Patient Data
Exhibits
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.

Pain increases with motion

Small joints of the hand

Fatigue and fever

Symmetrical involvement

Heberden nodes

Morning stiffness quickly resolves

Joint swelling

Answer and Explanation

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

Pain increases with motion: In rheumatoid arthritis, pain typically is worse in the morning or at rest and may improve with movement. Joint pain increasing with motion is more characteristic of osteoarthritis.
Small joints of the hand: RA commonly affects the small joints of the hands, such as the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints. This is a hallmark of RA.
Fatigue and fever: Fatigue and fever can be systemic symptoms associated with RA due to inflammation and systemic involvement.
Symmetrical involvement: RA is known for its symmetrical joint involvement, meaning it often affects the same joints on both sides of the body.
Heberden nodes: Heberden nodes are bony growths that occur in osteoarthritis, not RA. RA is characterized by inflammation rather than bony nodules.
Morning stiffness quickly resolves: In RA, morning stiffness typically lasts for more than an hour and may take longer to resolve. Quick resolution of morning stiffness is more characteristic of other conditions, such as osteoarthritis.
Joint swelling: Joint swelling is a common symptom of RA due to inflammation in the joints.

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Correct Answer is D

Explanation

A. Benign variation. This finding is not typically considered a benign variation and warrants further evaluation.

B. Cardiac atrophy. Cardiac atrophy would likely present differently and is not typically diagnosed via percussion findings alone.

C. Expected finding. This finding is within normal limits for the size and location of the heart's borders on percussion.

D. Cardiac enlargement. Cardiac enlargement might present with percussion dullness extending beyond normal limits, but the described findings do not indicate enlargement beyond expected borders.

A. Number of years the client smoked. B. Client's current age. C. Packs of cigarettes smoked per day. D. Number of attempts to quit smoking. E. Age when the client started smoking.

Correct Answer is ["A","C"]

Explanation

A. Number of years the client smoked. This is necessary to calculate pack years as it gives the duration of smoking.

B. Client's current age. This is not directly needed for the calculation of pack years, although it might be relevant to overall health assessment.

C. Packs of cigarettes smoked per day. This is necessary to calculate pack years as it gives the daily smoking quantity.

D. Number of attempts to quit smoking. This information is important for understanding the client's history but not needed for calculating pack years.

E. Age when the client started smoking. While this gives context, it is not needed for the calculation if the total number of years smoked is known. However, it could help calculate the number of years smoked if the current age is used and smoking start age is known.

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Patient Data Exhibits 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.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

While obtaining a client's health history related to smoking cigarettes, the nurse plans to determine the client's smoking pack years. What information should the nurse obtain for this calculation? Select all that apply.

Correct Answer is ["A","C"]

Explanation

When evaluating a client's rectal bleeding, which findings should the nurse document?

Patient Data Exhibits The nurse is assessing the client for bowel sounds. Which intervention(s) would be indicated to assess bowel sounds? Select all that apply.

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

When family members express their concern about their father's recent memory loss, which assessment should the nurse suggest?

The nurse is assessing a young adult female who is 5 feet 5 inches (165 cm) and has a body mass index (BMI) score of 32 kg/m2. Based on this BMI, what should the nurse deduce about this client's general health? Reference Range: Body Mass Index (BMI) [Normal 18.5 to 24.9 kg/m2]

While performing a physical assessment, the nurse is unable to palpate the client's pedal pulses. Which action should the nurse take?

The nurse is examining a female client who states, she has no complaints, so has not had a physical examination for over 5 years. The nurse palpates enlarged lymph nodes in the axilla. Which finding is most important for the nurse to describe when reporting to the healthcare provider?

The nurse applies pressure over an area of the lower abdomen where the client reports pain. The client denies pain upon palpation, but reports pain when the pressure is released. Which action should the nurse implement?

Patient Data
Exhibits
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.