NUR 265 EXAM 4 (Latest 2026/2027 Update) | Autoimmune
Disorders, HIV/AIDS, Cancer, Oncologic Emergencies, Mass
Casualty Triage, Lab Values | Grade A Q&A | 100% Verified
Lupus, Scleroderma, Fibromyalgia, Lyme Disease, HIV/AIDS, TB, Fungal Pneumonia, Breast Cancer, Lung
Cancer, Colorectal Cancer, Prostate Cancer, Testicular Cancer, Cervical Cancer, Head & Neck Cancer, Skin
Cancer, Bladder Cancer, Chemotherapy, External/Internal Radiation, Brachytherapy, Oncologic Emergencies
(Sepsis, DIC, Spinal Cord Compression, Hypercalcemia, SVC Syndrome, Tumor Lysis Syndrome, Cardiac
Tamponade), End-of-Life Decision Making, Triage (Emergent, Urgent, Non-Urgent), Mass Casualty Triage (RED,
YELLOW, GREEN, BLACK), Anthrax, Organ Transplant Rejection, Lab Values, Hypothermia, Frostbite,
Altitude Sickness, Drowning, Trauma
SUBJECT COURSE FOCUS
Medical-Surgical Nursing / NUR 265 EXAM 4 Autoimmune Disorders, HIV/AIDS,
Oncology / Emergency / Triage Cancer, Oncologic Emergencies,
Mass Casualty Triage, Lab Values
Question 1
What is the hallmark sign of lupus (systemic lupus erythematosus)?
CORRECT ANSWER
Butterfly rash on the face (malar rash).
RATIONALE
• Butterfly rash is a red, flat rash over the cheeks and bridge of the nose, sparing the nasolabial folds.
• Flare indicators: fever and fatigue.
• Interventions: avoid sunlight, use mild soap, falls precautions, treat pain with Tylenol/NSAIDs (monitor
kidney function).
, Question 2
What is the hallmark sign of scleroderma?
CORRECT ANSWER
Hard, leather-like edematous skin (tight, shiny skin).
RATIONALE
• Late sign: esophageal dysmotility (aspiration risk).
• Assess: swallow safety, O2, circulation, skin.
• Interventions: aspiration precautions (HOB 60 degrees during and after meals), small frequent meals, avoid
caffeine/alcohol/spices.
Question 3
What is the hallmark sign of Lyme disease (stage 1)?
CORRECT ANSWER
"Bulls-eye rash" (erythema migrans) with flu-like symptoms.
RATIONALE
• Stage 2: facial paralysis, carditis, meningitis.
• Prevention: insect repellent with DEET, wear light-colored clothing, avoid tall grass.
• Early stage treatment: doxycycline (oral). Late stage: IV ceftriaxone.
Disorders, HIV/AIDS, Cancer, Oncologic Emergencies, Mass
Casualty Triage, Lab Values | Grade A Q&A | 100% Verified
Lupus, Scleroderma, Fibromyalgia, Lyme Disease, HIV/AIDS, TB, Fungal Pneumonia, Breast Cancer, Lung
Cancer, Colorectal Cancer, Prostate Cancer, Testicular Cancer, Cervical Cancer, Head & Neck Cancer, Skin
Cancer, Bladder Cancer, Chemotherapy, External/Internal Radiation, Brachytherapy, Oncologic Emergencies
(Sepsis, DIC, Spinal Cord Compression, Hypercalcemia, SVC Syndrome, Tumor Lysis Syndrome, Cardiac
Tamponade), End-of-Life Decision Making, Triage (Emergent, Urgent, Non-Urgent), Mass Casualty Triage (RED,
YELLOW, GREEN, BLACK), Anthrax, Organ Transplant Rejection, Lab Values, Hypothermia, Frostbite,
Altitude Sickness, Drowning, Trauma
SUBJECT COURSE FOCUS
Medical-Surgical Nursing / NUR 265 EXAM 4 Autoimmune Disorders, HIV/AIDS,
Oncology / Emergency / Triage Cancer, Oncologic Emergencies,
Mass Casualty Triage, Lab Values
Question 1
What is the hallmark sign of lupus (systemic lupus erythematosus)?
CORRECT ANSWER
Butterfly rash on the face (malar rash).
RATIONALE
• Butterfly rash is a red, flat rash over the cheeks and bridge of the nose, sparing the nasolabial folds.
• Flare indicators: fever and fatigue.
• Interventions: avoid sunlight, use mild soap, falls precautions, treat pain with Tylenol/NSAIDs (monitor
kidney function).
, Question 2
What is the hallmark sign of scleroderma?
CORRECT ANSWER
Hard, leather-like edematous skin (tight, shiny skin).
RATIONALE
• Late sign: esophageal dysmotility (aspiration risk).
• Assess: swallow safety, O2, circulation, skin.
• Interventions: aspiration precautions (HOB 60 degrees during and after meals), small frequent meals, avoid
caffeine/alcohol/spices.
Question 3
What is the hallmark sign of Lyme disease (stage 1)?
CORRECT ANSWER
"Bulls-eye rash" (erythema migrans) with flu-like symptoms.
RATIONALE
• Stage 2: facial paralysis, carditis, meningitis.
• Prevention: insect repellent with DEET, wear light-colored clothing, avoid tall grass.
• Early stage treatment: doxycycline (oral). Late stage: IV ceftriaxone.
