NSG 320 EXAM 4 /NSG320 EXAM 4
2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
A Patient comes in to the clinic complaining of right knee pain and has a history of
osteoarthritis. Which of the following would the nurse identify as a possible contributing factor?
A.) The patient recently visited their nephew who lives in a mountain community, and was
moderately active during that time
B.) The patient has been regularly going to physical therapy and is taking NSAIDs as prescribed
for pain
C.) The patient went grocery shopping this morning
D.) The patient reports no swelling, crepitus, or redness in the joint
A.) This would be the most likely explanation for the pain the patient is experiencing as drops in
barometric pressure can increase pain in the joint, and activity level. (CONHCP PP slide 35 Topic
10, pp. 1697 Hagler)
When giving education to a patient regarding their new prescription of Celecoxib, which
statement would require further education?
A.) I should take this medication with food or milk to reduce gastric irritation
B.) I should not be worried about bleeding even though I take Warfarin
C.) I should monitor my blood pressure while taking these medications
D.) If I have persistent headaches I should call my HCP
B.) I should not be worried about bleeding even though I take Warfarin
This statement would indicate the need for further education as NSAIDs can increase risk for GI
bleeds, especially if on anticoagulation therapy. (Slide 37 CONHCP PP topic 10, pp. 1699 table
69.3 Hagler)
A patient is admitted to med-surg with a new diagnosis of Rheumatoid arthritis, which of the
following clinical manifestations will the nurse likely see? (SATA)
1|Page
,A.) Fatigue, weight gain, non-specific joint involvement
B.) Morning stiffness that lasts several hours
C.) Spindle shaped fingers
D.) The areas of inflammation are warm to the touch
E.) Anorexia
B.) Morning stiffness that lasts several hours
C.) Spindle shaped fingers
D.) The areas of inflammation are warm to the touch
E.) Anorexia
These are all correct regarding the clinical manifestations of Rheumatoid arthritis. (Slide 42
CONHCP PP topic 10, pp. 1702 Hagler)
Which of the following is true regarding Disease Modifying antirheumatic drugs?
A.) These medications can help reverse the affects of RA
B.) These drugs are often prescribed sparingly and are avoided due to side effects
C.) Drugs are chosen based on disease activity, and slow progression of the disease process
D.) Alternative therapies are often considered prior to drug therapy
C.) This answer is most correct regarding the use of DMARDs (Slide 45 CONHCP PP topic 10, pp.
1705 Hagler)
When developing a plan of care for a patient experiencing an acute exacerbation of gout, what
Short term goal would be the most important for the nurse to implement?
A.) Educating the patient on avoidance of foods with purines
B.) The patient will be able to verbalize foods that will exacerbate their gout by discharge
C.) Ending the acute attack via drug therapy such as colchicine and corticosteroids
D.) The patient will drink 2500 mls by the end of shift
C.) Ending the acute attack via drug therapy such as colchicine and corticosteroids
This is the most correct answer, the first goal of care should be to get the gout attack under
control, although these other points are good, it is not the priority at this time.
(Slide 53 & 54 CONHCP PP topic 10, pp. 1711 Hagler)
When obtaining a health history from a female patient experiencing active Systemic Lupus
Erythematosus, Which of the following are relevant questions to ask? (SATA)
A.) Have you recently had extended amounts of time in the sun?
B.) Were you exposed to any harmful chemicals recently?
C.) Do you take vitamin D supplements?
D.) When was your last flare up?
E.) Do you take any oral contraceptives or NSAIDs?
2|Page
,A.) Have you recently had extended amounts of time in the sun?
B.) Were you exposed to any harmful chemicals?
D.) When was your last flare up?
E.) Do you take any oral contraceptives or NSAIDs?
These are all relevant questions to ask during an assessment of a patient experiencing a lupus
flare up, for more information refer to page number below.
(Slide 60 CONHCP PP, pp. 1720 Hagler Table 69.18)
When developing a plan of care for a patient suffering from SLE, which of the following will the
nurse include?
A.) Healing with no associated complications,
Satisfactory pain relief, Maximal rehabilitation potential
B.) The patient will have acceptable pain management, maintain optimal role function, and
avoid activities that worsen disease
C.) Have satisfactory pain and fever management, Be free from complications, adhere to the
treatment plan
D.) Pain management may not work, patient will verbalize three trigger for lupus flare up
B.) The patient will have acceptable pain management, maintain optimal role function, and
avoid activities that worsen disease
These are the main planning goals in regard to management of SLE. (Slide 60 CONHCP PP topic
10, pp. 1719 Hagler)
A 32 y/o female presents to the clinic saying that she thinks her fibromyalgia is flaring up. The
nurse understands that which of the following clinical manifestations are associated with this
disorder?
A.) Stiffness, unaffected sleep
B.) Difficult mensuration, irritable bowel syndrome, Difficulty swallowing
C.) Headaches that are sharp and extend to the shoulder
D.) Decreased urination and urgency
B.) This is the most correct answer as all three manifestations are correct. While other answers
do have some manifestations there are ones hidden in the answer that are not seen. (CONHCP
PP slide 64, pp. 1725 Hagler)
A patient is to be discharged home with a prescription following a diagnosis of fibromyalgia,
Which of the following medications can the nurse expect to give education on?
A.) Pregabalin
B.) Pantoprazole
3|Page
, C.) Percocet
D.) MAOIs
A.) Pregabalin is a medication that is used for management of widespread pain in patients with
fibromyalgia. (CONHCP PP slide 65, pp. 1726 Hagler)
After giving education to a patient on proper non-pharmacologic interventions for management
of fibromyalgia, which of the following would indicate effective teaching? (SATA)
A.) Heat packs should not be used because it can increase inflammation
B.) I will begin doing tai chi as a form of exercise
C.) I should eat a well balanced diet and cut back on caffeine
D.) I can continue to eat my favorite candies and this should not affect my fibromyalgia
E.) I will look for a counselor to begin seeing
B.) I will begin doing tai chi as a form of exercise
C.) I should eat a well balanced diet and cut back on caffeine
E.) I will look for a counselor to begin seeing
These are all great non-pharmacologic interventions that can be used in the management of
fibromyalgia. (CONHCP PP slide 67, pp. 1725 Hagler)
When reviewing clinical manifestations associated with Tension Type headaches, The nurse
recognizes that which of the following are associated?
A.) Depression, fatigue, pallor
B.) Sensory aura, aphasic
C.) Steady pounding or throbbing
D.) Constant dull pressure, band-like, photophobia
D.) Constant dull pressure, band-like, photophobia
This is the most correct answer, all other answers are clinical manifestations associated with
migraine headaches. (CONHCP PP slide 4 Topic 11, pp. 1539)
A nurse is educating a community group on Tension type headaches. Which of the following
would indicate the need for further education?
A.) The cause of tension type headaches is not well understood
B.) Triggers for tension headaches include stress, anxiety or depression
C.) Turning down the lights may help someone who is experiencing a tension headache
D.) The mechanism for tension headaches is understood to be a chemical imbalance of
dopamine
D.) The pathophysiology for tension headaches is not well understood and there is no clear
explanation for why patients suffer from them. (CONHCP PP slide 4, pp. 1540 Hagler)
4|Page
2025/2026 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST|BRAND NEW
VERSION!!!|GUARANTEED PASS
A Patient comes in to the clinic complaining of right knee pain and has a history of
osteoarthritis. Which of the following would the nurse identify as a possible contributing factor?
A.) The patient recently visited their nephew who lives in a mountain community, and was
moderately active during that time
B.) The patient has been regularly going to physical therapy and is taking NSAIDs as prescribed
for pain
C.) The patient went grocery shopping this morning
D.) The patient reports no swelling, crepitus, or redness in the joint
A.) This would be the most likely explanation for the pain the patient is experiencing as drops in
barometric pressure can increase pain in the joint, and activity level. (CONHCP PP slide 35 Topic
10, pp. 1697 Hagler)
When giving education to a patient regarding their new prescription of Celecoxib, which
statement would require further education?
A.) I should take this medication with food or milk to reduce gastric irritation
B.) I should not be worried about bleeding even though I take Warfarin
C.) I should monitor my blood pressure while taking these medications
D.) If I have persistent headaches I should call my HCP
B.) I should not be worried about bleeding even though I take Warfarin
This statement would indicate the need for further education as NSAIDs can increase risk for GI
bleeds, especially if on anticoagulation therapy. (Slide 37 CONHCP PP topic 10, pp. 1699 table
69.3 Hagler)
A patient is admitted to med-surg with a new diagnosis of Rheumatoid arthritis, which of the
following clinical manifestations will the nurse likely see? (SATA)
1|Page
,A.) Fatigue, weight gain, non-specific joint involvement
B.) Morning stiffness that lasts several hours
C.) Spindle shaped fingers
D.) The areas of inflammation are warm to the touch
E.) Anorexia
B.) Morning stiffness that lasts several hours
C.) Spindle shaped fingers
D.) The areas of inflammation are warm to the touch
E.) Anorexia
These are all correct regarding the clinical manifestations of Rheumatoid arthritis. (Slide 42
CONHCP PP topic 10, pp. 1702 Hagler)
Which of the following is true regarding Disease Modifying antirheumatic drugs?
A.) These medications can help reverse the affects of RA
B.) These drugs are often prescribed sparingly and are avoided due to side effects
C.) Drugs are chosen based on disease activity, and slow progression of the disease process
D.) Alternative therapies are often considered prior to drug therapy
C.) This answer is most correct regarding the use of DMARDs (Slide 45 CONHCP PP topic 10, pp.
