is decreased shoulder range of motion. Correct
Answers C
*A patient being seen in the clinic has rheumatoid nodules on
the elbows. Which action will the nurse take?*
a. Draw blood for rheumatoid factor analysis.
, b. Teach the patient about injections for the nodules.
c. Assess the nodules for skin breakdown or infection.
d. Discuss the need for surgical removal of the nodules. Correct
Answers C
*A patient complains of shoulder pain when the nurse moves the
patient's arm behind the back.
Which question should the nurse ask?*
a. "Are you able to feed yourself without difficulty?"
b. "Do you have difficulty when you are putting on a shirt?"
c. "Are you able to sleep through the night without waking?"
d. "Do you ever have trouble lowering yourself to the toilet?"
Correct Answers B
*A patient has a new order for magnetic resonance imaging
(MRI) to evaluate possible left femur osteomyelitis after hip
arthroplasty surgery. Which information indicates the nurse
should consult with the health care provider before scheduling
the MRI?*
a. The patient has a pacemaker
b. The patient is claustrophobic
c. The patient wears a hearing aid
d. The patient is allergic to shellfish Correct Answers A
*A patient has scleroderma manifested by CREST (calcinosis,
Raynaud's phenomenon,
esophageal dysfunction, sclerodactyly, and telangiectasia)
syndrome. Which action will the
nurse include in the plan of care?*
a. Avoid use of capsaicin cream on hands.
b. Keep the environment warm and draft free.
