NUR 209 Exam 3 Med-Surg 2 Newest 2025/2026 Complete
Questions And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
A patient being seen in the clinic has rheumatoid nodules on the elbows. Which
action
will the nurse take?
a. Draw blood for rheumatoid factor analysis.
b. Teach the patient about injections for the nodules.
c. Assess the nodules for skin breakdown or infection.
d. Discuss the need for surgical removal of the nodules. - SOLUTION=C
Which action will the nurse include in the plan of care for a patient with a new
diagnosis
of rheumatoid arthritis (RA)?
a. Instruct the patient to purchase a soft mattress.
b. Encourage the patient to take a nap in the afternoon.
c. Teach the patient to use lukewarm water when bathing.
d. Suggest exercise with light weights several times daily. - SOLUTION=B
A clinic patient is experiencing an allergic reaction to an unknown allergen. Which
action is appropriate for the registered nurse (RN) to delegate to a licensed
practical/vocational
nurse (LPN/LVN)?
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a. Perform a focused physical assessment.
b. Obtain the health history from the patient.
c. Teach the patient about the various diagnostic studies.
d. Administer a skin test by the cutaneous scratch method. - SOLUTION=D
The health care provider asks the nurse whether a patient's angioedema has
responded
to prescribed therapies. Which assessment should the nurse perform?
a. Obtain the patient's blood pressure and heart rate.
b. Question the patient about any clear nasal discharge.
c. Observe for swelling of the patient's lips and tongue.
d. Assess the patient's extremities for wheal and flare lesions. - SOLUTION=C
A nurse has obtained donor tissue typing information about a patient who is
waiting for
a kidney transplant. Which results should be reported to the transplant surgeon?
a. Patient is Rh positive and donor is Rh negative
b. Six antigen matches are present in HLA typing
c. Results of patient-donor crossmatching are positive
d. Panel of reactive antibodies (PRA) percentage is low - SOLUTION=C
A patient who is receiving immunotherapy has just received an allergen injection.
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Which assessment finding is most important to communicate to the health care
provider?
a. The patient's IgG level is increased.
b. The injection site is red and swollen.
c. The patient's symptoms did not improve in 2 months.
d. There is a 2-cm wheal at the site of the allergen injection. - SOLUTION=D
What instructions about plasmapheresis should the nurse include in the teaching
plan for
a patient diagnosed with systemic lupus erythematosus (SLE)?
a. Plasmapheresis eliminates eosinophils and basophils from blood.
b. Plasmapheresis decreases the damage to organs from T lymphocytes.
c. Plasmapheresis removes antibody-antigen complexes from circulation.
d. Plasmapheresis prevents foreign antibodies from damaging various body tissues.
- SOLUTION=C
A patient with rheumatoid arthritis (RA) complains to the clinic nurse about having
chronically dry eyes. Which action by the nurse is appropriate?
a. Ask the HCP about discontinuing methotrexate
b. Remind the patient that RA is a chronic health condition.
c. Suggest the patient use over-the-counter (OTC) artificial tears.
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d. Teach the patient about adverse effects of the RA medications. - SOLUTION=C
Which information will the nurse include when preparing teaching materials for a
patient with an exacerbation of rheumatoid arthritis?
a. Affected joints should not be exercised when pain is present.
b. Applying cold packs before exercise may decrease joint pain.
c. Exercises should be performed passively by someone other than the patient.
d. Walking may substitute for range-of-motion (ROM) exercises on some days. -
SOLUTION=B
Which laboratory result will the nurse monitor to determine if prednisone has been
effective for a patient with an acute exacerbation of rheumatoid arthritis?
a. Blood glucose
b. C-reactive protein
c. Serum electrolytes
d. Liver function tests - SOLUTION=B
The nurse teaching a support group of women with rheumatoid arthritis (RA) about
how to manage activities of daily living suggests they should
a. avoid activities requiring repetitive use of the same muscles and joints.
b. protect the knee joints by sleeping with a small pillow under the knees.
c. stand rather than sit when performing daily household and yard chores.