1705 Hagler)
When developing a plan of care for a patient experiencing an acute exacerbation of gout, what
Short term goal would be the most important for the nurse to implement?
A.) Educating the patient on avoidance of foods with purines
B.) The patient will be able to verbalize foods that will exacerbate their gout by discharge
C.) Ending the acute attack via drug therapy such as colchicine and corticosteroids
D.) The patient will drink 2500 mls by the end of shift
C.) Ending the acute attack via drug therapy such as colchicine and corticosteroids
This is the most correct answer, the first goal of care should be to get the gout attack under
control, although these other points are good, it is not the priority at this time.
(Slide 53 & 54 CONHCP PP topic 10, pp. 1711 Hagler)
When obtaining a health history from a female patient experiencing active Systemic Lupus
Erythematosus, Which of the following are relevant questions to ask? (SATA)
A.) Have you recently had extended amounts of time in the sun?
B.) Were you exposed to any harmful chemicals recently?
C.) Do you take vitamin D supplements?
D.) When was your last flare up?
E.) Do you take any oral contraceptives or NSAIDs?
2|Page
,A.) Have you recently had extended amounts of time in the sun?
B.) Were you exposed to any harmful chemicals?
D.) When was your last flare up?
E.) Do you take any oral contraceptives or NSAIDs?
These are all relevant questions to ask during an assessment of a patient experiencing a lupus
flare up, for more information refer to page number below.
(Slide 60 CONHCP PP, pp. 1720 Hagler Table 69.18)
When developing a plan of care for a patient suffering from SLE, which of the following will the
nurse include?
A.) Healing with no associated complications,
Satisfactory pain relief, Maximal rehabilitation potential
B.) The patient will have acceptable pain management, maintain optimal role function, and
avoid activities that worsen disease
C.) Have satisfactory pain and fever management, Be free from complications, adhere to the
treatment plan
D.) Pain management may not work, patient will verbalize three trigger for lupus flare up
B.) The patient will have acceptable pain management, maintain optimal role function, and
avoid activities that worsen disease
These are the main planning goals in regard to management of SLE. (Slide 60 CONHCP PP topic
10, pp. 1719 Hagler)
A 32 y/o female presents to the clinic saying that she thinks her fibromyalgia is flaring up. The
nurse understands that which of the following clinical manifestations are associated with this
disorder?
A.) Stiffness, unaffected sleep
B.) Difficult mensuration, irritable bowel syndrome, Difficulty swallowing
C.) Headaches that are sharp and extend to the shoulder
D.) Decreased urination and urgency
B.) This is the most correct answer as all three manifestations are correct. While other answers
do have some manifestations there are ones hidden in the answer that are not seen. (CONHCP
PP slide 64, pp. 1725 Hagler)
A patient is to be discharged home with a prescription following a diagnosis of fibromyalgia,
Which of the following medications can the nurse expect to give education on?
A.) Pregabalin
B.) Pantoprazole
3|Page
, C.) Percocet
D.) MAOIs
A.) Pregabalin is a medication that is used for management of widespread pain in patients with
fibromyalgia. (CONHCP PP slide 65, pp. 1726 Hagler)
After giving education to a patient on proper non-pharmacologic interventions for management
of fibromyalgia, which of the following would indicate effective teaching? (SATA)
A.) Heat packs should not be used because it can increase inflammation
B.) I will begin doing tai chi as a form of exercise
C.) I should eat a well balanced diet and cut back on caffeine
D.) I can continue to eat my favorite candies and this should not affect my fibromyalgia
E.) I will look for a counselor to begin seeing
B.) I will begin doing tai chi as a form of exercise
C.) I should eat a well balanced diet and cut back on caffeine
E.) I will look for a counselor to begin seeing
These are all great non-pharmacologic interventions that can be used in the management of
fibromyalgia. (CONHCP PP slide 67, pp. 1725 Hagler)
When reviewing clinical manifestations associated with Tension Type headaches, The nurse
recognizes that which of the following are associated?
A.) Depression, fatigue, pallor
B.) Sensory aura, aphasic
C.) Steady pounding or throbbing
D.) Constant dull pressure, band-like, photophobia
D.) Constant dull pressure, band-like, photophobia
This is the most correct answer, all other answers are clinical manifestations associated with
migraine headaches. (CONHCP PP slide 4 Topic 11, pp. 1539)
A nurse is educating a community group on Tension type headaches. Which of the following
would indicate the need for further education?
A.) The cause of tension type headaches is not well understood
B.) Triggers for tension headaches include stress, anxiety or depression
C.) Turning down the lights may help someone who is experiencing a tension headache
D.) The mechanism for tension headaches is understood to be a chemical imbalance of
dopamine
D.) The pathophysiology for tension headaches is not well understood and there is no clear
explanation for why patients suffer from them. (CONHCP PP slide 4, pp. 1540 Hagler)
4|Page
