{"id":4904,"date":"2024-12-25T00:29:00","date_gmt":"2024-12-25T00:29:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=4904"},"modified":"2026-03-20T13:50:47","modified_gmt":"2026-03-20T21:50:47","slug":"nclex-question-of-the-day-sjogren-syndrome","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-sjogren-syndrome","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Sj\u00f6gren syndrome"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-sjogren-syndrome\/#The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-sjogren-syndrome\/#Major_Takeaway\" >Major Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-sjogren-syndrome\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-sjogren-syndrome\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>Are you ready to take the NCLEX? Find out with today&#8217;s question: What test should the nurse prepare a client for to measure tear production when Sj\u00f6gren syndrome is suspected? Do you know the answer? Let&#8217;s find out!<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The nurse in the primary care office is caring for a client suspected of having Sj\u00f6gren syndrome. The healthcare provider orders a test to measure the client\u2019s tear production. Which test should the nurse prepare the client for?&nbsp;&nbsp;<strong>&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Shirmer test&nbsp;<br><br>B.&nbsp;Sialometry<\/strong><br><br><strong>C. Snellen eye chart exam&nbsp;<\/strong><br><br><strong>D. Salivary gland biopsy&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX-RN%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX-RN\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. Shirmer test<\/strong><strong>&nbsp;&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong>The Schirmer test is done to measure tear production. During the test, a small piece of filter paper is placed under the lower eyelid to measure tear production. &nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Major_Takeaway\"><\/span>Major Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sjogren syndrome is an autoimmune disease in which the immune system targets and attacks various exocrine glands, most commonly the lacrimal glands and the salivary glands. The diagnosis of Sjogren syndrome starts with the client\u2019s history and physical assessment, followed by blood tests to detect autoantibodies associated with Sjogren syndrome, such as anti-Ro or SS-A antibodies, anti-La or SS-B antibodies, in addition to rheumatoid factor and antinuclear antibodies. Eye involvement can be tested by a Schirmer test, during which a small piece of filter paper is placed under the lower eyelid to measure tear production. Other diagnostic tests include sialometry, which measures the saliva flow, as well as a sialogram to visualize the salivary ducts, and a salivary scintigraphy to assess the salivary glands\u2019 function. Finally, the diagnosis is confirmed with a labial salivary gland biopsy.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/osmose-it.s3.amazonaws.com\/PqtT6l4gQSiPB1AX8QN6hd5kT5SNjJ8Q\/_.png\" alt=\"DIAGNOSIS\nEye involvement\n* Schirmer Test - Measure tear production.\nOther diagnostic tests\n* Sialometry\n* Sialogram (visualize salivary ducts)\n* Salivary scintigraphy (assess function)\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. Sialometry<br><\/strong><br><strong>Rationale:<\/strong>&nbsp;Sialometry is a test that measures the saliva flow, not tear production.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. Snellen eye chart exam<br><br>Rationale:<\/strong>&nbsp;The Snellen eye chart exam is a test used to assess a client\u2019s visual acuity, not tear production.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. Salivary gland biopsy<br><br>Rationale:<\/strong>&nbsp;A salivary gland biopsy will confirm Sjogren syndrome, which affects the salivary glands but does not test for tear production.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch this Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Sj%C3%B6gren_syndrome:_Nursing\">Sjogren syndrome<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\" target=\"_blank\" rel=\"noreferrer noopener\"><img decoding=\"async\" src=\"https:\/\/osmose-it.s3.amazonaws.com\/f7-Q883XRpS2icioa-TWtPslSuODiBKr\/_.png\" alt=\"\"\/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Want more NCLEX\u00ae-style practice questions? Try Osmosis by Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>&nbsp;and find out why millions of current and future clinicians and caregivers love learning with us.<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prep for the NCLEX-RN\u00ae exam by learning about the assessment of tear production in patients suspected of having Sj\u00f6gren syndrome. Test your knowledge and improve your clinical skills today!<\/p>\n","protected":false},"author":279,"featured_media":4905,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,32],"tags":[519,521,522,283,286,245,154,279,517,518,520],"class_list":["post-4904","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-nursing","tag-autoimmune-diseases","tag-healthcare-assessment","tag-medical-diagnostics","tag-nclex","tag-nursing","tag-nursing-education","tag-nursing-skills","tag-patient-assessment","tag-schirmer-test","tag-sjogren-syndrome","tag-tear-production"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NCLEX-RN\u00ae Question of the Day: Sj\u00f6gren syndrome - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-sjogren-syndrome\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NCLEX-RN\u00ae Question of the Day: Sj\u00f6gren syndrome - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Prep for the NCLEX-RN\u00ae exam by learning about the assessment of tear production in patients suspected of having Sj\u00f6gren syndrome. 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