N321 Final Exam Practice
Questions
Which client is mostly likely to have lupus?
A. 18-year-old Caucasian female who wears glasses for correction of farsightedness
B. 80-year-old Hispanic female who has just been diagnosed with type 2 diabetes
C. 32-year-old African-American female who is a gravida 2 para 2
D. 40-year-old Caucasian male who has a history of hypertension that is well controlled with medication
therapy - (Correct Answer) `C. 32-year-old African-American female who is a gravida 2 para 2
A client who has a clinical diagnosis of lupus has an increased chance of acquiring which complication?
A. Chronic obstructive pulmonary disease
B. Renal damage
C. Pulmonary edema
D. Migraine headaches - (Correct Answer) `B. Renal damage
Which medication would the nurse anticipate to be ordered for a client who was admitted with synovitis
from an exacerbation of lupus?
A. Antibiotics to treat infection
B. Acetaminophen for pain relief
,C. Immunosuppressive agents to modify immune response
D. Total parenteral nutrition for nutritional support - (Correct Answer) `C. Immunosuppressive agents to
modify immune response
A client with lupus is receiving hydroxychloroquine as part of her therapeutic regimen. Based on this
finding, the nurse would anticipate assessing:
A. Body mass index
B. Blood pressure
C. Baseline eye exam
D. Mental status - (Correct Answer) `C. Baseline eye exam
A patient who was diagnosed with systemic lupus erythematosus (SLE) 6 months ago arrived at the
hospital for a regular checkup. The nurse anticipates the priority assessment would be performing the
eye examination. Which medication in the treatment leads the nurse to this decision?
A. Capsaicin
B. Naproxen
C. Hydrocodone
D. Hydroxychloroquine - (Correct Answer) `D. Hydroxychloroquine
Which is a biological response modifier used to treat patients with systemic lupus erythematosus (SLE)?
A. Clobetasol
B. Belimumab
C. Azathioprine
D. Cyclophosphamide - (Correct Answer) `B. Belimumab
,The registered nurse is teaching about systemic lupus erythematosus (SLE). Which statement by the
nurse is incorrect?
A. "It is important to avoid prolonged exposure to sun."
B. "It is important to avoid immunizations with live vaccines."
C. "It is important to perform vigorous exercises regularly."
D. "If you have a history of phlebitis it is important to avoid the use of oral contraceptives." - (Correct
Answer) `C. "It is important to perform vigorous exercises regularly."
What is the purpose of using an echocardiogram as a diagnostic tool in a patient with systemic lupus
erythematosus (SLE)?
A. To assess for pericardial involvement and elevated pulmonary artery pressure
B. To access neurological defects and cognitive dysfunction
C. To assess the kidney size if there is any sign of renal impairment
D. To assess joint pain, swelling, and stiffness - (Correct Answer) `A. To assess for pericardial
involvement and elevated pulmonary artery pressure
Which conditions are treated with high dose oral glucocorticoids in a patient with systemic lupus
erythematosus (SLE)? (Select all that apply.)
A. Oral and nasal ulcers
B. Pneumonitis
C. Chronic cutaneous lupus
D. Systemic vasculitis
E. Hematologic abnormalities - (Correct Answer) `B. Pneumonitis
, D. Systemic vasculitis
E. Hematologic abnormalities
Which diagnostic tool is most likely used to assess for joint damage in an older adult with systemic lupus
erythematosus (SLE)?
A. Ultrasound
B. Computed tomography (CT)
C. X-ray
D. Magnetic resonance imaging (MRI) - (Correct Answer) `C. X-ray
A registered nurse is teaching about cyclophosphamide treatment in patients with systemic lupus
erythematosus. Which complication or disease indicates a need for further teaching?
A. Lupus nephritis
B. Pulmonary hemorrhage
C. Pneumonitis
D. Systemic vasculitis - (Correct Answer) `C. Pneumonitis
A nurse is educating about the medications that can be administered to a patient with lupus. Which
statement indicates a need for further teaching?
A. Hydroxychloroquine
B. Glucocorticoids
C. Oral contraceptives
D. Methotrexate - (Correct Answer) `C. Oral contraceptives
Questions
Which client is mostly likely to have lupus?
