MSN 277 FINAL EXAM REVIEW
QUESTIONS AND EXPERT VERIFIED
ANSWERS 2025 GUARANTEED A+
A 24 year old female patient with SLE tells the nurse she wants to have
a baby and is considering getting pregnant. Which response by the nurse
is most appropriate?
A. "Temporary remission of your signs and symptoms are common
during pregnancy."
B. "SLE symptoms usually peak during the first trimester."
C. "Autoantibodies transferred to the baby during pregnancy will cause
congenital heart defects."
D. "The best time to plan pregnancy is during a remission when the
symptoms are a minimum." - ANSWER- D. "The best time to plan
pregnancy is during a remission when the symptoms are a minimum."
A patient being seen in the clinic has rheumatoid nodules on the elbows.
Which action will the nurse take?
,A. Draw blood for rheumatoid factor analysis.
B. Teach the patient about injections for the nodules.
C. Assess the nodules for skin breakdown or infection.
D. Discuss the need for surgical removal of the nodules. - ANSWER-
C. Assess the nodules for skin breakdown or infection.
A patient with rheumatoid arthritis (RA) complains to the clinic nurse
about having chronically dry eyes. Which action by the nurse is
appropriate?
A. Ask the HCP about discontinuing methotrexate.
B. Remind the patient that RA is a chronic health condition.
C. Suggest the patient use over-the-counter artificial tears.
D. Teach the patient about adverse effects of the RA medications. -
ANSWER- C. Suggest the patient use over-the-counter artificial tears.
Which laboratory result will the nurse monitor to determine if
prednisone has been effective for a patient with an acute exacerbation of
rheumatoid arthritis?
A. Blood glucose
B. C-reactive protein
C. Serum electrolytes
D. Liver function tests - ANSWER- B. C-reactive protein
,A patient, newly diagnosed with rheumatoid arthritis, arrives at the
clinic for a follow-up visit. For which of the following extraarticular
manifestations should the nurse assess? (Select all that apply.)
A. Rheumatoid nodules
B. Morning stiffness that lasts > 1 hour
C. Weight loss
D. Fatigue
E. Sjogren's syndrome
F. Discoid rash - ANSWER- C. Weight loss
D. Fatigue
E. Sjogren's syndrome
Which of the following are risk factors for the development of gout?
(Select all that apply.)
A. Repetitive motion to the joints
B. Hypertension
C. Obesity
D. Alcohol consumption
E. Diuretic use
F. Corticosteroid use - ANSWER- B. Hypertension
C. Obesity
, D. Alcohol consumption
E. Diuretic use
A patient is admitted to the hospital with possible cholelithiasis. Which
diagnostic test will the nurse anticipate will be ordered first to provide
data for diagnosis?
A. X-ray of the abdomen
B. Ultrasound of the liver, gall bladder, and pancreas
C. ERCP
D. CT scan of the abdomen - ANSWER- B. Ultrasound of the liver, gall
bladder, and pancreas
A patient is receiving pharmacologic therapy with ursodeoxycholic acid
(Actigall) for treatment of small gallstones. The patient asks the nurse
how long the therapy will take to dissolve the stones. What is the best
response by the nurse?
A. 1-2 weeks
B. 3-5 months
C. 6-8 weeks
D. 6-12 months - ANSWER- D. 6-12 months
Following a laparoscopic cholecystectomy, the nurse would expect the
patient to:
QUESTIONS AND EXPERT VERIFIED
ANSWERS 2025 GUARANTEED A+
A 24 year old female patient with SLE tells the nurse she wants to have
a baby and is considering getting pregnant. Which response by the nurse
is most appropriate?
A. "Temporary remission of your signs and symptoms are common
during pregnancy."
B. "SLE symptoms usually peak during the first trimester."
C. "Autoantibodies transferred to the baby during pregnancy will cause
congenital heart defects."
D. "The best time to plan pregnancy is during a remission when the
symptoms are a minimum." - ANSWER- D. "The best time to plan
pregnancy is during a remission when the symptoms are a minimum."
A patient being seen in the clinic has rheumatoid nodules on the elbows.
Which action will the nurse take?
,A. Draw blood for rheumatoid factor analysis.
B. Teach the patient about injections for the nodules.
C. Assess the nodules for skin breakdown or infection.
D. Discuss the need for surgical removal of the nodules. - ANSWER-
C. Assess the nodules for skin breakdown or infection.
A patient with rheumatoid arthritis (RA) complains to the clinic nurse
about having chronically dry eyes. Which action by the nurse is
appropriate?
A. Ask the HCP about discontinuing methotrexate.
B. Remind the patient that RA is a chronic health condition.
C. Suggest the patient use over-the-counter artificial tears.
D. Teach the patient about adverse effects of the RA medications. -
ANSWER- C. Suggest the patient use over-the-counter artificial tears.
Which laboratory result will the nurse monitor to determine if
prednisone has been effective for a patient with an acute exacerbation of
rheumatoid arthritis?
A. Blood glucose
B. C-reactive protein
C. Serum electrolytes
D. Liver function tests - ANSWER- B. C-reactive protein
,A patient, newly diagnosed with rheumatoid arthritis, arrives at the
clinic for a follow-up visit. For which of the following extraarticular
manifestations should the nurse assess? (Select all that apply.)
A. Rheumatoid nodules
B. Morning stiffness that lasts > 1 hour
C. Weight loss
D. Fatigue
E. Sjogren's syndrome
F. Discoid rash - ANSWER- C. Weight loss
D. Fatigue
E. Sjogren's syndrome
Which of the following are risk factors for the development of gout?
(Select all that apply.)
A. Repetitive motion to the joints
B. Hypertension
C. Obesity
D. Alcohol consumption
E. Diuretic use
F. Corticosteroid use - ANSWER- B. Hypertension
C. Obesity
, D. Alcohol consumption
E. Diuretic use
A patient is admitted to the hospital with possible cholelithiasis. Which
diagnostic test will the nurse anticipate will be ordered first to provide
data for diagnosis?
A. X-ray of the abdomen
B. Ultrasound of the liver, gall bladder, and pancreas
C. ERCP
D. CT scan of the abdomen - ANSWER- B. Ultrasound of the liver, gall
bladder, and pancreas
A patient is receiving pharmacologic therapy with ursodeoxycholic acid
(Actigall) for treatment of small gallstones. The patient asks the nurse
how long the therapy will take to dissolve the stones. What is the best
response by the nurse?
A. 1-2 weeks
B. 3-5 months
C. 6-8 weeks
D. 6-12 months - ANSWER- D. 6-12 months
Following a laparoscopic cholecystectomy, the nurse would expect the
patient to:
