Exhibits

Nurse analyzes the assessment findings.

Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

Joint swelling

Heberden nodes

Symmetrical involvement

Pain increases with motion

Fatigue and fever

Morning stiffness quickly resolves

Small joints of the hand

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"}}

Finding: Joint swelling

Rheumatoid arthritis

Rationale: Joint swelling is a common finding in rheumatoid arthritis (RA). RA typically causes inflammation in the joints, leading to swelling, pain, and stiffness. This is an indicator of the disease as it often involves multiple joints in a symmetrical pattern.

Finding: Heberden nodes

Not applicable

Rationale: Heberden nodes are not associated with rheumatoid arthritis but rather with osteoarthritis. These nodes are bony swellings that develop at the distal interphalangeal joints (DIP) of the fingers and are characteristic of osteoarthritis, not RA.

Finding: Symmetrical involvement

Rheumatoid arthritis

Rationale: Symmetrical joint involvement is a hallmark of rheumatoid arthritis. RA commonly affects joints on both sides of the body in a symmetrical fashion, which helps differentiate it from other forms of arthritis that may not have symmetrical patterns.

Finding: Pain increases with motion

Rheumatoid arthritis

Rationale: Pain that increases with motion is typical of rheumatoid arthritis. In RA, the affected joints often become more painful with activity, particularly when the joints are inflamed. This contrasts with some other forms of arthritis, where pain might be more constant or relieved by movement.

Finding: Fatigue and fever

Rheumatoid arthritis

Rationale: Fatigue and fever are systemic symptoms that can be associated with rheumatoid arthritis. RA is an autoimmune disease that can cause general malaise, fever, and significant fatigue along with joint symptoms.

Finding: Morning stiffness quickly resolves

Not applicable

Rationale: Morning stiffness that persists for a significant period is a characteristic feature of rheumatoid arthritis. The stiffness in RA typically does not quickly resolve and can last for several hours. Quick resolution of morning stiffness is more characteristic of other conditions, such as osteoarthritis.

Finding: Small joints of the hand

Rheumatoid arthritis

Rationale: Rheumatoid arthritis commonly affects the small joints of the hands, including the metacarpophalangeal joints (MCP) and proximal interphalangeal joints (PIP). This is a distinguishing feature of RA, as it often targets these joints in a symmetrical manner.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Pulse volume is not the same as the presence of a bruit, which is an abnormal sound heard over an artery.
B. A bruit is an abnormal, blowing, or swishing sound heard over an artery, indicating turbulent blood flow, often due to atherosclerosis or narrowing of the artery. Documenting the presence of a bruit on the left and its absence on the right is the correct approach.
C. A strong pulse does not necessarily correlate with the presence of a bruit, and the absence of sound on the right does not confirm occlusion.
D. Occlusion of the artery cannot be confirmed solely based on the absence of a bruit; further diagnostic testing would be required.

A. Epigastric region. B. Umbilical region. C. Hypochondriac region. D. Hypogastric region.

Correct Answer is A

Explanation

A. The epigastric region is located in the upper central part of the abdomen, just below the xiphoid process. Pain in this area is often associated with conditions affecting the stomach, such as gastritis or peptic ulcers.
B. The umbilical region is the central part of the abdomen around the navel and does not correspond to the area described by the client.
C. The hypochondriac regions are located on the upper sides of the abdomen, near the lower ribs, and are not relevant to the area described.
D. The hypogastric region is the lower central part of the abdomen, below the umbilicus, and is unrelated to the client's described pain.

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Exhibits Nurse analyzes the assessment findings. Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In assessing a client's neck, the nurse hears a blowing swish when auscultating the area over the left carotid artery, but hears no sound over the right carotid artery. How should the nurse document this finding?

Correct Answer is B

Explanation

A client reports experiencing stomach pain, and it is localized in the middle section of the abdomen below the xiphoid process. The nurse should describe the pain as occurring in which region of the abdomen?

Correct Answer is A

Explanation

During an admission assessment, which approach should the nurse use to assess a client's speech patterns?

While percussing the borders of the heart, the nurse picks up an area of dullness beginning at the 5th left intercostal space and moving upward to the 2nd left intercostal space at the sternal border. What do these findings indicate?

An older male client reports to the nurse that his feet are cold. Before covering the client's feet, which assessment(s) should the nurse complete? Select all that apply.

The nurse observes an older adult client walking aimlessly in the hallway and staring straight ahead with a blank expression. How should the nurse enter documentation of this finding in the client's electronic medical record (EMR)?

An adult client presents with gnawing epigastric pain. The pain is worse when the client is hungry and abates after eating something. Which problem do these symptoms suggest?

Exhibits Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

The nurse assesses a client who comes to the clinic with neck stiffness and discomfort. Which finding of the cervical spine should the nurse inquire further about lifestyle habits?

The nurse is examining an older female client and suspects that she has a dysfunction in her hip region. Which procedure should the nurse perform to further assess for hip dysfunction?

Exhibits

Nurse analyzes the assessment findings.

Click to indicate which findings are indicative of rheumatoid arthritis or are not applicable to that disease. Each row must have only one response option selected.