NRS,.3015:,.Exam,.#2,.Practice,.Questions
, NRS,.3015:,.Exam,.#2,.Practice,.Questions
A,.nurse,.is,.reviewing,.the,.plan,.of,.care,.for,.a,.client,.who,.has,.systemic,.lupus,.ery
thematosus,.(SLE).,.The,.client,.reports,.fatigue,,.joint,.tenderness,,.swelling,
+,.difficulty,.urinating.,.Which,.of,.the,.following,.laboratory,.findings,.should,.the, . nur
se,.anticipate?,.(Select,.all,.that,.apply.)
a. Positive,.ANA,. titer
b. Increased,.hemoglobin
c. 2+, . urine, . protein
d. Increased,.serum,.C3,.and,.C4
e. Elevated,.BUN:,.a,,.c,,.e
2. A,.nurse,.is,.teaching,.a,.client,.who,.has,.SLE,.about,.self-care.,.Which,.of,.the,.follow-
ing,.statements,.by,.the,.client,.indicates,.an,.understanding,.of,.the,.teaching?
a. "I,.should,.limit,.my,.time,.to,.10,.minutes,.in,.the,.tanning,.bed."
b. "I,.will,.apply,.powder,.to,.any,.skin,.rash."
c. "I,.should,.use,.a,.mild,.hair,.shampoo."
d. "I,.will,.inspect,.my,.skin,.once,.a,.month,.for,.rashes.":,.c
3. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.SLE,.and,.is,.experiencing,.an,.episode
of, . Raynaud's, . phenomenon., . Which, . of, . the, . following, . findings, . should, . the, . nurse
, . anticipate?
a. Swelling,.of,.the,.joints,.of,.the,.fingers
b. Pallor, . of, . the, . toes, . w/, . cold, . exposure
c. Feet, . that, . become, . reddened, . w/, . ambulation
d. Client, . report, . of, . intense, . feeling, . of, . heat, . in, . the, . fingers:, . b
4. A,.nurse,.is,.assessing,.a,.client,.who,.has,.a,.new,.diagnosis,.of,.SLE.,.Which,.of,.the,.fol
lowing,.findings,.should,.the,.nurse,.expect?
a. Weight,.gain
b. Petechiae, . on, . thighs
c. Systolic,.murmur
d. Alopecia:, . d
, NRS,.3015:,.Exam,.#2,.Practice,.Questions
5. A,.nurse,.is,.discussing,.gout,.with,.a,.client,.who,.is,.concerned,.about,.developing,.t
he,.disorder.,.Which,.of,.the,.following,.findings,.should,.the,.nurse,.identify,.as,.risk,.fa
ctors,.for,.this,.disease?,.(Select,.all,.that,.apply.)
a. Diuretic, . use
b. Obesity
c. Deep, . sleep, . deprivation
d. Depression
e. Cardiovascular,.disease:,.a,,.b,e
6. A,.nurse,.is,.reviewing,.the,.laboratory,.data,.of,.a,.client,.who,.reports,.manifes-
tations,.suggesting,.systemic,.lupus,.erythematosus,.(SLE).,.The,.nurse,.should,.ex
pect,.an,.increase,.in,.which,.of,.the,.following,.parameters,.for,.a,.client,.who,.has,.SL
E?
a. Platelet,.count
b. RBC,.count
c. Hct
d. Erythrocyte, . sedimentation, . rate, . (ESR):, . d
7. A, . nurse, . is, . teaching, . a, . client, . who, . has, . Raynaud's, . disease., . Which, . of, . the, . follo
w-ing,.pieces,.of,.information,.should,.the,.nurse,.include,.in,.the,.teaching?
a. Protect, . against, . the, . cold, . by, . wearing, . layers, . of, . clothing
b. Begin,.an,.exercise,.program,.of,.2-mile,.walks,.once,.per,.week
c. Increase, . vitamin, . A, . in, . the, . diet
d. Elevate,.the,.hands,.above,.heart,.level,.when,.resting:,.a
8. A,.nurse,.is,.planning,.care,.for,.a,.client,.who,.has,.acute,.systemic,.lupus,.erythe-
matosus,.(SLE),.and,.is,.scheduled,.to,.begin,.treatment,.for,.systemic,.manifesta-
tions.,.Which,.of,.the,.following,.types,.of,.medications,.should,.the,.nurse,.plan,.to,.a
dminister?
a. Corticosteroids
b. Antimalarials
, NRS,.3015:,.Exam,.#2,.Practice,.Questions
c. Antidepressants
d. Opioids:, . a
9. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.systemic,.lupus,.erythematosus,.(SLE),.a
nd,.is,.concerned,.about,.skin,.lesions,.on,.her,.face,.and,.neck.,.The,.client,.asks,.the
,.nurse,,."What,.should,.I,.do,.about,.these,.spots?",.Which,.of,.the,.following,.respon
ses,.should,.the,.nurse,.give?
