NUR257 EXAM 1 LATEST 2024 COMPLETE QUESTIONS WITH
CORRECT ANSWERS GUARANTEED PASS | RATED A+
1. A client diagnosed with degenerative joint disease of the fingers reports now having bumps
on the fingers that do not hurt. The nurse observes bony nodules on the distal interphalangeal
joints. What type of "bumps" does the nurse understand these are?
Bouchard nodes
Heberden nodes
Rheumatoid nodules
Tophi - Answer>>> Heberden nodes
2. A patient is suspected of having myositis. The nurse prepares the patient for what procedure
that will confirm the diagnosis?
Magnetic resonance imaging (MRI)
Bone scan
Muscle biopsy
Computed tomography (CT) - Answer>>> Muscle biopsy
3. The nurse is teaching a client about the characteristics of osteoarthritis. The nurse
determines the client teaching was successful when the client states that which of the following
may occur with osteoarthritis?
Clients will have an ulnar deviation.
Clients will develop boutonniere deformity.
Clients may have swan neck deformity.
Clients may develop Heberden nodes. - Answer>>> Clients may develop Heberden nodes.
4. The nurse is creating a plan to assist an older adult to manage rheumatoid arthritis. Which
areas will the nurse include in this plan? Select all that apply.
Modification of daily activities
Psychological support
Financial assistance
Exercise
Medication - Answer>>> Exercise
,Medication
Psychological support
Modification of daily activities
5. A client has a history of osteoarthritis. Which signs and symptoms should the nurse expect to
find on physical assessment?
Swelling, joint pain, and tenderness on palpation
Hot, inflamed joints; crepitus; joint pain
Joint pain, crepitus, Heberden's nodes
Tophi, enlarged joints, Bouchard's nodes - Answer>>> Joint pain, crepitus, Heberden's nodes
6. The nurse is caring for a client with scleroderma. Which findings will the nurse expect during
the physical assessment? Select all that apply.
Dry skin
Expressionless face
Absence of facial wrinkles
Rigid extremities
Discoid rash - Answer>>> Dry skin
Rigid extremities
Expressionless face
Absence of facial wrinkles
7. The nurse is assessing a client with rheumatoid arthritis. The nurse knows that prolonged
inflammation can cause compression of nerves. Which symptoms would accompany this level
of involvement?
Restricted movement in tendons
Crepitus when moving major joints
Paresthesias of both hands
Limited motion in the wrists - Answer>>> Paresthesias of both hands
8. A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. What
instruction should the nurse give to the client to minimize injury?
Wear worn, comfortable shoes.
,Wear protective devices when exercising.
Install safety devices in the home.
Get help when lifting objects. - Answer>>> Install safety devices in the home.
9. A health care provider orders tests to determine if a client has systemic lupus erythematosus
(SLE). Which test result helps to confirm an SLE diagnosis?
Negative lupus erythematosus cell test
An above-normal anti-deoxyribonucleic acid (DNA) test
Increased total serum complement levels
Negative antinuclear antibody test - Answer>>> An above-normal anti-deoxyribonucleic acid
(DNA) test
10. The nurse is caring for a client who has been diagnosed with a "rheumatic disease." What
nursing diagnoses will most likely apply to this client's care? Select all that apply.
Fatigue
Alteration of self-concept
Fluid volume deficit
Pain
Fluid and electrolyte imbalance - Answer>>> Fatigue
Pain
Alteration of self-concept
11. A nurse is caring for a client with a warm and painful toe from gout. What medication will
the nurse administer?
colchicine
aspirin
calcium gluconate
furosemide - Answer>>> colchicine
12. The nurse is caring for a client with systemic lupus erythematosus (SLE). Which
interventions will the nurse incorporate into this client's plan of care? Select all that apply.
Providing high fiber diet for diarrhea
Antipyretic medications for fever
, Monitoring for jaundice
Monitoring for rash to the skin
Providing analgesics for joint pain - Answer>>> Antipyretic medications for fever
Providing analgesics for joint pain
Monitoring for rash to the skin
13. A client is diagnosed with systemic lupus erythematosus (SLE). What is the most appropriate
action for the nurse to take in order to evaluate the client's stage of disease?
Auscultate the client's lung sounds.
Review the client's medical record.
Inspect the client's mouth.
Observe the client's gait. - Answer>>> Review the client's medical record.
14. The nurse is caring for a client with hypertension and scleroderma. Which medication will
the nurse expect to be prescribed for this client?
Beta blocker
Diuretic
Angiotensin-converting enzyme inhibitors
Vasodilator - Answer>>> Angiotensin-converting enzyme inhibitors
15. A client comes to the clinic and reports pain in the right great toe which is worse at night.
Assessment reveals tophi. What does the nurse suspect?
gouty arthritis
rheumatoid arthritis
reactive arthritis
osteoarthritis - Answer>>> gouty arthritis
16. The client with an inflamed knee scheduled to have an arthrocentesis asks the nurse what
the synovial fluid will look like. What is the best response by the nurse?
The amount of fluid will be scant in volume.
The fluid will be clear and pale.
The fluid will be milky, cloudy, and dark yellow.
