Navigation » List of Schools » Pierce College » Nursing » Nursing 406 – Adult Health Care » Spring 2020 » Chapter 38 Quiz
Below are the questions for the exam with the choices of answers:
Question #1
A etanercept
B allopurinol
C adalimumab
D methotrexate
Question #2
A regular exercise and stress reduction
B applications of ice
C encouraging the client to eat a healthy diet
D avoiding caffeine and alcohol
Question #3
A weight lifting
B t’ai chi
C jogging
D running on a treadmill
Question #4
A small joint involvement
B early morning stiffness
C subcutaneous nodules
D joint pain that diminishes with rest
Question #5
A Muscle biopsy
B Computed tomography (CT)
C Bone scan
D Magnetic resonance imaging (MRI)
Question #6
A It is diagnostic for Sjögren’s syndrome.
B It is specific for rheumatoid arthritis.
C It is diagnostic for systemic lupus erythematosus.
D It is suggestive of rheumatoid arthritis.
Question #7
A Safe exercise
B Dressing changes
C Assistive devices
D Narcotic safety
E Medication dosages and side effects
Question #8
A Pannus
B Synovitis
C Articulations
D Ankylosis
Question #9
A Keep shifting weight from one foot to the other.
B Maintain good posture.
C Perform aerobic exercises.
D Maintain complete bed rest.
Question #10
A Scleroderma
B Rheumatoid arthritis
C Systemic lupus erythematosus
D Polymyalgia rheumatic
Question #11
A Joint effusion
B Pannus
C Subchondral bone
D Tophi
Question #12
A Hemarthrosis
B Ankylosis
C Diarthrodial
D Arthroplasty
Question #13
A Hand and finger deformities are associated with the development of rheumatoid arthritis.
B It’s impossible to determine at the time of diagnosis how the disease will progress.
C A small percentage of osteoarthritis sufferers do eventually develop hand and arm deformities
D The client should discuss this concern with the health care provider.
Question #14
A “The belief is that it is an autoimmune disorder with an unknown trigger.”
B “This disorder is more common in men in their thirties and forties than in women.”
C “The symptoms are primarily localized to the skin but may involve the joints.”
D “SLE has very specific manifestations that make diagnosis relatively easy.”
Question #15
A The fluid will be clear and pale.
B The amount of fluid will be scant in volume.
C The fluid will be milky, cloudy, and dark yellow.
D The fluid will be straw colored.
Question #16
A rarely respond to treatment.
B all have the same type of symptoms.
C may feel as if their symptoms are not taken seriously.
D will eventually lose their ability to walk.
Question #17
A After the client has a diagnostic test
B After the client has had a warm paraffin hand bath
C First thing in the morning when the client wakes
D After cool compresses have been applied to the hands
Question #18
A Brain
B Kidney
C Skin
D Lung
Question #19
A Arthrodesis
B Osteotomy
C Synovectomy
D Tenorrhaphy
Question #20
A Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes
B Administering ordered analgesics and monitoring their effects
C Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware
D Performing meticulous skin care
Question #21
A Acupuncture
B Cold therapy
C Heat therapy and nonsteroidal anti-inflammatory medications (NSAIDs)
D An exercise routine that includes range-of-motion (ROM) exercises
Question #22
A trauma
B age
C congenital deformity
D obesity
Question #23
A Sjögren’s syndrome
B Raynaud’s phenomenon
C Reiter’s syndrome
D Ankylosing spondylitis
Question #24
A Pace activities.
B Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing.
C Avoid sunlight and ultraviolet radiation.
D If you have problems with a medication, you may stop it until your next physician visit.
Question #25
A frequently drinking coffee
B frequently ingesting salicylates
C eating organ meats and sardines
D high carbohydrate intake
Question #26
A tender to the touch
B reddened
C located over bony prominence
D nonmovable
Question #27
A Behavioral changes
B Hypertension
C Decreased cognitive ability
D Chest pain
Question #28
A Avoid the use of topical analgesics
B Encourage weight loss and an increase in aerobic activity
C Provide an analgesic after exercise
D Assess for gastrointestinal complications associated with COX-2 inhibitors
Question #29
A “Do all your chores in the evening, when pain and stiffness are least pronounced.”
B “Pace yourself and rest frequently, especially after activities.”
C “Do all your chores in the morning, when pain and stiffness are least pronounced.”
D “Do all your chores after performing morning exercises to loosen up.”
Question #30
A “Exposure to sunlight will help control skin rashes.”
B “Corticosteroids may be stopped when symptoms are relieved.”
C “There are no activity limitations between flare-ups.”
D “Monitor your body temperature.”
