Nur 160 Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
Rheumatoid arthritis (RA) - CORRECT ANSWER chronic systemic disease characterized by
autoimmune inflammatory changes in the connective tissue throughout the body
Rheumatoid Arthritis Risk Factors - CORRECT ANSWER -Women age 30-60 yrs old
-Smokers
-Genetics
-Bacterial/viral diseases
Rheumatoid Arthritis Signs and Symptoms - CORRECT ANSWER -Erythema
-Heat
-Pain
-Nodule Formation
-Fever
-Stiffness
-Tenderness
-Fatigue
-Dry mouth
-Paresthesia (pins and needles)
Rheumatoid arthritis Assessment - CORRECT ANSWER joint and muscle stiffness, Morning
stiffness 30mins, or after periods of inactivity. Contracture deformities or nodules may appear, fever,
same joints on both sides affected, more than one joint affected, limited ROM
-systemic, worse over time, remissions and exacerbations
Rheumatoid Arthritis Diagnostic tests - CORRECT ANSWER 1. Elevated erythrocyte
sedimentation rate
2. Positive rheumatoid factor
, 3. Presence of antinuclear antibody
4. Joint-space narrowing indicated by arthroscopic examination
5. Abnormal synovial fluid indicated by arthrocentesis
6. C-reactive protein indicated by active inflammation
Rheumatoid Arthritis Medical Management - CORRECT ANSWER -Aimed at: controlling the
disease activity, pain relief, prolonging joint function, slowing progression of disease.
-Weight control
-Exercise and rest balance
-Surgery
-Stress reduction
Rheumatoid Arthritis Interventions - CORRECT ANSWER -Pt education on what to expect
and what is happening
-Provide additional sleeping periods/naps when exacerbation
-2-3 10-15min exercises daily w/ gentle ROM
-Heat application
-Strength training
-Promote adls
-Medication Administration (aspirin, ibuprofen, celebrex)
-Safety measures
-Proper use of walking aids
Osteoarthritis (OA) - CORRECT ANSWER progressive, degenerative joint disease with loss of
articular cartilage and hypertrophy of bone (formation of osteophytes, or bone spurs) at articular
surfaces.
Occurs at the hands, hips, and knees
Osteoarthritis Risk factors - CORRECT ANSWER -RA
-Obesity
-Trauma
-Infections
AND CORRECT ANSWERS
Rheumatoid arthritis (RA) - CORRECT ANSWER chronic systemic disease characterized by
autoimmune inflammatory changes in the connective tissue throughout the body
Rheumatoid Arthritis Risk Factors - CORRECT ANSWER -Women age 30-60 yrs old
-Smokers
-Genetics
-Bacterial/viral diseases
Rheumatoid Arthritis Signs and Symptoms - CORRECT ANSWER -Erythema
-Heat
-Pain
-Nodule Formation
-Fever
-Stiffness
-Tenderness
-Fatigue
-Dry mouth
-Paresthesia (pins and needles)
Rheumatoid arthritis Assessment - CORRECT ANSWER joint and muscle stiffness, Morning
stiffness 30mins, or after periods of inactivity. Contracture deformities or nodules may appear, fever,
same joints on both sides affected, more than one joint affected, limited ROM
-systemic, worse over time, remissions and exacerbations
Rheumatoid Arthritis Diagnostic tests - CORRECT ANSWER 1. Elevated erythrocyte
sedimentation rate
2. Positive rheumatoid factor
, 3. Presence of antinuclear antibody
4. Joint-space narrowing indicated by arthroscopic examination
5. Abnormal synovial fluid indicated by arthrocentesis
6. C-reactive protein indicated by active inflammation
Rheumatoid Arthritis Medical Management - CORRECT ANSWER -Aimed at: controlling the
disease activity, pain relief, prolonging joint function, slowing progression of disease.
-Weight control
-Exercise and rest balance
-Surgery
-Stress reduction
Rheumatoid Arthritis Interventions - CORRECT ANSWER -Pt education on what to expect
and what is happening
-Provide additional sleeping periods/naps when exacerbation
-2-3 10-15min exercises daily w/ gentle ROM
-Heat application
-Strength training
-Promote adls
-Medication Administration (aspirin, ibuprofen, celebrex)
-Safety measures
-Proper use of walking aids
Osteoarthritis (OA) - CORRECT ANSWER progressive, degenerative joint disease with loss of
articular cartilage and hypertrophy of bone (formation of osteophytes, or bone spurs) at articular
surfaces.
Occurs at the hands, hips, and knees
Osteoarthritis Risk factors - CORRECT ANSWER -RA
-Obesity
-Trauma
-Infections
