A nurse is providing care for a patient who is suffering from an inflammatory disorder that affects non-weight bearing joints bilaterally and is characterized by periods of remission and flare ups. Currently the patient is experiencing symptoms in his shoulders, elbows, and wrists. What disorder is the nurse treating the patient for?

True or False

Rheumatoid arthritis affects non-weight bearing joints and osteoarthritis affects weight bearing joints

Name the stage of rheumatoid arthritis

Inflammation of synovial fluid (by cytokines) which breaks down collagen and causes edema

Stage 1 in picture

Name the stage of rheumatoid arthritis

Creation destroys cartilage and erodes into bone

Stage 2 in picture

Name the stage of rheumatoid arthritis

Fusion of joint with loss of ROM.

Stage 3 (fibrous) and 4 (bony) in picture

A nurse is providing care to a patient with rheumatoid arthritis. Which of the following assessment findings should the nurse expect? Select all that apply!

A nurse is providing care for a patient an notes a swan neck deformity of the thumb. Which of the following disorders is this patient suffering from?

A nurse is elevating the lab valves of a patient with rheumatoid arthritis. Which of the following should the nurse anticipate being elevated? Select all that apply!

A nurse is treating a patient and suspects she may be suffering from RA. Which of the following diagnostic tests should the nurse anticipating the provider ordering? Select all that apply!

A nurse is providing care for a patient with RA. Which of the following medications should the nurse anticipate administering to control the patient's pain? Select all that apply!

A nurse is providing teaching to a patient with RA about naproxen. Which of the following statements made by the patient indicates understanding of the teaching? Select all that apply!

A nurse is providing care for a patient with RA. Which of the following medications listed on the patient's MAR should the nurse recognize as being synthetic DMARDs? Select all that apply!

A nurse is providing care for a patient with RA. Which of the following medications listed on the patient's MAR should the nurse recognize as being biologic DMARDs? Select all that apply!

A nurse is caring for a patient who is taking hydroxychloroquine for RA. Which of the following adverse effects of this medication should the nurse report to the provider?

A nurse is educating a patient who is newly prescribed methotrexate for RA. Which of the following should the nurse include in her teaching?

A nurse is checking a patient's chart prior to administering inflixamab. Which of the following notations would cause the nurse to hold the medication and notify the provider?

True or false

DMARDs do not stop pain but stop advance of RA. It may take several weeks to see effects, but the expected outcome is swelling will go down & joint damage will not progress to joint fusion AKA ankylosis

A nurse is providing care for a patient who is experiencing Sjogren’s syndrome as a complication of RA. Which of the following should the nurse recognize as manifestations of this complication? Select all that apply!

A nurse is providing care for a patient with RA. Which of the following should the nurse recognize as complications of this disorder due to long-term soft tissue damage? Select all that apply!

A nurse is educating a patient with RA on nonpharmacologic treatments for pain during flares. Which of the following statements made by the patient indicates understanding of the teaching? Select all that apply!

A nurse is providing care for a patient who is suffering from an inflammatory disorder that affects multiple organ systems and is characterized by periods of remissions and flare ups. What disorder is the nurse treating the patient for?

A nurse is treating at patient with SLE. Which of the following assessment findings is considered an indicator of exacerbation?

Which of the following should the nurse recognize as being the earliest manifestation of SLE?

A nurse is assessing a patient with suspected SLE. Which of the following assessment findings support this diagnosis? Select all that apply!

A nurse is treating a patient with suspected SLE. Which of the following diagnostic tests should the nurse anticipate the provider ordering?

A nurse is treating a patient with SLE. Which of the following lab values noted in the patient's chart confirm this diagnosis? Select all that apply!

A nurse is caring for a patient with SLE. Which of the following medications should she anticipate administering?

A nurse is providing care for a patient with SLE who is prescribed belimumab. Which of the following medications should the nurse recognize as being contraindicated for this patient?

A nurse is providing care for a patient with SLE. The nurse notes a urinary output of 70 mL in 3 hours and edema. The provider orders blood work and a urinalysis. The patient's creatinine is 2.4 mg/dL and the urine was positive for protein. Which of the following conditions is the patient most likely sufferring from?

A nurse is providing care for a patient with SLE. The patient is c/o constant chest pain that is increases with inspiration and feeling fever-ish. Upon auscultation, the nurse notes friction rub. Which of the following conditions is the patient most likely sufferring from?

A nurse is providing care for a patient who is suffering from a disorder caused by the lack of urinary excretion of uric acid causing it form into crystals and collect in the joints, espeically the big toe. What disorder is the nurse treating the patient for?

A nurse is providing care for a patient who has been diagnosed with gout. Which of the following clinical manifestations should the nurse expect? Select all that apply!

A nurse is evaluating the labs of a patient. Which of the following results place the patient at an increased risk for gout?

The nurse recognizes that which of the following is a complication of gout?

A nurse is reviewing the MAR of patient with gout. Which of the following medications should the nurse administer if the patient is experiencing an acute attack? Select all that apply!

A nurse is reviewing the MAR of patient with gout. Which of the following medications should the nurse administer to prevent an acute attack? Select all that apply!

A nurse is reviewing the dietary restrictions of a patient with gout. Which of the following goods should the nurse instruct the patient to avoid? Select all that apply!

A nurse is reviewing the MAR of a patient with gout. Which of the following medications listed should the nurse contact the provider to clarify? Select all that apply!

A nurse is providing discharge teaching to a patient with gout. Which of the following statements made by the patient indicates understanding of the teaching?

A nurse is reviewing the charts of several patients. Which of the following should the nurse identify as being the most at risk for developing gout?

A 75 year old male is admitted for chronic renal injury. The nurse notes that the patient has white/yellowish nodules on the helix of the ear and fingers. The patient reports they are not painful. Which of the following should the nurse document this finding as?

A patient is ordered by the physician to take allopurinol for treatment of gout. The nurse provided education to the patient about this medication. Which statement by the patient requires the nurse to re-educate the patient about this medication?

A student nurse is studying HIV. She recognizes that HIV is a virus that attacks which of the following cells of the immune system?

A nurse is reviewing the charts of several patients at a clinic. Which of the following should the nurse recognize as being at increased risk for HIV? Select all that apply!

A nurse is caring for a patient who is an IV drug user and admits to needle sharing. Which of the following clinical manifestations would cause to the nurse to think this patient may have contracted HIV? Select all that apply!

Name the HIV test

Utilizes blood or oral fluids can be used in settings where a quick answer for the presence or absence of HIV antibodies is required, such as in health screening, occupational exposure, or labor and delivery.

Results are available in 5 to 30 minutes depending on the test used

No lab is required

Name the HIV test

HIV screening test

Requires a blood sample

The specimen must be sent to a laboratory for testing.

Results are available in 24 to 48 hours.

Name the HIV test

Performed after a patient has a positive screening

Confirms the presence of proteins unique to the HIV virus. If the proteins are absent, the person is not infected with HIV

A nurse is caring for a patient who suspected she may have come in contact with HIV. An ELISA test was performed and the results were negative. Which of the following statements should the nurse make?

A nurse is reviewing the MAR of a patient who is infected with HIV. Which of the following medications should the nurse recognize as reverse transcriptase inhibitors? Select all that apply!

A nurse is reviewing the MAR of a patient who is infected with HIV. Which of the following medications should the nurse recognize as protease inhibitors ? Select all that apply!

A clinical instructor is teaching a student nurse about medications to treat HIV. Which of the following statements made by the student nurse indicates further teaching is required?

A nurse is caring for a patient with HIV. Which of the following should the nurse recognize as an opportunistic infection common to people with immunosuppression?

A nurse is caring for a patient with HIV and notes purple-ish lesions on the skin of his chest and face. Which of the following conditions should the nurse suspect?

A patient with SLE is experiencing lupus nephritis. What are some signs and symptoms that correlate with this complication of SLE? Select all that apply!

Which medication below used to treat SLE decreases inflammation quickly, is not for long-term usage, and can lead to weight gain, susceptibility to infection, diabetes, and osteoporosis?

A nurse is providing education to a SLE support group about preventing flares. Which statement by a participant requires re-education about this topic?

A nurse is caring for a patient with a hepatic disorder. Which of the following lab values is of the least importance for a nurse to monitor in a patient with this condition?

