N321 FINAL EXAM PRACTICE
QUESTIONS QUESTIONS WITH
COMPLETE ANSWERS
Which ddclient ddis ddmostly ddlikely ddto ddhave ddlupus?
A. dd18-year-old ddCaucasian ddfemale ddwho ddwears ddglasses ddfor ddcorrection ddof
ddfarsightedness
B. dd80-year-old ddHispanic ddfemale ddwho ddhas ddjust ddbeen dddiagnosed ddwith ddtype
dd2 dddiabetes
C. dd32-year-old ddAfrican-American ddfemale ddwho ddis dda ddgravida dd2 ddpara dd2
D. dd40-year-old ddCaucasian ddmale ddwho ddhas dda ddhistory ddof ddhypertension ddthat
ddis ddwell ddcontrolled ddwith ddmedication ddtherapy dd- ddAnswer ddC. dd32-year-old
ddAfrican-American ddfemale ddwho ddis dda ddgravida dd2 ddpara dd2
A ddclient ddwho ddhas dda ddclinical dddiagnosis ddof ddlupus ddhas ddan ddincreased ddchance
ddof ddacquiring ddwhich ddcomplication?
A. ddChronic ddobstructive ddpulmonary dddisease
B. ddRenal dddamage
C. ddPulmonary ddedema
D. ddMigraine ddheadaches dd- ddAnswer ddB. ddRenal dddamage
Which ddmedication ddwould ddthe ddnurse ddanticipate ddto ddbe ddordered ddfor dda ddclient
ddwho ddwas ddadmitted ddwith ddsynovitis ddfrom ddan ddexacerbation ddof ddlupus?
A. ddAntibiotics ddto ddtreat ddinfection
B. ddAcetaminophen ddfor ddpain ddrelief
C. ddImmunosuppressive ddagents ddto ddmodify ddimmune ddresponse
D. ddTotal ddparenteral ddnutrition ddfor ddnutritional ddsupport dd- ddAnswer ddC.
ddImmunosuppressive ddagents ddto ddmodify ddimmune ddresponse
A ddclient ddwith ddlupus ddis ddreceiving ddhydroxychloroquine ddas ddpart ddof ddher
ddtherapeutic ddregimen. ddBased ddon ddthis ddfinding, ddthe ddnurse ddwould ddanticipate
ddassessing:
A. ddBody ddmass ddindex
,B. ddBlood ddpressure
C. ddBaseline ddeye ddexam
D. ddMental ddstatus dd- ddAnswer ddC. ddBaseline ddeye ddexam
A ddpatient ddwho ddwas dddiagnosed ddwith ddsystemic ddlupus dderythematosus dd(SLE) dd6
ddmonths ddago ddarrived ddat ddthe ddhospital ddfor dda ddregular ddcheckup. ddThe ddnurse
ddanticipates ddthe ddpriority ddassessment ddwould ddbe ddperforming ddthe ddeye
ddexamination. ddWhich ddmedication ddin ddthe ddtreatment ddleads ddthe ddnurse ddto ddthis
dddecision?
A. ddCapsaicin
B. ddNaproxen
C. ddHydrocodone
D. ddHydroxychloroquine dd- ddAnswer ddD. ddHydroxychloroquine
Which ddis dda ddbiological ddresponse ddmodifier ddused ddto ddtreat ddpatients ddwith
ddsystemic ddlupus dderythematosus dd(SLE)?
A. ddClobetasol
B. ddBelimumab
C. ddAzathioprine
D. ddCyclophosphamide dd- ddAnswer ddB. ddBelimumab
The ddregistered ddnurse ddis ddteaching ddabout ddsystemic ddlupus dderythematosus
dd(SLE). ddWhich ddstatement ddby ddthe ddnurse ddis ddincorrect?
A. dd"It ddis ddimportant ddto ddavoid ddprolonged ddexposure ddto ddsun."
B. dd"It ddis ddimportant ddto ddavoid ddimmunizations ddwith ddlive ddvaccines."
C. dd"It ddis ddimportant ddto ddperform ddvigorous ddexercises ddregularly."
D. dd"If ddyou ddhave dda ddhistory ddof ddphlebitis ddit ddis ddimportant ddto ddavoid ddthe dduse
ddof ddoral ddcontraceptives." dd- ddAnswer ddC. dd"It ddis ddimportant ddto ddperform
ddvigorous ddexercises ddregularly."
What ddis ddthe ddpurpose ddof ddusing ddan ddechocardiogram ddas dda dddiagnostic ddtool
ddin dda ddpatient ddwith ddsystemic ddlupus dderythematosus dd(SLE)?