CORRECT ANSWERS GUARANTEED PASS | RATED A+
1. A client diagnosed with degenerative joint disease of the fingers reports now having bumps
on the fingers that do not hurt. The nurse observes bony nodules on the distal interphalangeal
joints. What type of "bumps" does the nurse understand these are?
Bouchard nodes
Heberden nodes
Rheumatoid nodules
Tophi - Answer>>> Heberden nodes
2. A patient is suspected of having myositis. The nurse prepares the patient for what procedure
that will confirm the diagnosis?
Magnetic resonance imaging (MRI)
Bone scan
Muscle biopsy
Computed tomography (CT) - Answer>>> Muscle biopsy
3. The nurse is teaching a client about the characteristics of osteoarthritis. The nurse
determines the client teaching was successful when the client states that which of the following
may occur with osteoarthritis?
Clients will have an ulnar deviation.
Clients will develop boutonniere deformity.
Clients may have swan neck deformity.
Clients may develop Heberden nodes. - Answer>>> Clients may develop Heberden nodes.
4. The nurse is creating a plan to assist an older adult to manage rheumatoid arthritis. Which
areas will the nurse include in this plan? Select all that apply.
Modification of daily activities
Psychological support
Financial assistance
Exercise
Medication - Answer>>> Exercise
,Medication
Psychological support
Modification of daily activities
5. A client has a history of osteoarthritis. Which signs and symptoms should the nurse expect to
find on physical assessment?
Swelling, joint pain, and tenderness on palpation
Hot, inflamed joints; crepitus; joint pain
Joint pain, crepitus, Heberden's nodes
Tophi, enlarged joints, Bouchard's nodes - Answer>>> Joint pain, crepitus, Heberden's nodes
6. The nurse is caring for a client with scleroderma. Which findings will the nurse expect during
the physical assessment? Select all that apply.
Dry skin
Expressionless face
Absence of facial wrinkles
Rigid extremities
Discoid rash - Answer>>> Dry skin
Rigid extremities
Expressionless face
Absence of facial wrinkles
7. The nurse is assessing a client with rheumatoid arthritis. The nurse knows that prolonged
inflammation can cause compression of nerves. Which symptoms would accompany this level
of involvement?
Restricted movement in tendons
Crepitus when moving major joints
Paresthesias of both hands
Limited motion in the wrists - Answer>>> Paresthesias of both hands
8. A nurse is developing a teaching plan for a client diagnosed with osteoarthritis. What
instruction should the nurse give to the client to minimize injury?
Wear worn, comfortable shoes.
,Wear protective devices when exercising.
Install safety devices in the home.
Get help when lifting objects. - Answer>>> Install safety devices in the home.
9. A health care provider orders tests to determine if a client has systemic lupus erythematosus
(SLE). Which test result helps to confirm an SLE diagnosis?
Negative lupus erythematosus cell test
An above-normal anti-deoxyribonucleic acid (DNA) test
Increased total serum complement levels
Negative antinuclear antibody test - Answer>>> An above-normal anti-deoxyribonucleic acid
(DNA) test
10. The nurse is caring for a client who has been diagnosed with a "rheumatic disease." What
nursing diagnoses will most likely apply to this client's care? Select all that apply.
Fatigue
Alteration of self-concept
Fluid volume deficit
Pain
Fluid and electrolyte imbalance - Answer>>> Fatigue
Pain
Alteration of self-concept
11. A nurse is caring for a client with a warm and painful toe from gout. What medication will
the nurse administer?
colchicine
aspirin
calcium gluconate
furosemide - Answer>>> colchicine
12. The nurse is caring for a client with systemic lupus erythematosus (SLE). Which
interventions will the nurse incorporate into this client's plan of care? Select all that apply.
Providing high fiber diet for diarrhea
Antipyretic medications for fever
, Monitoring for jaundice
Monitoring for rash to the skin
Providing analgesics for joint pain - Answer>>> Antipyretic medications for fever
Providing analgesics for joint pain
Monitoring for rash to the skin
13. A client is diagnosed with systemic lupus erythematosus (SLE). What is the most appropriate
action for the nurse to take in order to evaluate the client's stage of disease?
Auscultate the client's lung sounds.
Review the client's medical record.
Inspect the client's mouth.
Observe the client's gait. - Answer>>> Review the client's medical record.
14. The nurse is caring for a client with hypertension and scleroderma. Which medication will
the nurse expect to be prescribed for this client?
Beta blocker
Diuretic
Angiotensin-converting enzyme inhibitors
Vasodilator - Answer>>> Angiotensin-converting enzyme inhibitors
15. A client comes to the clinic and reports pain in the right great toe which is worse at night.
Assessment reveals tophi. What does the nurse suspect?
gouty arthritis
rheumatoid arthritis
reactive arthritis
osteoarthritis - Answer>>> gouty arthritis
16. The client with an inflamed knee scheduled to have an arthrocentesis asks the nurse what
the synovial fluid will look like. What is the best response by the nurse?
The amount of fluid will be scant in volume.
The fluid will be clear and pale.
The fluid will be milky, cloudy, and dark yellow.