a. "Keep,.the,.lesions,.covered,.with,.a,.light,.sterile,.dressing,.when,.going,.out-
doors."
b. "Rub,.lesions,. with,.a,. washcloth,.to,.dry,.after,. washing."
c. "Apply,.moisturizing,.after,.bathing,.the,.lesions,.with,.warm,.water."
d. "Apply,.antibiotic,.cream,.twice,.per,.day,.until,.scabs,.form,.on,.the,.lesions.":,.c
10. A,.nurse,.is,.providing,.discharge,.teaching,.to,.a,.client,.who,.has,.a,.new,.diagnosis,.of
,.systemic,.lupus,.erythematosus ,.(SLE).,.Which,.of,.the,.following ,.statements,.by,.th
e,.client,.indicates,.an,.understanding,.of,.the,.teaching?
a. "I,.will,.need,.to,.take,.methotrexate,,.even,.if,.I'm,.in,.remission."
b. I'm,.thankful,.that,.this,.type,.of,.lupus,.only,.affects,.the,.skin."
c. "Each, . day,, . I, . should, . apply, . a, . sunblock, . with, . a, . sun, . protection, . factor, . of, . 15."
d. "A, . mild, . fever, . is, . common, . with, . SLE, . and, . usually, . does, . not, . require, . medi
cal,.intervention.":,.a
11. A, . nurse, . is, . teaching, . a, . client, . who, . was, . recently, . diagnosed, . with, . Raynaud's,.
disease, . about, . preventing, . the, . onset, . of, . manifestations., . Which, . of, . the, . following
, . statements ,.by,.the,.client,.indicates ,.an,.understanding ,.of,.the,.teaching?
a. "I,.should,.limit,.my,.exposure,.to,.sunlight."
b. "I,.should,.avoid,.drinking,.alcohol."
c. "I,.should,.not,.smoke."
d. "I, . should, . limit, . intake, . of, . foods, . that, . are, . high, . in, . purine.":, . c
12. A,.nurse,.is,.teaching,.a,.client,.with,.systemic,.lupus,.erythematosus,.who,.has,.
a,.new,.prescription,.of,.prednisone.,.The,.nurse,.should,.instruct,.the,.client,.to,.mo
nitor, . for, . which, . of, . the, . following, . adverse, . effects, . of, . this, . medication?
, NRS,.3015:,.Exam,.#2,.Practice,.Questions
A,.nurse,.is,.reviewing,.the,.plan,.of,.care,.for,.a,.client,.who,.has,.systemic,.lupus,.ery
thematosus,.(SLE).,.The,.client,.reports,.fatigue,,.joint,.tenderness,,.swelling,
+,.difficulty,.urinating.,.Which,.of,.the,.following,.laboratory,.findings,.should,.the, . nur
se,.anticipate?,.(Select,.all,.that,.apply.)
a. Positive,.ANA,. titer
b. Increased,.hemoglobin
c. 2+, . urine, . protein
d. Increased,.serum,.C3,.and,.C4
e. Elevated,.BUN:,.a,,.c,,.e
2. A,.nurse,.is,.teaching,.a,.client,.who,.has,.SLE,.about,.self-care.,.Which,.of,.the,.follow-
ing,.statements,.by,.the,.client,.indicates,.an,.understanding,.of,.the,.teaching?
a. "I,.should,.limit,.my,.time,.to,.10,.minutes,.in,.the,.tanning,.bed."
b. "I,.will,.apply,.powder,.to,.any,.skin,.rash."
c. "I,.should,.use,.a,.mild,.hair,.shampoo."
d. "I,.will,.inspect,.my,.skin,.once,.a,.month,.for,.rashes.":,.c
3. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.SLE,.and,.is,.experiencing,.an,.episode
of, . Raynaud's, . phenomenon., . Which, . of, . the, . following, . findings, . should, . the, . nurse
, . anticipate?
a. Swelling,.of,.the,.joints,.of,.the,.fingers
b. Pallor, . of, . the, . toes, . w/, . cold, . exposure
c. Feet, . that, . become, . reddened, . w/, . ambulation
d. Client, . report, . of, . intense, . feeling, . of, . heat, . in, . the, . fingers:, . b
4. A,.nurse,.is,.assessing,.a,.client,.who,.has,.a,.new,.diagnosis,.of,.SLE.,.Which,.of,.the,.fol
lowing,.findings,.should,.the,.nurse,.expect?
