NURS 6202 EXAM 3 PART 3 QUESTIONS AND ANSWERS | NURS
6202 STUDY GUIDE & PRACTICE TEST 2026/2027
Osteoarthritis (OA) - correct answer ✔✔progressive, degenerative joint disease with loss of articular
cartilage (early stage) and hypertrophy of bone (late stage - formation of osteophytes, or bone spurs) at
articular surfaces
Often unilateral, non-systemic
S/S: localized stiffness and pain that eases with gentle warm up/ movement pain improves with rest
Osteoarthritis Treatment - correct answer ✔✔Appropriate rest-exercise balance, heat/cold therapy,
acupuncture, yoga, massage, PT, weight control, use of adaptive equipment
Mild-Moderate:
Tylenol, topical creams, hyaluronic acid
Mod-Severe:
More NSAIDs, cortisone injection, surgery (arthroscopic vs arthroplasty)
rheumatoid arthritis (RA) - correct answer ✔✔systemic, symmetrical, autoimmune attack on synovial
joint spaces
Periods of exacerbation and remission
S/S: fatigue, anorexia, weight loss, generalized stiffness, joint pain (increases with motion, long lasting
morning stiffness), deformity (contractures) and disability as disease progresses, nodules around joints,
in lungs, and sclera
RA diagnosis and treatment - correct answer ✔✔Dx: increased serum rheumatoid factor, increased ESR,
ANA titers, anti-CCP, increased WBC in synovial fluid, all paired with H&P and radiology
Tx: PT/OT to maintain ADLs; Meds- DMARDs (methotrexate) and steroids (anti inflammatory) to cover
loading period, NSAIDS for spot treatment
DMARDS pt teaching - correct answer ✔✔These can decrease the severity of the disease and related
disability when started early in course of condition
Immunosuppressant- be aware of risks/precautions, avoid infections, practice good hygiene
Compliance important- RA has periods of remission & exacerbation but need to continue meds during
remission
Gout - correct answer ✔✔uric acid accumulation via overproduction or underexcretion
Accumulation in joints causing SEVERE pain
S/S: swollen, red, painful joints, limited motion, SUPER tender to touch during flare up
increased uremia, increased ESR
Gout care - correct answer ✔✔*do not palpate during exacerbations*
Rest, NSAIDs
Allopurinol (decreases uric acid production)
Colchicine (fairly rapid acting decrease in acute Inflammation)
Decrease purines in diet
6202 STUDY GUIDE & PRACTICE TEST 2026/2027
Osteoarthritis (OA) - correct answer ✔✔progressive, degenerative joint disease with loss of articular
cartilage (early stage) and hypertrophy of bone (late stage - formation of osteophytes, or bone spurs) at
articular surfaces
Often unilateral, non-systemic
S/S: localized stiffness and pain that eases with gentle warm up/ movement pain improves with rest
Osteoarthritis Treatment - correct answer ✔✔Appropriate rest-exercise balance, heat/cold therapy,
acupuncture, yoga, massage, PT, weight control, use of adaptive equipment
Mild-Moderate:
Tylenol, topical creams, hyaluronic acid
Mod-Severe:
More NSAIDs, cortisone injection, surgery (arthroscopic vs arthroplasty)
rheumatoid arthritis (RA) - correct answer ✔✔systemic, symmetrical, autoimmune attack on synovial
joint spaces
Periods of exacerbation and remission
S/S: fatigue, anorexia, weight loss, generalized stiffness, joint pain (increases with motion, long lasting
morning stiffness), deformity (contractures) and disability as disease progresses, nodules around joints,
in lungs, and sclera
RA diagnosis and treatment - correct answer ✔✔Dx: increased serum rheumatoid factor, increased ESR,
ANA titers, anti-CCP, increased WBC in synovial fluid, all paired with H&P and radiology
Tx: PT/OT to maintain ADLs; Meds- DMARDs (methotrexate) and steroids (anti inflammatory) to cover
loading period, NSAIDS for spot treatment
DMARDS pt teaching - correct answer ✔✔These can decrease the severity of the disease and related
disability when started early in course of condition
Immunosuppressant- be aware of risks/precautions, avoid infections, practice good hygiene
Compliance important- RA has periods of remission & exacerbation but need to continue meds during
remission
Gout - correct answer ✔✔uric acid accumulation via overproduction or underexcretion
Accumulation in joints causing SEVERE pain
S/S: swollen, red, painful joints, limited motion, SUPER tender to touch during flare up
increased uremia, increased ESR
Gout care - correct answer ✔✔*do not palpate during exacerbations*
Rest, NSAIDs
Allopurinol (decreases uric acid production)
Colchicine (fairly rapid acting decrease in acute Inflammation)
Decrease purines in diet