A. ddTo ddassess ddfor ddpericardial ddinvolvement ddand ddelevated ddpulmonary ddartery
ddpressure
B. ddTo ddaccess ddneurological dddefects ddand ddcognitive dddysfunction
C. ddTo ddassess ddthe ddkidney ddsize ddif ddthere ddis ddany ddsign ddof ddrenal ddimpairment
D. ddTo ddassess ddjoint ddpain, ddswelling, ddand ddstiffness dd- ddAnswer ddA. ddTo ddassess
ddfor ddpericardial ddinvolvement ddand ddelevated ddpulmonary ddartery ddpressure
Which ddconditions ddare ddtreated ddwith ddhigh dddose ddoral ddglucocorticoids ddin dda
ddpatient ddwith ddsystemic ddlupus dderythematosus dd(SLE)? dd(Select ddall ddthat ddapply.)
,A. ddOral ddand ddnasal ddulcers
B. ddPneumonitis
C. ddChronic ddcutaneous ddlupus
D. ddSystemic ddvasculitis
E. ddHematologic ddabnormalities dd- ddAnswer ddB. ddPneumonitis
D. ddSystemic ddvasculitis
E. ddHematologic ddabnormalities
Which dddiagnostic ddtool ddis ddmost ddlikely ddused ddto ddassess ddfor ddjoint dddamage ddin
ddan ddolder ddadult ddwith ddsystemic ddlupus dderythematosus dd(SLE)?
A. ddUltrasound
B. ddComputed ddtomography dd(CT)
C. ddX-ray
D. ddMagnetic ddresonance ddimaging dd(MRI) dd- ddAnswer ddC. ddX-ray
A ddregistered ddnurse ddis ddteaching ddabout ddcyclophosphamide ddtreatment ddin
ddpatients ddwith ddsystemic ddlupus dderythematosus. ddWhich ddcomplication ddor
dddisease ddindicates dda ddneed ddfor ddfurther ddteaching?
A. ddLupus ddnephritis
B. ddPulmonary ddhemorrhage
C. ddPneumonitis
D. ddSystemic ddvasculitis dd- ddAnswer ddC. ddPneumonitis
A ddnurse ddis ddeducating ddabout ddthe ddmedications ddthat ddcan ddbe ddadministered ddto
dda ddpatient ddwith ddlupus. ddWhich ddstatement ddindicates dda ddneed ddfor ddfurther
ddteaching?
A. ddHydroxychloroquine
B. ddGlucocorticoids
C. ddOral ddcontraceptives
D. ddMethotrexate dd- ddAnswer ddC. ddOral ddcontraceptives
The ddpatient ddwith ddsystemic ddlupus dderythematosus dd(SLE) ddis ddexperiencing
ddpancytopenia. ddWhat ddwould ddbe ddthe ddcause ddof ddthis?
A. ddImmunosuppression
B. ddMedications ddused ddfor ddtreatment
C. ddFailing ddkidney ddfunction
D. ddBone ddmarrow ddfailure dd- ddAnswer ddA. ddImmunosuppression
A ddnurse ddis ddassessing dda ddclient ddwho ddreports ddsevere ddheadache ddand dda ddstiff
ddneck. ddThe ddnurse's ddassessment ddreveals ddpositive ddKernig's ddand ddBruzdzinski's
ddsigns. ddWhich ddof ddthe ddfollowing ddactions ddshould ddthe ddnurse ddperform ddfirst?
, A. ddAdminister ddantibiotics
B. ddImplement dddroplet ddprecautions dd
C. ddInitiate ddIV ddaccess
D. ddDecrease ddbright ddlights dd- ddAnswer ddB. ddImplement dddroplet ddprecautions
A ddnurse ddis ddassessing ddfor ddthe ddpresence ddof ddBrudzinski's ddsign ddin dda ddclient
ddwho ddhas ddsuspected ddmeningitis. ddWhich ddof ddthe ddfollowing ddactions ddshould
ddthe ddnurse ddtake ddwhen ddperforming ddthis ddtechnique? dd(Select ddall ddthat ddapply.)
A. ddPlace ddclient ddin ddsupine ddposition
B. ddFlex ddclient's ddhip ddand ddknee
C. ddPlace ddhands ddbehind ddthe ddclient's ddneck
D. ddBend ddclient's ddhead ddtoward ddchest
E. ddStraighten ddthe ddclient's ddflexed ddleg ddat ddthe ddknee dd- ddAnswer ddA. ddPlace
ddclient ddin ddsupine ddposition
C. ddPlace ddhands ddbehind ddthe ddclient's ddneck
D. ddBend ddclient's ddhead ddtoward ddchest
A ddnurse ddis ddplanning ddcare ddfor dda ddclient ddwho ddhas ddmeningitis ddand ddis ddat
ddrisk ddfor ddincreased ddICP. ddWhich ddof ddthe ddfollowing ddactions ddshould ddthe ddnurse
ddplan ddto ddtake? dd(Select ddall ddthat ddapply.)
