NURS 201 Quiz 9 V2 | NURS 201 Medical
Surgical Nursing | Actual Q&A with
Rationale (NURS201 Quiz 9) | West Coast
University
1. A nurse is assessing a client with Rheumatoid Arthritis (RA). Which of the following
assessment findings should the nurse expect?
A. Asymmetrical joint involvement
B. Symmetrical joint swelling and pain
C. Heberden’s nodes
D. Urate crystals in the joint fluid
Answer: B
Rationale: Rheumatoid Arthritis is a systemic autoimmune disease characterized by
symmetrical joint involvement. Unlike osteoarthritis, which is often unilateral or
asymmetrical, RA affects the same joints on both sides of the body. The nurse should also
expect systemic symptoms such as fatigue and morning stiffness lasting longer than one
hour.
2. A client is 4 hours postoperative following a total hip arthroplasty. Which of the following
actions should the nurse take to prevent dislocation of the new prosthesis?
A. Keep the client’s knees together when turning
,B. Place an abduction pillow between the client’s legs
C. Encourage the client to cross their legs at the ankles
D. Maintain the hip in a flexed position of 110 degrees
Answer: B
Rationale: Following a total hip arthroplasty, it is critical to keep the hip in an abducted
position to prevent the femoral head from popping out of the acetabular cup. An abduction
pillow or wedge is used while the client is in bed to maintain this alignment. The nurse
must also ensure the client does not flex the hip more than 90 degrees or cross their legs.
3. A nurse is providing discharge instructions to a client who has a new prescription for
Alendronate for osteoporosis. Which instruction is most important?
A. Remain upright for at least 30 minutes after administration
B. Take the medication with a full glass of milk
C. Lie down for 30 minutes after taking the medication
D. Take the medication right before bedtime
Answer: A
Rationale: Alendronate is a bisphosphonate that can cause severe esophageal irritation
and ulceration. Clients must take the medication with a full glass of plain water and remain
upright for at least 30 minutes to facilitate passage into the stomach. Taking it with food or
other beverages significantly decreases absorption.
, 4. A nurse is caring for a client with a history of gout. Which of the following dietary items
should the nurse advise the client to avoid?
A. Whole grain bread
B. Organ meats like liver
C. Fresh strawberries
D. Low-fat yogurt
Answer: B
Rationale: Gout is caused by an accumulation of uric acid, which is a byproduct of purine
metabolism. Organ meats, such as liver and kidneys, are very high in purines and can
trigger a gout flare-up. The client should be encouraged to increase fluid intake to help
flush uric acid through the kidneys.
5. The nurse is monitoring a client who has a leg cast. Which of the following findings is an
early sign of compartment syndrome?
A. Absence of a pedal pulse
B. Cyanosis of the toes
C. Intense pain that is unrelieved by opioids
D. Paralysis of the lower extremity
Answer: C
Surgical Nursing | Actual Q&A with
Rationale (NURS201 Quiz 9) | West Coast
University
1. A nurse is assessing a client with Rheumatoid Arthritis (RA). Which of the following
assessment findings should the nurse expect?
A. Asymmetrical joint involvement
B. Symmetrical joint swelling and pain
C. Heberden’s nodes
D. Urate crystals in the joint fluid
Answer: B
Rationale: Rheumatoid Arthritis is a systemic autoimmune disease characterized by
symmetrical joint involvement. Unlike osteoarthritis, which is often unilateral or
asymmetrical, RA affects the same joints on both sides of the body. The nurse should also
expect systemic symptoms such as fatigue and morning stiffness lasting longer than one
hour.
2. A client is 4 hours postoperative following a total hip arthroplasty. Which of the following
actions should the nurse take to prevent dislocation of the new prosthesis?
A. Keep the client’s knees together when turning
,B. Place an abduction pillow between the client’s legs
C. Encourage the client to cross their legs at the ankles
D. Maintain the hip in a flexed position of 110 degrees
Answer: B
Rationale: Following a total hip arthroplasty, it is critical to keep the hip in an abducted
position to prevent the femoral head from popping out of the acetabular cup. An abduction
pillow or wedge is used while the client is in bed to maintain this alignment. The nurse
must also ensure the client does not flex the hip more than 90 degrees or cross their legs.
3. A nurse is providing discharge instructions to a client who has a new prescription for
Alendronate for osteoporosis. Which instruction is most important?
A. Remain upright for at least 30 minutes after administration
B. Take the medication with a full glass of milk
C. Lie down for 30 minutes after taking the medication
D. Take the medication right before bedtime
Answer: A
Rationale: Alendronate is a bisphosphonate that can cause severe esophageal irritation
and ulceration. Clients must take the medication with a full glass of plain water and remain
upright for at least 30 minutes to facilitate passage into the stomach. Taking it with food or
other beverages significantly decreases absorption.
, 4. A nurse is caring for a client with a history of gout. Which of the following dietary items
should the nurse advise the client to avoid?
A. Whole grain bread
B. Organ meats like liver
C. Fresh strawberries
D. Low-fat yogurt
Answer: B
Rationale: Gout is caused by an accumulation of uric acid, which is a byproduct of purine
metabolism. Organ meats, such as liver and kidneys, are very high in purines and can
trigger a gout flare-up. The client should be encouraged to increase fluid intake to help
flush uric acid through the kidneys.
5. The nurse is monitoring a client who has a leg cast. Which of the following findings is an
early sign of compartment syndrome?
A. Absence of a pedal pulse
B. Cyanosis of the toes
C. Intense pain that is unrelieved by opioids
D. Paralysis of the lower extremity
Answer: C
