Exam 4
Which cardiopulmonary manifestation may be experienced by a client with SLE? SATA
A. Cough
B. Tachypnea
C. Hypotension
D. Dysrhythmias
E. Hypercholesterolemia - ANSWER:A,C, D
Which diagnostic tests helps to determine the severity of osteoarthritis and plan the course of
treatment? SATA
A. Serum uric acid
B. Computed tomography (CT) scan
C. Magnetic resonance imaging (MRI)
D. Anticitrullinated protein antibody (ACPA)
E. Erythrocyte sedimentation rate (ESR) blood test - ANSWER:B, C
Which clinical manifestation is associated with osteoarthritis (OA)?
A. Fever and malaise
B. Crepitation in the weight-bearing joints
C. Increased erythrocyte sedimentation rate
D. Morning stiffness of all joints that tends to last all day - ANSWER:B
Which type of nodule occurs on the distal interphalangeal (DIP) joints of the fingers in a client with
osteoarthritis (OA)?
A. Top nodules
B. Bouchard nodes
C. Heberden nodes
D. Rheumatoid nodules - ANSWER:C
What condition is a complication of gout?
A. Cirrhosis
,B. A gastric ulcer
C. A pulmonary embolus
D. Secondary osteoarthritis (OA) - ANSWER:D
What synovial fluid analysis finding is suggestive of rheumatoid arthritis? SATA
A. Clear yellow in color
B. Presence of fibrin flecks
C. Presence of sodium urate crystals
D. Elevated WBC count
E. Increased matrix metallopeptidase (MMP)-3 enzyme - ANSWER:B, D, E
Which condition may occur if treatment for Lyme disease is delayed?
A. Sterility
B. Arthritis
C. Renal failure
D. Lung abscess - ANSWER:B
Which assessment finding may be related to osteoarthritis (OA)?
A. persistent fever of 100.5 F to 102.0 F for the past 72 hours
B. Severe pain in the hip with leg shortening after a recent fall
C. Joint pain and swelling following activity that is relieved with rest
D. Joint stiffness after rest; stiffness usually subsides 30 minutes after activity is resumed - ANSWER:D
In which way does gender factor into the prevalence of osteoarthritis (OA)? SATA
A. Women do not experience OA as often as men.
B. Men experience hip OA more often than women
C. Men experience knee OA more often than women
D. Women have a higher incidence of hand OA than men.
E. Women are affected by OA more often than men after age 70 years. - ANSWER:B, D
Which med used to treat arthritis must be used at regular intervals for maximal effect?
A. Salicylate aspirin
B. Ketoprofen
C. Capsaicin cream
,D. Methylprednisolone acetate - ANSWER:C
Which instruction will the nurse include when educating a client with rheumatoid arthritis (RA) about
small joint protection?
A. Do not knit or sew for long periods
B. Wring water from sponges when cleaning
C. Try to carry laundry baskets with your fingers
D. Complete all vacuuming of rooms in a single time frame - ANSWER:A
Which type of arthritis causes a virus deformity?
A. Heberden nodes
B. Medial joint arthritis
C. Lateral joint arthritis
D. Advanced hip osteoarthritis - ANSWER:B
Which disorder can result in primary hyperuricemia in a client with gout?
A. Obesity
B. Malignant disease
C. Alcoholism
D. Hereditary error of purine metabolism - ANSWER:D
Which synovial fluid analysis finding is suggestive of rheumatoid arthritis? SATA
A. Clear yellow in color
B. Presence of fibrin flecks
C. Presence of sodium irate crystals
D. Elevated WBC count
E. Increased matrix metallopeptidase (MMP)-3 enzyme - ANSWER:B, D, E
In which way does gender factor into the prevalence of osteoarthritis (OA)? SATA
A. Women do not experience OA as often as men
B. Men experience hip OA more often than women
C. Men experience knee OA more often than women
D. Women have a higher incidence of hand OA than men
E. Women are affected by OA more often than men after age 70 years - ANSWER:B, D
, Which action helps to reduce the risk of osteoarthritis? SATA
A. Avoiding intake of fish
B. Exercising on a hard surface
C. Increasing the intake of vitamin K
D. Avoiding forceful, repetitive movements
E. Maintaining a healthy body mass index (BMI) - ANSWER:D, E
Which symptom is associated with Reiter syndrome? SATA
A. Urethritis
B. Cervicitis
C. Conjunctivitis
D. Mucocutaneous lesions
E. Symmetric joint inflammation - ANSWER:A, B, C, D
Which factor may precipitate gout? SATA
A. Starvation
B. Eating blueberries
C. Niacin administration
D. Aspirin administration
E. Ingestion of peanut butter and nuts - ANSWER:A, C, D
Which characteristic is specific to rheumatoid arthritis (RA)? SATA
A. Young to middle-age onset
B. Common effusions
C. Overweight client
D. Stiffness lasting an hour to all day
E. Localized disease with a variable progressive course
F. Synovial fluid white blood cell (WBC) count less than 2000 microliter - ANSWER:A, B, D
Which stage of rheumatoid arthritis (RA) is associated with extensive cartilage destruction and joint
deformity?
A. I
B. II