NURSING 265 WEEK 6 (2024/2025) VERSION STUDY GUIDE
WITH COMPLETE SOLUTION!!
Which benign condition shows silver scaly plaques on the skin?
Answers :Psoriasis
Rationale
A silver scaly plaque on the skin is due to psoriasis and is most commonly seen on
the elbows and scalp. Hyperpigmented areas that vary in form and color are due to
nevi. Spontaneously occurring raised or irregular-shaped wheals of varying size are
usually due to urticaria. Non-inflammatory lesions, including open comedones and
closed comedones, are due to acne vulgaris.
Which diagnostic study is used to investigate the cause of an inflamed joint and
determines a client's response to antiinflammatory drug therapy?
Answers :Thermography
Rationale
Thermography uses an infrared detector that measures the degree of heat radiating
from the skin's surface. Therefore it is used to investigate the cause of an inflamed
joint and in determining the client's response to antiinflammatory drug therapy.
Plethysmography is used to record variations in volume and pressure of blood
passing through tissues. Duplex venous Doppler records blood flow abnormalities
to the lower extremities, which helps to detect deep vein thrombosis.
Somatosensory evoked potential is used to identify subtle dysfunction of lower
motor neuron and primary muscle disease.
What findings should a nurse expect when examining the laboratory report of a
preschooler with rheumatic fever?
Answers :Positive antistreptolysin titer
Rationale
,A positive antistreptolysin titer is present with rheumatic fever because of the
previous infection with streptococci. An increased reticulocyte count is usually
related to a decrease in mature red blood cells caused by hemorrhage or blood
dyscrasias; it is unrelated to an infectious or inflammatory process. A positive, not
a negative, C-reactive protein will be present; this is indicative of an inflammatory
process. The erythrocyte sedimentation rate will be increased, not decreased,
indicating the presence of an inflammatory process.
Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains
0.6 mg. How many tablets should the nurse administer? Record your answer using
a whole number.
Answers :20.6 X 1000 = 6001200/600 = 2
Rationale
The prescribed dose is 1200 mcg. The available medication is a tablet with 0.6 mg.
First, convert the prescribed medication to units of the available medication. Then,
use the dimensional analysis and/or ratio and proportion methods to determine the
appropriate number of tablets to be administered.
Test-Taking Tip: When taking the NCLEX exam, an on-screen calculator will be
available for you to determine your response, which you will then type in the
provided space.
Which predisposing condition may be present in a client with pitting edema?
Answers :Kidney disease
Rationale
Kidney disease may be a predisposing condition associated with pitting edema.
Shock may be associated with a decreased temperature. Hypothyroidism may be a
predisposing condition of non-pitting edema, which occurs due to an endocrine
imbalance. Severe dehydration may be associated with decreased elasticity of the
dermis.
, A client with rheumatoid arthritis has been given a prescription for acetylsalicylic
acid. The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The
nurse recalls that this drug has which property?
Answers :Analgesic
Rationale
Acetylsalicylic acid (aspirin) acts as an analgesic by inhibiting production of
inflammatory mediators. Acetylsalicylic acid does not act as a sedative to calm
individuals. Acetylsalicylic acid does not act as a hypnotic to induce sleep.
Acetylsalicylic acid does not destroy or control microorganisms.Test-Taking Tip:
Eat breakfast or lunch before an exam. Avoid greasy, heavy foods and overeating.
This will help keep you calm and give you energy.
After becoming incontinent of urine, an older client is admitted to a nursing home.
The client's rheumatoid arthritis contributes to severely painful joints. Which need
is the primary consideration in the care of this client?
Answers :Control of pain
Rationale
After the need to survive (air, food, water), the need for comfort and freedom from
pain closely follow; care should be given in order of the client's basic needs. Joints
must be exercised, not immobilized, to prevent stiffness, contractures, and muscle
atrophy. Motivation and learning will not occur unless basic needs, such as
freedom from pain, are met. Although bladder training should be included in care,
it is not the priority when the client is in pain.
A teenager is admitted with an acute onset of right lower quadrant pain at
McBurney point. Appendicitis is suspected. For which clinical indicator should the
nurse assess the client to determine if the pain is secondary to appendicitis?