A. 18-year-old Caucasian female who wears glasses for correction of farsightedness
B. 80-year-old Hispanic female who has just been diagnosed with type 2 diabetes
C. 32-year-old African-American female who is a gravida 2 para 2
D. 40-year-old Caucasian male who has a history of hypertension that is well controlled with medication
therapy - (Correct Answer) `C. 32-year-old African-American female who is a gravida 2 para 2
A client who has a clinical diagnosis of lupus has an increased chance of acquiring which complication?
A. Chronic obstructive pulmonary disease
B. Renal damage
C. Pulmonary edema
D. Migraine headaches - (Correct Answer) `B. Renal damage
Which medication would the nurse anticipate to be ordered for a client who was admitted with synovitis
from an exacerbation of lupus?
A. Antibiotics to treat infection
B. Acetaminophen for pain relief
,C. Immunosuppressive agents to modify immune response
D. Total parenteral nutrition for nutritional support - (Correct Answer) `C. Immunosuppressive agents to
modify immune response
A client with lupus is receiving hydroxychloroquine as part of her therapeutic regimen. Based on this
finding, the nurse would anticipate assessing:
A. Body mass index
B. Blood pressure
C. Baseline eye exam
D. Mental status - (Correct Answer) `C. Baseline eye exam
A patient who was diagnosed with systemic lupus erythematosus (SLE) 6 months ago arrived at the
hospital for a regular checkup. The nurse anticipates the priority assessment would be performing the
eye examination. Which medication in the treatment leads the nurse to this decision?
A. Capsaicin
B. Naproxen
C. Hydrocodone
D. Hydroxychloroquine - (Correct Answer) `D. Hydroxychloroquine
Which is a biological response modifier used to treat patients with systemic lupus erythematosus (SLE)?
A. Clobetasol
B. Belimumab
C. Azathioprine
D. Cyclophosphamide - (Correct Answer) `B. Belimumab
,The registered nurse is teaching about systemic lupus erythematosus (SLE). Which statement by the
nurse is incorrect?
A. "It is important to avoid prolonged exposure to sun."
B. "It is important to avoid immunizations with live vaccines."
C. "It is important to perform vigorous exercises regularly."
D. "If you have a history of phlebitis it is important to avoid the use of oral contraceptives." - (Correct
Answer) `C. "It is important to perform vigorous exercises regularly."
What is the purpose of using an echocardiogram as a diagnostic tool in a patient with systemic lupus
erythematosus (SLE)?
A. To assess for pericardial involvement and elevated pulmonary artery pressure
B. To access neurological defects and cognitive dysfunction
C. To assess the kidney size if there is any sign of renal impairment
D. To assess joint pain, swelling, and stiffness - (Correct Answer) `A. To assess for pericardial
involvement and elevated pulmonary artery pressure
Which conditions are treated with high dose oral glucocorticoids in a patient with systemic lupus
erythematosus (SLE)? (Select all that apply.)
A. Oral and nasal ulcers
B. Pneumonitis
C. Chronic cutaneous lupus
D. Systemic vasculitis
E. Hematologic abnormalities - (Correct Answer) `B. Pneumonitis
, D. Systemic vasculitis
E. Hematologic abnormalities
Which diagnostic tool is most likely used to assess for joint damage in an older adult with systemic lupus
erythematosus (SLE)?
A. Ultrasound
B. Computed tomography (CT)
C. X-ray
D. Magnetic resonance imaging (MRI) - (Correct Answer) `C. X-ray
A registered nurse is teaching about cyclophosphamide treatment in patients with systemic lupus
erythematosus. Which complication or disease indicates a need for further teaching?
A. Lupus nephritis
B. Pulmonary hemorrhage
C. Pneumonitis
D. Systemic vasculitis - (Correct Answer) `C. Pneumonitis
A nurse is educating about the medications that can be administered to a patient with lupus. Which
statement indicates a need for further teaching?
A. Hydroxychloroquine
B. Glucocorticoids
C. Oral contraceptives
D. Methotrexate - (Correct Answer) `C. Oral contraceptives
