NSG 211 Test 4 Examination And 100%
Actual Answers 2025-2026 Updated
set.
A nurse is assessing a client who has a new diagnosis of systemic lupus erythematosus (SLE).
The nurse should identify which of the following as a cutaneous manifestation of SLE?
-Facial pallor
-muscle atrophy
-foot ulcers
-butterfly rash on face - Answer butterfly rash on face
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus
(SLE). The nurse should recognize the need for further teaching when the client identifies which
of the following as a factor that can exacerbate SLE?
-sunlight
-pregnancy
-infection
-exercise - Answer exercise (reconditioning and muscle atrophy occurs as a result of lack of
mobility. The nurse should encourage the client to engage in conditioning exercises alternated
with periods of rest.)
A nurse is caring for a client who received a diagnosis of systemic scleroderma 5 years ago. The
nurse plans to assess the client to document the disease's progression. In addition to skin
changes, which of the following findings should the nurse expect?
-periorbital edema
-excessive salivation
-finger contractures
-thinning of the skin - Answer finger contractures (scleroderma is a chronic disease that can
cause thickening, hardening, or tightening of the skin, blood vessels, and internal organs.
Manifestations include skin changes, Raynaud's phenomenon, arthritis, muscle weakness, and
dryness of the mucous membranes. Contractures occur with advanced systemic scleroderma
, -"These organs support immunity."
-"These organs are used in digestion."
-"These organs regulate electrolyte balance."
-"These organs assist vitamin absorption." - Answer "These organs support immunity."
A nurse is planning care for a client who is postoperative following a liver transplant and weighs
65kg. Which of the following actions should the nurse plan to take?
-Keep the client NPO for the first week postoperative.
-Limit caloric content once the client resumes eating.
-Stress the importance of safe food-handling practices.
-Decrease foods high in carbohydrates once the client resumes eating. - Answer Stress the
importance of safe food-handling practices. (immunosuppressant medication makes the client
more susceptible to infection)
A nurse is caring for a client following cataract surgery. Which of the following comments from
the client should the nurse report to the client's provider?
-"My eye really itches, but I'm trying not to rub it."
-"I need something for the pain in my eye. I can't stand it."
-"It's hard to see with a patch on one eye. I'm afraid of falling."
-"The bright light in this room is really bothering me." - Answer "I need something for the pain
in my eye. I can't stand it." (following cataract surgery, the client should expect only mild pain
and should immediately report any pain, decrease in vision, or increase in discharge from the
eye. Severe eye pain after surgery might indicate increased intraocular pressure or
hemorrhage.)
A nurse is assessing a client who has systemic lupus erythamatosus (SLE). Which go the
following findings is the highest priority for the nurse to report to the provider?
-client report of feelings of depression
-dry, raised rash on the face
-presence of peripheral edema
Actual Answers 2025-2026 Updated
set.
A nurse is assessing a client who has a new diagnosis of systemic lupus erythematosus (SLE).
The nurse should identify which of the following as a cutaneous manifestation of SLE?
-Facial pallor
-muscle atrophy
-foot ulcers
-butterfly rash on face - Answer butterfly rash on face
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus
(SLE). The nurse should recognize the need for further teaching when the client identifies which
of the following as a factor that can exacerbate SLE?
-sunlight
-pregnancy
-infection
-exercise - Answer exercise (reconditioning and muscle atrophy occurs as a result of lack of
mobility. The nurse should encourage the client to engage in conditioning exercises alternated
with periods of rest.)
A nurse is caring for a client who received a diagnosis of systemic scleroderma 5 years ago. The
nurse plans to assess the client to document the disease's progression. In addition to skin
changes, which of the following findings should the nurse expect?
-periorbital edema
-excessive salivation
-finger contractures
-thinning of the skin - Answer finger contractures (scleroderma is a chronic disease that can
cause thickening, hardening, or tightening of the skin, blood vessels, and internal organs.
Manifestations include skin changes, Raynaud's phenomenon, arthritis, muscle weakness, and
dryness of the mucous membranes. Contractures occur with advanced systemic scleroderma
, -"These organs support immunity."
-"These organs are used in digestion."
-"These organs regulate electrolyte balance."
-"These organs assist vitamin absorption." - Answer "These organs support immunity."
A nurse is planning care for a client who is postoperative following a liver transplant and weighs
65kg. Which of the following actions should the nurse plan to take?
-Keep the client NPO for the first week postoperative.
-Limit caloric content once the client resumes eating.
-Stress the importance of safe food-handling practices.
-Decrease foods high in carbohydrates once the client resumes eating. - Answer Stress the
importance of safe food-handling practices. (immunosuppressant medication makes the client
more susceptible to infection)
A nurse is caring for a client following cataract surgery. Which of the following comments from
the client should the nurse report to the client's provider?
-"My eye really itches, but I'm trying not to rub it."
-"I need something for the pain in my eye. I can't stand it."
-"It's hard to see with a patch on one eye. I'm afraid of falling."
-"The bright light in this room is really bothering me." - Answer "I need something for the pain
in my eye. I can't stand it." (following cataract surgery, the client should expect only mild pain
and should immediately report any pain, decrease in vision, or increase in discharge from the
eye. Severe eye pain after surgery might indicate increased intraocular pressure or
hemorrhage.)
A nurse is assessing a client who has systemic lupus erythamatosus (SLE). Which go the
following findings is the highest priority for the nurse to report to the provider?
-client report of feelings of depression
-dry, raised rash on the face
-presence of peripheral edema
