HESI CASE STUDY: RHEUMATOID ARTHRITIS WITH
JOINT ARTHROPLASTY FREQUENTLY TESTED ACTUAL
EXAM QUESTIONS WITH CORRECT ANSWERS
Question 1.
Which positioning indicates that the crutches are sized correctly?
ANSWER
Arms flexed 30 degrees, crutch top 3 finger-widths from axilla.
Correct positioning includes the arms flexed at no more than 30 degrees, with the tops of the
crutches 2 to 3 finger-widths from the axilla when the crutch tips are at least 6 inches in front
of the foot.
Question 2.
2. Which etiologic factor is related to the onset of rheumatoid arthritis?
ANSWER
Genetic predisposition.
It likely results from a combination of genetics and environmental triggers. An autoimmune
cause is currently the most widely accepted theory. This theory suggests chances of RA begin
when a genetically susceptible person has an initial immune response to an antigen. Although
a bacterium or virus could be the possible antigen, no infection or organism has been found to
date.
, Question 3.
7. The client is experiencing impaired mobility. Which nursing intervention is best to implement for
this nursing problem?
ANSWER
Advise the client to take a hot shower in the morning to prevent morning stiffness.
Morning stiffness can be reduced by taking a hot shower in the morning.
Question 4.
Which postoperative intervention should the nurse expect to implement?
ANSWER
Perform regular neurovascular assessment.
Postoperatively, regular neurovascular assessments must be performed.
Question 5.
Which intervention should the nurse prepare to implement?
ANSWER
Obtain cold packs or a cooling blanket.
The client is exhibiting symptoms of sepsis. Infection is a significant postoperative problem
following joint replacement. Wound and blood cultures should be obtained, antipyretics
administered, and cooling packs applied to reduce the fever.
JOINT ARTHROPLASTY FREQUENTLY TESTED ACTUAL
EXAM QUESTIONS WITH CORRECT ANSWERS
Question 1.
Which positioning indicates that the crutches are sized correctly?
ANSWER
Arms flexed 30 degrees, crutch top 3 finger-widths from axilla.
Correct positioning includes the arms flexed at no more than 30 degrees, with the tops of the
crutches 2 to 3 finger-widths from the axilla when the crutch tips are at least 6 inches in front
of the foot.
Question 2.
2. Which etiologic factor is related to the onset of rheumatoid arthritis?
ANSWER
Genetic predisposition.
It likely results from a combination of genetics and environmental triggers. An autoimmune
cause is currently the most widely accepted theory. This theory suggests chances of RA begin
when a genetically susceptible person has an initial immune response to an antigen. Although
a bacterium or virus could be the possible antigen, no infection or organism has been found to
date.
, Question 3.
7. The client is experiencing impaired mobility. Which nursing intervention is best to implement for
this nursing problem?
ANSWER
Advise the client to take a hot shower in the morning to prevent morning stiffness.
Morning stiffness can be reduced by taking a hot shower in the morning.
Question 4.
Which postoperative intervention should the nurse expect to implement?
ANSWER
Perform regular neurovascular assessment.
Postoperatively, regular neurovascular assessments must be performed.
Question 5.
Which intervention should the nurse prepare to implement?
ANSWER
Obtain cold packs or a cooling blanket.
The client is exhibiting symptoms of sepsis. Infection is a significant postoperative problem
following joint replacement. Wound and blood cultures should be obtained, antipyretics
administered, and cooling packs applied to reduce the fever.