a. Weight,.gain
b. Petechiae, . on, . thighs
c. Systolic,.murmur
d. Alopecia:, . d
, NRS,.3015:,.Exam,.#2,.Practice,.Questions
5. A,.nurse,.is,.discussing,.gout,.with,.a,.client,.who,.is,.concerned,.about,.developing,.t
he,.disorder.,.Which,.of,.the,.following,.findings,.should,.the,.nurse,.identify,.as,.risk,.fa
ctors,.for,.this,.disease?,.(Select,.all,.that,.apply.)
a. Diuretic, . use
b. Obesity
c. Deep, . sleep, . deprivation
d. Depression
e. Cardiovascular,.disease:,.a,,.b,e
6. A,.nurse,.is,.reviewing,.the,.laboratory,.data,.of,.a,.client,.who,.reports,.manifes-
tations,.suggesting,.systemic,.lupus,.erythematosus,.(SLE).,.The,.nurse,.should,.ex
pect,.an,.increase,.in,.which,.of,.the,.following,.parameters,.for,.a,.client,.who,.has,.SL
E?
a. Platelet,.count
b. RBC,.count
c. Hct
d. Erythrocyte, . sedimentation, . rate, . (ESR):, . d
7. A, . nurse, . is, . teaching, . a, . client, . who, . has, . Raynaud's, . disease., . Which, . of, . the, . follo
w-ing,.pieces,.of,.information,.should,.the,.nurse,.include,.in,.the,.teaching?
a. Protect, . against, . the, . cold, . by, . wearing, . layers, . of, . clothing
b. Begin,.an,.exercise,.program,.of,.2-mile,.walks,.once,.per,.week
c. Increase, . vitamin, . A, . in, . the, . diet
d. Elevate,.the,.hands,.above,.heart,.level,.when,.resting:,.a
8. A,.nurse,.is,.planning,.care,.for,.a,.client,.who,.has,.acute,.systemic,.lupus,.erythe-
matosus,.(SLE),.and,.is,.scheduled,.to,.begin,.treatment,.for,.systemic,.manifesta-
tions.,.Which,.of,.the,.following,.types,.of,.medications,.should,.the,.nurse,.plan,.to,.a
dminister?
a. Corticosteroids
b. Antimalarials
, NRS,.3015:,.Exam,.#2,.Practice,.Questions
c. Antidepressants
d. Opioids:, . a
9. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.systemic,.lupus,.erythematosus,.(SLE),.a
nd,.is,.concerned,.about,.skin,.lesions,.on,.her,.face,.and,.neck.,.The,.client,.asks,.the
,.nurse,,."What,.should,.I,.do,.about,.these,.spots?",.Which,.of,.the,.following,.respon
ses,.should,.the,.nurse,.give?
a. "Keep,.the,.lesions,.covered,.with,.a,.light,.sterile,.dressing,.when,.going,.out-
doors."
b. "Rub,.lesions,. with,.a,. washcloth,.to,.dry,.after,. washing."
c. "Apply,.moisturizing,.after,.bathing,.the,.lesions,.with,.warm,.water."
d. "Apply,.antibiotic,.cream,.twice,.per,.day,.until,.scabs,.form,.on,.the,.lesions.":,.c
10. A,.nurse,.is,.providing,.discharge,.teaching,.to,.a,.client,.who,.has,.a,.new,.diagnosis,.of
,.systemic,.lupus,.erythematosus ,.(SLE).,.Which,.of,.the,.following ,.statements,.by,.th
e,.client,.indicates,.an,.understanding,.of,.the,.teaching?
a. "I,.will,.need,.to,.take,.methotrexate,,.even,.if,.I'm,.in,.remission."
b. I'm,.thankful,.that,.this,.type,.of,.lupus,.only,.affects,.the,.skin."
c. "Each, . day,, . I, . should, . apply, . a, . sunblock, . with, . a, . sun, . protection, . factor, . of, . 15."
d. "A, . mild, . fever, . is, . common, . with, . SLE, . and, . usually, . does, . not, . require, . medi
cal,.intervention.":,.a
11. A, . nurse, . is, . teaching, . a, . client, . who, . was, . recently, . diagnosed, . with, . Raynaud's,.
disease, . about, . preventing, . the, . onset, . of, . manifestations., . Which, . of, . the, . following
, . statements ,.by,.the,.client,.indicates ,.an,.understanding ,.of,.the,.teaching?
a. "I,.should,.limit,.my,.exposure,.to,.sunlight."
b. "I,.should,.avoid,.drinking,.alcohol."
c. "I,.should,.not,.smoke."
d. "I, . should, . limit, . intake, . of, . foods, . that, . are, . high, . in, . purine.":, . c
12. A,.nurse,.is,.teaching,.a,.client,.with,.systemic,.lupus,.erythematosus,.who,.has,.
a,.new,.prescription,.of,.prednisone.,.The,.nurse,.should,.instruct,.the,.client,.to,.mo
nitor, . for, . which, . of, . the, . following, . adverse, . effects, . of, . this, . medication?
