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NCLEX QS 280 EXAM 3 RA, LUPUS, MG, GBS, ALS QUESTIONS WITH COMPLETE ANSWERS
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NCLEX QS 280 EXAM 3 RA, LUPUS, MG, GBS, ALS QUESTIONS WITH COMPLETE ANSWERS
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NCLEX QS 280 EXAM 3 RA, LUPUS, MG,GBS, ALS QUESTIONS WITH
COMPLETE ANSWERS
1) ffThe ffclient ffenters ffthe ffoutpatient ffclinic ffand ffstates ffto ffthe fftriage ffnurse, ff"I ffthink ffI
ffhave ffthe ffflu. ffI'm ffso fftired, ffI ffhave ffno ffappetite, ffand ffeverything ffhurts." ffThe fftriage
ffnurse ffassesses ffthe ffclient ffand fffinds ffa ffbutterfly ffrash ffover ffthe ffbridge ffof ffnose
ffand ffon ffthe ffcheeks. ffWhich ffdiagnosis ffdoes ffthe ffnurse ffexpect?
A) ffSystemic fflupus fferythematosus
B) ffFibromyalgia
C) ffLyme ffdisease
D) ffGout ff- ffAnswer ffA) ffSystemic fflupus fferythematosus
Explanation: ffA) ffThe ffrash ffover ffthe ffnose ffand ffcheeks ffis ffsometimes ffcalled ffa
ffbutterfly ffrash ffand ffis ffclassic fffor ffthe ffdiagnosis ffof ffsystemic fflupus fferythematosus
ff(SLE), ffalthough ffnot ffevery ffclient ffdiagnosed ffwith ffthis ffdisorder ffwill ffhave ffthis ffrash.
ffWhile fffibromyalgia, ffLyme's ffdisease, ffand ffgout ffshare ffsome ffsymptoms ffof ffSLE,
ffthey ffdo ffnot ffcause ffa ffrash ffover ffthe ffnose ffand ffcheeks.
2) ffA fffemale ffclient ffasks ffthe ffnurse ffif ffthere ffare ffany ffconditions ffthat ffcan
ffexacerbate ffsystemic fflupus fferythematosus ff(SLE). ffWhich ffis ffthe ffbest ffnurse
ffresponse?
A) ff"Conditions ffthat ffcause ffhypotension ffcan ffoften ffexacerbate ffSLE."
B) ff"GI ffupset ffis ffoften ffassociated ffwith ffSLE ffexacerbation."
C) ff"Pregnancy ffis ffoften ffassociated ffwith ffan ffSLE ffexacerbation."
D) ff"Fever ffis ffa ffknown fftrigger fffor ffan ffSLE ffexacerbation." ff- ffAnswer ffC) ff"Pregnancy
ffis ffoften ffassociated ffwith ffan ffSLE ffexacerbation."
Explanation: ffA) ffPregnancy ffcan ffbe ffassociated ffwith ffan ffexacerbation ffof ffSLE ffdue
ffto ffthe ffrise ffof ffestrogen fflevels. ffHypotension, fffever, ffand ffGI ffupset ffare ffnot fffactors
ffthat ffrisk ffexacerbation ffof ffSLE.
5) ffA ffclient ffwith ffSLE ffis ffbeing fftreated ffwith ffimmunosuppressant ffdrugs ffand
ffcorticosteroids. ffWhich ffprecautions ffshould ffthe ffnurse ffprovide ffthis ffclient? ff
Select ffall ffthat ffapply.
,A) ffAvoid fflarge ffcrowds.
B) ffDon't ffget ffa ffflu ffshot.
C) ffUse ffcontraception ffto ffprevent ffpregnancy
D) ffRefrain fffrom fftaking ffaspirin ffor ffibuprofen.