The nurse is responsible for preparing a client for upper and lower GI studies. Which of the

following is true is regarding preparations for these GI studies?

The nurse examines a client in a community clinic. The nurse suspects the client has oral cancer as she states that she has which of the following?

A nurse is caring for a client that will be having a radial neck dissection for oral cancer with metastasis to the lymph nodes. Which of the following would be important to include in preoperative teaching plan?

A client is returning to your unit following a radical neck dissection. The priority care for the client is which of the following?

A nurse is caring for a client with stomatitis and xerostoma. Which of the following would be included in the nursing plan for this client?

A nurse is monitoring a client post-radical neck dissection. The nurse is getting ready to start oral feeding for this client. Which of the following would be most reliable in determining peristaltic movement?

There are many different forms of hepatitis. The nurse needs to know the client's modes of transmission. Which of the following are spread by fecal oral transmission

A nurse is providing care for a patient with cirrhosis. She is aware the biggest complication of cirrhosis is which of the following?

A nurse is caring for a client that has been admitted to the ER and is bleeding profusely from ruptured esophageal bleeding. The nurse knows she needs to prepare to assist with inserting which of the following to prevent hemorrhagic shock?

There are many different forms of hepatitis. The nurse needs to know the client's modes of transmission. Which of the following are spread by blood and body fluid exposure?

True or false

There is a vaccine to prevent Hep C

A nurse is providing teaching to a group of patients on how to avoid contracting Hep A. Which of the following should the nurse include in her teaching?

A nurse is providing teaching to a group of patients on how to avoid contracting Hep B. Which of the following should the nurse include in her teaching?

A nurse is assessing a patient who never received their Hep B vaccinations. The nurse suspects they may now be infected with hepatitis. Which of the following assessment findings caused the nurse to suspect this condition? Select all that apply!

Which of the following is considered a normal lab value for ammonia?

Which of the following is considered a normal lab value for bilirubin?

A nurse is reviewing the lab values of a patient with cirrhosis. Which of the following should the nurse expect in a patient with this condition? Select all that apply!

A nurse is providing education to a patient diagnosed with cirrhosis. Which of the following statements made by the patients indicates a need for further teaching?

A nurse is preparing a patient with ascites from cirrhosis for a paracentesis. Which of the following should the nurse incorporate into her plan of care?

A nurse is caring for a patient with cirrhosis and notes the above picture. The nurse immediately notifies the provider as she recognizes this as which of the following?

A nurse is caring for a patient with cirrhosis and notes the above picture. The nurse immediately notifies the provider as she recognizes this as which of the following?

A nurse is discussing the advantages and disadvantages of a TIPS procedure to a patient with cirrhosis. Which of the following statements should the nurse make? Select all that apply!

A nurse is providing care for a patient with ascites from cirrhosis. Which of the following medications should the nurse anticipate administering?

A nurse is treating a patient with ruptured esophageal varices. In addition to IVF and whole blood, what other medication should the nurse anticipate administering? Select all that apply!

A nurse is administering vasopressin to a patient. Which of the following adverse effects should the nurse monitor for?

A nurse is administering octreotide to a patient. Which of the following adverse effects should the nurse monitor for? Select all that apply!

A nurse is treating a patient with cirrhosis who is experiencing hepatic encephalopathy and notes involuntary flapping of hands. Which of the following terms describes this clinical manifestation?

A nurse is treating a patient with cirrhosis who is experiencing hepatic encephalopathy and notes the inability to draw two/three dimensional figures. Which of the following terms describes this clinical manifestation?

A nurse is treating a patient with cirrhosis who is experiencing hepatic encephalopathy and notes the patient's breath smells like fecal material. Which of the following terms describes this clinical manifestation?

A nurse is administering lactulose to a patient with excess ammonia due to liver disease. Which of the following actions should the nurse take?

A nurse is administering lactulose to a patient with excess ammonia due to liver disease. Which of the following findings indicates lactulose toxicity?

A nurse is treating a patient who is experiencing a gall bladder attack. Which of the following foods should the patient remove from his diet? Select all that apply!

A nurse is providing teaching for a patient who is postop from a cholecystectomy. Which of the following statements made by the patient indicates further teaching is required?