A. ddImplement ddseizure ddprecautions dd
B. ddPerform ddneuro ddchecks dd4x dda ddday
C. ddAdminister ddmorphine ddfor ddthe ddreport ddof ddneck ddand ddgeneralized ddpain
D. ddTurn ddoff ddroom ddlights ddand ddtelevision
E. ddMonitor ddfor ddimpaired ddextraocular ddmovements
F. ddEncourage ddthe ddclient ddto ddcough ddfrequently dd- ddAnswer ddA. ddImplement
ddseizure ddprecautions dd
D. ddTurn ddoff ddroom ddlights ddand ddtelevision
E. ddMonitor ddfor ddimpaired ddextraocular ddmovements
A ddnurse ddis ddreviewing ddthe dduse ddof ddthe ddmeningococcal ddvaccine dd(MCV dd4)
ddfor ddthe ddprevention ddof ddmeningitis ddwith dda ddnewly ddlicensed ddnurse. ddWhich ddof
ddthe ddfollowing ddinformation ddshould ddthe ddnurse ddinclude?
A. ddThe ddvaccine ddis ddindicated ddto ddreduce ddthe ddrisk ddof ddrespiratory ddinfection
B. ddThe ddvaccine ddis ddadministered ddin dda ddseries ddof ddfour dddoses
C. ddThe ddvaccine ddis ddrecommended ddfor ddadolescents ddbefore ddstarting ddcollege
D. ddThe ddvaccine ddis ddinitially ddgiven ddat dd2 ddmonths ddof ddage dd- ddAnswer ddC. ddThe
ddvaccine ddis ddrecommended ddfor ddadolescents ddbefore ddstarting ddcollege
A ddnurse ddis ddplanning ddcare ddfor dda ddclient ddwho ddhas ddbacterial ddmeningitis.
ddWhich ddof ddthe ddfollowing ddactions ddshould ddthe ddnurse ddinclude ddin ddthe ddplan ddof
ddcare? dd(Select ddall ddthat ddapply.)
QUESTIONS QUESTIONS WITH
COMPLETE ANSWERS
Which ddclient ddis ddmostly ddlikely ddto ddhave ddlupus?
A. dd18-year-old ddCaucasian ddfemale ddwho ddwears ddglasses ddfor ddcorrection ddof
ddfarsightedness
B. dd80-year-old ddHispanic ddfemale ddwho ddhas ddjust ddbeen dddiagnosed ddwith ddtype
dd2 dddiabetes
C. dd32-year-old ddAfrican-American ddfemale ddwho ddis dda ddgravida dd2 ddpara dd2
D. dd40-year-old ddCaucasian ddmale ddwho ddhas dda ddhistory ddof ddhypertension ddthat
ddis ddwell ddcontrolled ddwith ddmedication ddtherapy dd- ddAnswer ddC. dd32-year-old
ddAfrican-American ddfemale ddwho ddis dda ddgravida dd2 ddpara dd2
A ddclient ddwho ddhas dda ddclinical dddiagnosis ddof ddlupus ddhas ddan ddincreased ddchance
ddof ddacquiring ddwhich ddcomplication?
A. ddChronic ddobstructive ddpulmonary dddisease
B. ddRenal dddamage
C. ddPulmonary ddedema
D. ddMigraine ddheadaches dd- ddAnswer ddB. ddRenal dddamage
Which ddmedication ddwould ddthe ddnurse ddanticipate ddto ddbe ddordered ddfor dda ddclient
ddwho ddwas ddadmitted ddwith ddsynovitis ddfrom ddan ddexacerbation ddof ddlupus?