E) ffReport ffsigns ffof ffinfection ffto ffthe ffphysician. ff- ffAnswer ffAnswer: ffA, ffC, ffD, ffE
Crowds ffmay ffincrease ffexposure ffto ffinfection. ffAnnual ffinfluenza ffvaccination ffis
ffrecommended ffbut ffclients ffwith ffsignificant ffimmunosuppression ffshould ffnot ffreceive
fflive ffvaccines. ffImmunosuppressive ffdrugs ffmay ffincrease ffthe ffrisk ffof ffbirth ffdefects.
ffAspirin ffor ffibuprofen ffmay ffincrease ffthe ffrisk ffof ffbleeding. ffChills, fffever, ffsore ffthroat,
fffatigue, ffor ffmalaise ffshould ffbe ffreported.
6) ffA ffnurse ffis ffcaring fffor ffa ffclient ffwith ffsystemic fflupus fferythematosus ff(SLE). ffThe
ffclient ffbegins ffto ffcry ffand fftells ffthe ffnurse ffthat ffshe ffis ffafraid ffthat ffher ffskin ffwill ffbe
ffdisfigured ffwith fflesions. ffWhich ffintervention ffdoes ffthe ffnurse ffplan ffto ffteach ffthis
ffclient ffto ffminimize ffskin ffinfections ffassociated ffwith ffSLE? ff
Select ffall ffthat ffapply.
A) ffUse ffsunscreen ffwith ffan ffSPF ffof ff15 ffor ffgreater.
B) ffRemain ffindoors ffon ffsunny ffdays.
C) ffAvoid ffswimming ffin ffa ffpool ffor ffthe ffocean.
D) ffAvoid ffsun ffexposure ffbetween ff10:00 ffa.m. ffand ff3:00 ffp.m.
E) ffDecrease ffsun ffexposure ffbetween ff3:00 ffp.m. ffand ff5:00 ffp.m. ff- ffAnswer ffAnswer:
ffA, ffD
The ffnurse ffteaches ffthe ffclient ffto fflive ffa ffnormal fflife ffwith ffa fffew ffextra ffprecautions.
ffThere ffis ffa ffrelationship ffbetween ffsun ffexposure ffand ffinfection, ffso ffthe ffclient ffis
fftaught ffto ffuse ffsunscreen ffwith ffan ffSPF ffof ffat ffleast ff15 ffand ffto ffavoid ffthe ffsun
ffbetween ff10:00 ffa.m. ffand ff3:00 ffp.m. ffThe ffclient ffmay ffswim ffbut ffshould ffreapply
ffsunscreen ffafter ffswimming. ffThe ffclient ffdoes ffnot ffneed ffto ffstay ffindoors ffon ffsunny
ffdays ffor ffto ffdecrease ffsun ffexposure ffbetween ff3:00 ffp.m. ffand ff5:00 ffp.m.
2. ffA ffnurse ffis ffteaching ffa ffclient ffwho ffhas ffSLE ffabout ffself-care. ffWhich ffof ffthe
fffollowing ffstatements ffby ffthe ffclient ffindicates ffan ffunderstanding ffof ffthe ffteaching?
A. ff"I ffshould fflimit ffmy fftime ffto ff10 ffminutes ffin ffthe fftanning ffbed."
B. ff"I ffwill ffapply ffpowder ffto ffany ffskin ffrash."
C."I ffshould ffuse ffa ffmild ffhair ffshampoo."
D."I ffwill ffinspect ffmy ffskin ffonce ffa ffmonth fffor ffrashes." ff- ffAnswer ffA- ffA ffclient ffwho
ffhas ffSLE ffshould ffavoid ffthe ffuse ffof fftanning ffbeds, ffas ffwell ffas ffprolonged ffsun
ffexposure.
B- ffA ffclient ffwho ffhas ffSLE ffshould ffapply ffsteroid-based ffcreams ffto ffskin ffrashes, ffnot
ffa ffpowder.
*C. ffCORRECT:* ffA ffclient ffwho ffhas ffSLE ffshould ffuse ffa ffmild ffhair ffshampoo ffthat
ffdoes ffnot ffirritate ffthe ffscalp.
