PN 2 Exam 2 week 7 study guide
Know what the secondary stage of the inflammatory response is
5. A client has a leg wound that is in the second stage of the inflammatory
response. For what manifestation does the nurse assess?
a. Noticeable rubor
b. Purulent drainage
c. Swelling and pain
d. Warmth at the site
ANS: B
1. The student nurse learns that the most important function of inflammation
and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-tolerance
ANS: C
7. The nurse understands that which type of immunity is the longest acting?
a. Artificial active
b. Inflammatory
c. Natural active
d. Natural passive
ANS: C
8. The nurse working with clients who have autoimmune diseases understands
that what component of cell-mediated immunity is the problem?
a. CD4+ cells
b. Cytotoxic T cells
c. Natural killer cells
d. Suppressor T cells
ANS: D
10. A nurse is assessing a client for acute rejection of a kidney transplant. What
assessment finding requires the most rapid communication with the provider?
a. Blood urea nitrogen (BUN) of 18 mg/dL
b. Cloudy, foul-smelling urine
c. Creatinine of 3.9 mg/dL
d. Urine output of 340 mL/8 hr
ANS: C
What drugs are used to treat OA?
2. A nurse in the family clinic is teaching a client newly diagnosed with
osteoarthritis (OA) about drugs used to treat the disease. For which medication
does the nurse plan primary teaching?
a. Acetaminophen (Tylenol)
b. Cyclobenzaprine hydrochloride (Flexeril)
,c. Hyaluronate (Hyalgan)
d. Ibuprofen (Motrin)
ANS: A
1. A nurse is working with a community group promoting healthy aging. What
recommendation is best to help prevent osteoarthritis (OA)?
a. Avoid contact sports.
b. Get plenty of calcium.
c. Lose weight if needed.
d. Engage in weight-bearing exercise.
ANS: C
What is the post-operative care of a patient after a total hip replacement?
5. An older client has returned to the surgical unit after a total hip replacement.
The client is confused and restless. What intervention by the nurse is most
important to prevent injury?
a. Administer mild sedation.
b. Keep all four siderails up.
c. Restrain the clients hands.
d. Use an abduction pillow.
ANS: D
7. The nurse on the postoperative inpatient unit assesses a client after a total
hip replacement. The clients surgical leg is visibly shorter than the other one
and the client reports extreme pain. While a co-worker calls the surgeon, what
action by the nurse is best?
a. Assess neurovascular status in both legs.
b. Elevate the affected leg and apply ice.
c. Prepare to administer pain medication.
d. Try to place the affected leg in abduction.
ANS: A
26. A nurse is discharging a client after a total hip replacement. What statement
by the client indicates good potential for self-management?
a. I can bend down to pick something up.
b. I no longer need to do my exercises.
c. I will not sit with my legs crossed.
d. I wont wash my incision to keep it dry.
ANS: C
Know signs and symptoms of rheumatoid arthritis (RA)
11. A nurse works in the rheumatology clinic and sees clients with rheumatoid
arthritis (RA). Which client should the nurse see first?
a. Client who reports jaw pain when eating
b. Client with a red, hot, swollen right wrist
c. Client who has a puffy-looking area behind the knee
, d. Client with a worse joint deformity since the last visit
ANS: B
16. The nurse in the rheumatology clinic is assessing clients with rheumatoid
arthritis (RA). Which client should the nurse see first?
a. Client taking celecoxib (Celebrex) and ranitidine (Zantac)
b. Client taking etanercept (Enbrel) with a red injection site
c. Client with a blood glucose of 190 mg/dL who is taking steroids
d. Client with a fever and cough who is taking tofacitinib (Xeljanz)
ANS: D
17. A client with rheumatoid arthritis (RA) has an acutely swollen, red, and
painful joint. What nonpharmacologic treatment does the nurse apply?
a. Heating pad
b. Ice packs
c. Splints
d. Wax dip
ANS: B
1. The nursing student studying rheumatoid arthritis (RA) learns which facts
about the disease? (Select all that apply.)
a. It affects single joints only.
b. Antibodies lead to inflammation.
c. It consists of an autoimmune process.
d. Morning stiffness is rare.
e. Permanent damage is inevitable.
ANS: B, C
4. The nurse working in the rheumatology clinic assesses clients with
rheumatoid arthritis (RA) for late manifestations. Which signs/symptoms are
considered late manifestations of RA? (Select all that apply.)
a. Anorexia
b. Feltys syndrome
c. Joint deformity
d. Low-grade fever
e. Weight loss
ANS: B, C, E
Know what Sjogren’s syndrome is and how to diagnose it
13. The nurse working in the rheumatology clinic is seeing clients with
rheumatoid arthritis (RA). What assessment would be most important for the
client whose chart contains the diagnosis of Sjgrens syndrome?
a. Abdominal assessment
b. Oxygen saturation
c. Renal function studies
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