Which of the following auto-antibodies is associated with aggressive erosive Rheumatoid Arthritis?

Correct Answer: B

Rationale: Anti-CCP (ACPA) is highly specific for rheumatoid arthritis and strongly associated with aggressive, erosive joint disease, unlike ANA (nonspecific), ANCA (vasculitis), or Anti-SSA (Sjogren's), per rheumatology literature.

Correct Answer: D

Rationale: Holter monitoring (D) assesses arrhythmias over time but is not a primary diagnostic tool for heart failure. Echocardiogram (A), BNP (B), and nuclear stress tests (C) directly evaluate heart function or failure markers.

Correct Answer: B

Rationale: Angioedema occurring with angiotensin-converting enzyme(ACE) inhibitor therapy is an indication that the ACE inhibitor should be discontinued. The patient should be taught that if any swelling of the face or oral mucosa occurs, the health care provider should be immediately notified because this could be life threatening. The other patient statements indicate that the patient has an accurate understanding of ACE inhibitor therapy.

Correct Answer: B

Rationale: The aortic valve allows blood to exit the left ventricle into the aorta, initiating the systemic circuit.

Correct Answer: A

Rationale: The initial nursing action should be assessment of the patient's baseline dietary intake through a thorough diet history. The other actions may be appropriate, but assessment of the patient's baseline should occur first.