A. ddAntibiotics ddto ddtreat ddinfection
B. ddAcetaminophen ddfor ddpain ddrelief
C. ddImmunosuppressive ddagents ddto ddmodify ddimmune ddresponse
D. ddTotal ddparenteral ddnutrition ddfor ddnutritional ddsupport dd- ddAnswer ddC.
ddImmunosuppressive ddagents ddto ddmodify ddimmune ddresponse
A ddclient ddwith ddlupus ddis ddreceiving ddhydroxychloroquine ddas ddpart ddof ddher
ddtherapeutic ddregimen. ddBased ddon ddthis ddfinding, ddthe ddnurse ddwould ddanticipate
ddassessing:
A. ddBody ddmass ddindex
,B. ddBlood ddpressure
C. ddBaseline ddeye ddexam
D. ddMental ddstatus dd- ddAnswer ddC. ddBaseline ddeye ddexam
A ddpatient ddwho ddwas dddiagnosed ddwith ddsystemic ddlupus dderythematosus dd(SLE) dd6
ddmonths ddago ddarrived ddat ddthe ddhospital ddfor dda ddregular ddcheckup. ddThe ddnurse
ddanticipates ddthe ddpriority ddassessment ddwould ddbe ddperforming ddthe ddeye
ddexamination. ddWhich ddmedication ddin ddthe ddtreatment ddleads ddthe ddnurse ddto ddthis
dddecision?
A. ddCapsaicin
B. ddNaproxen
C. ddHydrocodone
D. ddHydroxychloroquine dd- ddAnswer ddD. ddHydroxychloroquine
Which ddis dda ddbiological ddresponse ddmodifier ddused ddto ddtreat ddpatients ddwith
ddsystemic ddlupus dderythematosus dd(SLE)?
A. ddClobetasol
B. ddBelimumab
C. ddAzathioprine
D. ddCyclophosphamide dd- ddAnswer ddB. ddBelimumab
The ddregistered ddnurse ddis ddteaching ddabout ddsystemic ddlupus dderythematosus
dd(SLE). ddWhich ddstatement ddby ddthe ddnurse ddis ddincorrect?
A. dd"It ddis ddimportant ddto ddavoid ddprolonged ddexposure ddto ddsun."
B. dd"It ddis ddimportant ddto ddavoid ddimmunizations ddwith ddlive ddvaccines."
C. dd"It ddis ddimportant ddto ddperform ddvigorous ddexercises ddregularly."
D. dd"If ddyou ddhave dda ddhistory ddof ddphlebitis ddit ddis ddimportant ddto ddavoid ddthe dduse
ddof ddoral ddcontraceptives." dd- ddAnswer ddC. dd"It ddis ddimportant ddto ddperform
ddvigorous ddexercises ddregularly."
What ddis ddthe ddpurpose ddof ddusing ddan ddechocardiogram ddas dda dddiagnostic ddtool
ddin dda ddpatient ddwith ddsystemic ddlupus dderythematosus dd(SLE)?
A. ddTo ddassess ddfor ddpericardial ddinvolvement ddand ddelevated ddpulmonary ddartery
ddpressure
B. ddTo ddaccess ddneurological dddefects ddand ddcognitive dddysfunction
C. ddTo ddassess ddthe ddkidney ddsize ddif ddthere ddis ddany ddsign ddof ddrenal ddimpairment
D. ddTo ddassess ddjoint ddpain, ddswelling, ddand ddstiffness dd- ddAnswer ddA. ddTo ddassess
ddfor ddpericardial ddinvolvement ddand ddelevated ddpulmonary ddartery ddpressure
Which ddconditions ddare ddtreated ddwith ddhigh dddose ddoral ddglucocorticoids ddin dda
ddpatient ddwith ddsystemic ddlupus dderythematosus dd(SLE)? dd(Select ddall ddthat ddapply.)
,A. ddOral ddand ddnasal ddulcers
B. ddPneumonitis
C. ddChronic ddcutaneous ddlupus
D. ddSystemic ddvasculitis
E. ddHematologic ddabnormalities dd- ddAnswer ddB. ddPneumonitis
D. ddSystemic ddvasculitis
E. ddHematologic ddabnormalities
Which dddiagnostic ddtool ddis ddmost ddlikely ddused ddto ddassess ddfor ddjoint dddamage ddin
ddan ddolder ddadult ddwith ddsystemic ddlupus dderythematosus dd(SLE)?
A. ddUltrasound
B. ddComputed ddtomography dd(CT)
C. ddX-ray
D. ddMagnetic ddresonance ddimaging dd(MRI) dd- ddAnswer ddC. ddX-ray
A ddregistered ddnurse ddis ddteaching ddabout ddcyclophosphamide ddtreatment ddin
ddpatients ddwith ddsystemic ddlupus dderythematosus. ddWhich ddcomplication ddor
dddisease ddindicates dda ddneed ddfor ddfurther ddteaching?
A. ddLupus ddnephritis
B. ddPulmonary ddhemorrhage
C. ddPneumonitis
D. ddSystemic ddvasculitis dd- ddAnswer ddC. ddPneumonitis
A ddnurse ddis ddeducating ddabout ddthe ddmedications ddthat ddcan ddbe ddadministered ddto
dda ddpatient ddwith ddlupus. ddWhich ddstatement ddindicates dda ddneed ddfor ddfurther
ddteaching?