, D- ffA ffclient ffwho ffhas ffSLE ffshould ffinspect ffher ffskin ffdaily fffor ffany ffopen ffareas ffor
ffrashes.
4. ffA ffnurse ffis ffassessing ffa ffclient ffwho ffhas ffSLE. ffWhich ffof ffthe fffollowing fffindings
ffshould ffthe ffnurse ffexpect?
A. ffWeight ffloss
B. ffPetechiae ffon ffthighs
C. ffSystolic ffmurmur
D. ffAlopecia ff- ffAnswer ffA. ffWeight ffgain ffcan ffoccur ffin ffa ffclient ffwho ffhas ffSLE ffdue ffto
ffbeing fftreated ffwith ffcorticosteroids. ffThis ffis ffan ffadverse ffeffect ffof ffthis ffmedication.
B. ffA ffbutterfly ffrash ffon ffthe ffface ffis ffa fffinding ffin ffa ffclient ffwho ffhas fflupus.
C. ffA ffcardiac fffriction ffrub ffis ffan ffexpected fffinding ffof ffSLE.
*D. ffCORRECT:* ffAlopecia ff(hair ffloss) ffis ffan ffexpected fffinding ffin ffa ffclient ffwho ffhas
ffSLE.
NCLEX® ffConnection: ffPhysiological ffAdaptation, ffPathophysiology
5. ffA ffnurse ffis ffcaring fffor ffa ffclient ffwho ffhas ffSLE ffand ffis ffexperiencing ffan ffepisode
ffof ffRaynaud's ffphenomenon. ffWhich ffof ffthe fffollowing fffindings ffshould ffthe ffnurse
ffanticipate?
A. ffSwelling ffof ffjoints ffof ffthe fffingers
B. ffPallor ffof fftoes ffwith ffcold ffexposure
C. ffFeet ffthat ffbecome ffreddened ffwith ffambulation
D. ffClient ffreport ffof ffintense fffeeling ffof ffheat ffin ffthe fffingers ff- ffAnswer ffA. ffSwelling,
ffpain, ffand ffjoint fftenderness ffare fffindings ffin ffa ffclient ffwho ffhas ffSLE ffand ffis ffnot
ffspecific ffto ffan ffepisode ffof ffRaynaud's ffphenomenon.
*B. ffCORRECT:* ffPallor ffof ffthe ffextremities ffoccurs ffin ffRaynaud's ffphenomenon ffin ffa
ffclient ffwho ffhas ffSLE ffand ffhas ffbeen ffexposed ffto ffcold ffor ffstress.
C. ffThe ffextremities ffbecoming ffred, ffwhite, ffand ffblue ffwhen ffexposed ffto ffcold ffor
ffstress ffis ffcharacteristic ffof ffan ffepisode ffof ffRaynaud's ffphenomenon ffin ffa ffclient ffwho
ffhas ffSLE.
D. ffA ffclient ffreport ffof ffintense ffpain ffin ffthe ffhands ffand fffeet ffis ffcharacteristic ffof ffan
ffepisode ffof ffRaynaud's ffphenomenon ffin ffa ffclient ffwho ffhas ffSLE.
NCLEX® ffConnection: ffPhysiological ffAdaptation, ffPathophysiology
Which ffclinical ffmanifestation ffwould ffcause ffthe ffnurse ffto ffsuspect ffthat ffthe ffclient ffis
ffdiagnosed ffwith ffsystemic fflupus fferythematosus?
A- ffJoint ffedema ffand fftenderness
B- ffRed, ffburning, fftearing ffeyes
C- ffChest fftightness ffwith ffwheezing ffon ffexpiration
D- ffFever ffand ffnight ffsweats ff- ffAnswer ffA- ffJoint ffedema ffand fftenderness
Clinical fffeatures ffof ffsystemic fflupus fferythematosus ffinvolve ffmultiple ffbody ffsystems.
ffWhen ffthe ffmusculoskeletal ffsystem ffis ffinvolved, ffthe ffclient ffexhibits ffjoint
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