Question #31
A d. 0.40 mmol/L
B a. 0.19mmol/L
C c. 0.32 mmol/L
D b. 0.24 mmol/L/
Question #32
A Colchicine
B Hydrotherapy
C Physical therapy and exercise
D Allopurinol
Question #33
A Scleroderma
B Rheumatoid arthritis (RA)
C Systemic lupus erythematous (SLE)
D Osteoarthritis (OA)
Question #34
A Increase in pain in the affected extremity
B Intestinal cramping
C Tingling in the arms
D Diarrhea
E Nausea and vomiting
Question #35
A strategies for remaining active
B disease-modifying antirheumatic drug therapy
C prevention of joint deformity
D detection of systemic complications
Question #36
A Knee
B Metatarsophalangeal
C Ankle
D Tarsal area
Question #37
A Exercising in the evening before going to bed is beneficial.
B Exercising immediately upon awakening allows the client to participate in activities when he has the greatest amount of energy.
C The time of day when exercise is performed isn’t important.
D Delaying exercise for at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.
Question #38
A Facial erythema, pericarditis, pleuritis, fever, and weight loss
B Hypothermia, weight gain, lethargy, and edema of the arms
C Weight gain, hypervigilance, hypothermia, and edema of the legs
D Photosensitivity, polyarthralgia, and painful mucous membrane ulcers
Question #39
A “My finger joints are oddly shaped.”
B “My legs feel weak.”
C “I have trouble with my balance.”
D “I have pain in my hands.”
Question #40
A promote diuresis.
B combat inflammation.
C prevent platelet aggregation.
D prevent infection.
Question #41
A Take the medication on an empty stomach in order to increase effectiveness.
B Inform the health care provider if there is ringing in the ears.
C Take the medication with food to avoid stomach upset.
D Since the medication is able to be obtained over the counter, it has few side effects.
Question #42
A Increased AST and ALT
B Elevated uric acid levels
C Decreased hemoglobin and hematocrit
D Elevated white blood count
Question #43
A Etanercept (Enbrel)
B Methylprednisolone (Medrol)
C Infliximab (Remicade)
D Methotrexate (Rheumatrex)
Question #44
A jaw locking
B butterfly facial rash
C Heberden nodes
D widespread chronic pain
Question #45
A increased urine output
B red, butterfly-shaped facial rash
C low back pain
D patchy hair loss on the scalp
Question #46
A “The health care provider could prescribe anti-inflammatory drugs.”
B “The health care provider could prescribe antineoplastic drugs.”
C “The health care provider could prescribe antihypertensive drugs.”
D “The health care provider could prescribe antipyretic drugs.”
Question #47
A penicillamine
B colchicine
C prednisone
D methotrexate
Question #48
A erythema and edema over the affected joint
B fever and malaise
C anorexia and weight loss
D joint stiffness that decreases with activity
Question #49
A green vegetables
B organ meats
C fresh fish
D citrus fruits
Question #50
A “I’ll definitely need surgery for this.”
B “It will get better and worse again.”
C “When it clears up, it will never come back.”
D It will never get any better than it is right now.”
Question #51
A colchicine
B probenecid
C allopurinol
D anturane
Question #52
A cyclophosphamide
B azathioprine
C hydroxychloroquine
D diclofenac
Question #53
A Tolmetin sodium
B Ibuprofen
C Piroxicam
D Celecoxib
Question #54
A affects the cartilaginous joints of the spine and surrounding tissues.
B the most common and frequently disabling of joint disorders.
C requires early treatment because most of the damage appears to occur early in the course of the disease.
D affects young males.
Question #55
A Increased C4 complement
B Increased red blood cell count
C Elevated erythrocyte sedimentation rate
D Increased albumin levels
Question #56
A ability to perform activities of daily living (ADL)
B increased fatigue
C decreased joint pain
D a weight gain of 2 pounds
Question #57
A Shows increased joint flexibility
B Reports ability to perform ADLs
C Has a weight gain of 5 pounds
D Reports decreased joint pain
Question #58
A The medication is administered intramuscularly.
B The client should continue taking the medication if fever occurs
C It is important to monitor for injection site reactions.
D The medication is given at room temperature.
Question #59
A Arthroplasty
B Diarthrodial
C Hemarthrosis
D Ankylosis
Question #60
A administration of monthly intra-articular injections of corticosteroids.
B vigorous physical therapy for the joints.
C administration of opioids for pain control.
D administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
Question #61
A Osteoarthritis
B Rheumatoid arthritis
C Gout
D Fibromyalgia
Question #62
A Ice packs
B Surgery
C Opioid therapy
D Nonsteroidal anti-inflammatory drugs
Question #63
A Tophi
B Joint effusion
C Subchondral bone
D Pannus
Question #64
A You should discuss that matter with your health care provider.”
B “The diagnosis won’t be based on the findings of a single test but by combining all data found.”
C “SLE is a very serious systemic disorder.”
D “Tell me more about your concerns about this potential diagnosis.”
Question #65
A aspirin
B calcium gluconate
C colchicine
D furosemide