A. ddHydroxychloroquine
B. ddGlucocorticoids
C. ddOral ddcontraceptives
D. ddMethotrexate dd- ddAnswer ddC. ddOral ddcontraceptives
The ddpatient ddwith ddsystemic ddlupus dderythematosus dd(SLE) ddis ddexperiencing
ddpancytopenia. ddWhat ddwould ddbe ddthe ddcause ddof ddthis?
A. ddImmunosuppression
B. ddMedications ddused ddfor ddtreatment
C. ddFailing ddkidney ddfunction
D. ddBone ddmarrow ddfailure dd- ddAnswer ddA. ddImmunosuppression
A ddnurse ddis ddassessing dda ddclient ddwho ddreports ddsevere ddheadache ddand dda ddstiff
ddneck. ddThe ddnurse's ddassessment ddreveals ddpositive ddKernig's ddand ddBruzdzinski's
ddsigns. ddWhich ddof ddthe ddfollowing ddactions ddshould ddthe ddnurse ddperform ddfirst?
, A. ddAdminister ddantibiotics
B. ddImplement dddroplet ddprecautions dd
C. ddInitiate ddIV ddaccess
D. ddDecrease ddbright ddlights dd- ddAnswer ddB. ddImplement dddroplet ddprecautions
A ddnurse ddis ddassessing ddfor ddthe ddpresence ddof ddBrudzinski's ddsign ddin dda ddclient
ddwho ddhas ddsuspected ddmeningitis. ddWhich ddof ddthe ddfollowing ddactions ddshould
ddthe ddnurse ddtake ddwhen ddperforming ddthis ddtechnique? dd(Select ddall ddthat ddapply.)
A. ddPlace ddclient ddin ddsupine ddposition
B. ddFlex ddclient's ddhip ddand ddknee
C. ddPlace ddhands ddbehind ddthe ddclient's ddneck
D. ddBend ddclient's ddhead ddtoward ddchest
E. ddStraighten ddthe ddclient's ddflexed ddleg ddat ddthe ddknee dd- ddAnswer ddA. ddPlace
ddclient ddin ddsupine ddposition
C. ddPlace ddhands ddbehind ddthe ddclient's ddneck
D. ddBend ddclient's ddhead ddtoward ddchest
A ddnurse ddis ddplanning ddcare ddfor dda ddclient ddwho ddhas ddmeningitis ddand ddis ddat
ddrisk ddfor ddincreased ddICP. ddWhich ddof ddthe ddfollowing ddactions ddshould ddthe ddnurse
ddplan ddto ddtake? dd(Select ddall ddthat ddapply.)
A. ddImplement ddseizure ddprecautions dd
B. ddPerform ddneuro ddchecks dd4x dda ddday
C. ddAdminister ddmorphine ddfor ddthe ddreport ddof ddneck ddand ddgeneralized ddpain
D. ddTurn ddoff ddroom ddlights ddand ddtelevision
E. ddMonitor ddfor ddimpaired ddextraocular ddmovements
F. ddEncourage ddthe ddclient ddto ddcough ddfrequently dd- ddAnswer ddA. ddImplement
ddseizure ddprecautions dd
D. ddTurn ddoff ddroom ddlights ddand ddtelevision
E. ddMonitor ddfor ddimpaired ddextraocular ddmovements
A ddnurse ddis ddreviewing ddthe dduse ddof ddthe ddmeningococcal ddvaccine dd(MCV dd4)
ddfor ddthe ddprevention ddof ddmeningitis ddwith dda ddnewly ddlicensed ddnurse. ddWhich ddof
ddthe ddfollowing ddinformation ddshould ddthe ddnurse ddinclude?
A. ddThe ddvaccine ddis ddindicated ddto ddreduce ddthe ddrisk ddof ddrespiratory ddinfection
B. ddThe ddvaccine ddis ddadministered ddin dda ddseries ddof ddfour dddoses
C. ddThe ddvaccine ddis ddrecommended ddfor ddadolescents ddbefore ddstarting ddcollege
D. ddThe ddvaccine ddis ddinitially ddgiven ddat dd2 ddmonths ddof ddage dd- ddAnswer ddC. ddThe
ddvaccine ddis ddrecommended ddfor ddadolescents ddbefore ddstarting ddcollege
A ddnurse ddis ddplanning ddcare ddfor dda ddclient ddwho ddhas ddbacterial ddmeningitis.
ddWhich ddof ddthe ddfollowing ddactions ddshould ddthe ddnurse ddinclude ddin ddthe ddplan ddof
ddcare? dd(Select ddall ddthat ddapply.)