A nurse is assessing a patient with a burn. The nurse notes a reddened area with no edema the skin blanches with pressure and doesn't separate when rubbed. What type of burn should the nurse document?

A nurse is assessing a patient with a burn that involves the epidermis and a portion of the dermis. The nurse notes edema, blistering, and mottling. The patient rates her pain as a 10/10. What type of burn should the nurse document?

A nurse is assessing a patient with a burn that involves the epidermis, dermis and subcutaneous tissue. The nurse notes edema, lack of hair, and coagulated blood vessels. The patient rates her pain as a 0/10. What type of burn should the nurse document?

A nurse is assessing a patient with a burn that involves the deep tissue, muscle and bone. The nurse notes black, charred skin. What type of burn should the nurse document?

A nurse is providing care to a patient with a burn. Which type of shock should the patient be most concerned about?

A 68 year old male patient has partial thickness burns to the front and back of the right and left leg, front of right arm, and anterior trunk. Using the Rule of Nines, what is the total body surface area percentage that is burned?

A 35 year old male patient has full thickness burns to the anterior and posterior head and neck, front of left leg, and perineum. Using the Rule of Nines, what is the total body surface area percentage that is burned?

A 58 year old female patient has superficial partial-thickness burns to the anterior head and neck, front and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back of the left leg. Using the Rule of Nines, what is the total body surface area percentage that is burned?

A nurse is arriving to a scene as a first responder in which a patient suffered a severe electrical burn. Which of the folloiwng actions should be taken first?

A nurse is providing care to a patient with circumferential neck and chest burns. Which of the following actions is priority?

As the nurse providing care to a patient who experienced a full-thickness electrical burn you know to monitor the patient’s urine for which of the following?

A nurse on a burn unit is providing care for several patients. Which of the following should the nurse recognize as being the most at risk for serious complications?

A 30 year old female patient has deep partial thickness burns on the front and back of the right and left leg, front of right arm, and anterior trunk. The patient weighs 63 kg. Using the Parkland Burn Formula, what is the flow rate during the first 8 hours in mL/hr?

The nurse notes a patient has full-thickness circumferential burns on the right leg. The nurse would incorporate which of the following in the patient's plan of care? Select all that apply!

A patient arrives to the ED with full-thickness burns on the front and back of the torso and neck. The patient has no spinal injuries but is disoriented and coughing up black sooty sputum. Vital signs are: SaO2 63%, HR 145, BP 80/56, and HR 39. The nurse should perform which of the following actions? Select all that apply!

A patient arrives to the ER due to experiencing burns while in an enclosed warehouse. Which assessment findings below demonstrate the patient may have experienced an inhalation injury? Select all that apply!

A nurse is providing education to a group of local firefighters about carbon monoxide poisoning. Which statement is correct about the pathophysiology regarding this condition?

A patient is receiving IV LR 950 mL/hr 18 hours after a receiving a severe burn. The patient urinary output is 20 mL/hr. Which of the following actions should the nurse take first?

A nurse is providing treatment to a patient who has experienced a severe burn. Which of the following diets should this patient be prescribed?

A nurse is assisting a AP with repositioning a patient with full-thickness burns on the neck. Which action by the AP requires you to intervene?

A patient has an emergency escharotomy performed on the right leg. The patient has full-thickness circumferential burns on the leg. Which finding below demonstrates the procedure was successful?

While collecting a medical history on a patient who experienced a severe burn, which statement by the patient’s family member requires nursing intervention?

A patient is presenting with bright red lips, headache, and nausea. The physician suspects carbon monoxide poisoning. Which of the following treatments should the nurse expect to administer?

A nurse is providing care to a patient requires fluid replacement after a several burn. What type of device should the nurse anticipate assisting the provider in placing?

A nurse is providing care for a patient with severe burns. Which of the following lab values should the nurse report the provider as the most dangerous to the patient?

A 18 year old male patient has burns cover 19% of his body. The patient weighs 220 lbs. Using the Parkland Burn Formula, what is the total amount of fluids that should be given in 24 hours?

A 55 y/o patient experience partial thickness burns over 63% of her body from a house fire at 1700. The patient arrives to the ED at 2100 and weighs 186 lbs. Using the Parkland Burn Formula, what is the flow rate during the first 8 hours in mL/hr? Round to the nearest whole number.