Answers :Rebound tenderness
WITH COMPLETE SOLUTION!!
Which benign condition shows silver scaly plaques on the skin?
Answers :Psoriasis
Rationale
A silver scaly plaque on the skin is due to psoriasis and is most commonly seen on
the elbows and scalp. Hyperpigmented areas that vary in form and color are due to
nevi. Spontaneously occurring raised or irregular-shaped wheals of varying size are
usually due to urticaria. Non-inflammatory lesions, including open comedones and
closed comedones, are due to acne vulgaris.
Which diagnostic study is used to investigate the cause of an inflamed joint and
determines a client's response to antiinflammatory drug therapy?
Answers :Thermography
Rationale
Thermography uses an infrared detector that measures the degree of heat radiating
from the skin's surface. Therefore it is used to investigate the cause of an inflamed
joint and in determining the client's response to antiinflammatory drug therapy.
Plethysmography is used to record variations in volume and pressure of blood
passing through tissues. Duplex venous Doppler records blood flow abnormalities
to the lower extremities, which helps to detect deep vein thrombosis.
Somatosensory evoked potential is used to identify subtle dysfunction of lower
motor neuron and primary muscle disease.
What findings should a nurse expect when examining the laboratory report of a
preschooler with rheumatic fever?
Answers :Positive antistreptolysin titer
Rationale
,A positive antistreptolysin titer is present with rheumatic fever because of the
previous infection with streptococci. An increased reticulocyte count is usually
related to a decrease in mature red blood cells caused by hemorrhage or blood
dyscrasias; it is unrelated to an infectious or inflammatory process. A positive, not
a negative, C-reactive protein will be present; this is indicative of an inflammatory
process. The erythrocyte sedimentation rate will be increased, not decreased,
indicating the presence of an inflammatory process.
Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains
0.6 mg. How many tablets should the nurse administer? Record your answer using
a whole number.
Answers :20.6 X 1000 = 6001200/600 = 2
Rationale
The prescribed dose is 1200 mcg. The available medication is a tablet with 0.6 mg.
First, convert the prescribed medication to units of the available medication. Then,
use the dimensional analysis and/or ratio and proportion methods to determine the
appropriate number of tablets to be administered.
Test-Taking Tip: When taking the NCLEX exam, an on-screen calculator will be
available for you to determine your response, which you will then type in the
provided space.
Which predisposing condition may be present in a client with pitting edema?
Answers :Kidney disease
Rationale
Kidney disease may be a predisposing condition associated with pitting edema.
Shock may be associated with a decreased temperature. Hypothyroidism may be a
predisposing condition of non-pitting edema, which occurs due to an endocrine
imbalance. Severe dehydration may be associated with decreased elasticity of the
dermis.
, A client with rheumatoid arthritis has been given a prescription for acetylsalicylic
acid. The client asks the nurse, "What kind of drug is acetylsalicylic acid?" The
nurse recalls that this drug has which property?
Answers :Analgesic
Rationale
Acetylsalicylic acid (aspirin) acts as an analgesic by inhibiting production of
inflammatory mediators. Acetylsalicylic acid does not act as a sedative to calm
individuals. Acetylsalicylic acid does not act as a hypnotic to induce sleep.
Acetylsalicylic acid does not destroy or control microorganisms.Test-Taking Tip:
Eat breakfast or lunch before an exam. Avoid greasy, heavy foods and overeating.
This will help keep you calm and give you energy.
After becoming incontinent of urine, an older client is admitted to a nursing home.
The client's rheumatoid arthritis contributes to severely painful joints. Which need
is the primary consideration in the care of this client?
Answers :Control of pain
Rationale
After the need to survive (air, food, water), the need for comfort and freedom from
pain closely follow; care should be given in order of the client's basic needs. Joints
must be exercised, not immobilized, to prevent stiffness, contractures, and muscle
atrophy. Motivation and learning will not occur unless basic needs, such as
freedom from pain, are met. Although bladder training should be included in care,
it is not the priority when the client is in pain.
A teenager is admitted with an acute onset of right lower quadrant pain at
McBurney point. Appendicitis is suspected. For which clinical indicator should the
nurse assess the client to determine if the pain is secondary to appendicitis?
Answers :Rebound tenderness
