NCLEX-RN Exam Pack Set 5 75

NCLEX-RN Exam Pack Set 5 (75 Questions & Answers Updated 2022)

1.1. Question

Mr. Rodriguez is admitted with severe pain in the knees. Which form of arthritis is characterized by urate deposits and joint pain, usually in the feet and legs, and occurs primarily in men over age 30?

• Septic arthritis
• Traumatic arthritis
• Intermittent arthritis
• Gouty arthritis

Correct Answer: D. Gouty arthritis

Gouty arthritis, a metabolic disease, is characterized by urate deposits and pain in the joints, especially those in the feet and legs. Urate deposits don’t occur in septic or traumatic arthritis.

oOption A: Septic arthritis results from bacterial

invasion of a joint and leads to inflammation of the synovial lining.

oOption B: Traumatic arthritis results from blunt

trauma to a joint or ligament.

oOption C: Intermittent arthritis is a rare, benign

condition marked by regular, recurrent joint effusions, especially in the knees.2. Question A heparin infusion at 1,500 units/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given?

• 15 ml/hour
• 30 ml/hour
• 45 ml/hour
• 50 ml/hour

Correct Answer: B. 30 ml/hour

An infusion prepared with 25,000 units of heparin in 500 ml of saline solution yields 50 units of heparin per milliliter of solution.The equation is set up as 50 units times X (the unknown quantity) equals 1,500 units/hour, X equals 30 ml/hour.

oOption A: 15 ml/hr is based on the computation

used.

oOption C: 45 ml/hr is more than the correct milliliters

to be infused based on the computation.

oOption D: 50 ml/hr is because it is way more than

the correct milliliter to be infused.3. Question A 76-year-old male client had a thromboembolic right stroke; his left arm is swollen. Which of the following conditions may cause swelling after a stroke?

• Elbow contracture secondary to spasticity.
• Loss of muscle contraction decreasing venous

return.

• Deep vein thrombosis (DVT) due to immobility of the

ipsilateral side.

• Hypoalbuminemia due to protein escaping from an

inflamed glomerulus.

Correct Answer: B. Loss of muscle contraction decreasing

venous return In clients with hemiplegia or hemiparesis, loss of muscle contraction decreases venous return and may cause swelling of the affected extremity.

oOption A: Contractures or bony calcifications may

occur with a stroke, but don’t appear with swelling.

oOption C: DVT may develop in clients with a stroke

but is more likely to occur in the lower extremities.

oOption D: A stroke isn’t linked to protein loss. Higher

levels of protein were associated with a lower risk of stroke. According to a study, for every 20 grams of protein people ate per day, there is a 26 percent lower risk of stroke.4. Question Heberden’s nodes are a common sign of osteoarthritis. Which of the following statements is correct about this deformity?

• It appears only in men.
• It appears on the distal interphalangeal joint.
• It appears on the proximal interphalangeal joint.
• It appears on the dorsolateral aspect of the

interphalangeal joint.

Correct Answer: B. It appears on the distal

interphalangeal joint.Heberden’s nodes appear on the distal interphalangeal joint on both men and women.

oOption A: It appears on both men and women. They

are hard bony lumps in the joints of the fingers.

oOption C: It does not appear on the proximal, rather,

on the distal interphalangeal joint.

oOption D: Bouchard’s node appears on the

dorsolateral aspect of the proximal interphalangeal joint.5. Question Which of the following statements explains the main difference between rheumatoid arthritis and osteoarthritis?

• Osteoarthritis is gender-specific, rheumatoid arthritis

isn’t.

• Osteoarthritis is a localized disease rheumatoid

arthritis is systemic.

• Osteoarthritis is a systemic disease, rheumatoid

arthritis is localized.

• Osteoarthritis has dislocations and subluxations,

rheumatoid arthritis doesn’t.

Correct Answer: B. Osteoarthritis is a localized disease;

rheumatoid arthritis is systemic Osteoarthritis is a localized disease, rheumatoid arthritis is systemic.

oOption A: Osteoarthritis isn’t gender-specific, but

rheumatoid arthritis is.

oOption C: Osteoarthritis is localized while rheumatoid

arthritis is systemic.

oOption D: Clients have dislocations and subluxations

in both disorders.6. Question Mrs. Cruz uses a cane for assistance in walking. Which of the following statements is true about a cane or other assistive devices?

• A walker is a better choice than a cane.
• The cane should be used on the affected side.
• The cane should be used on the unaffected

side.

• A client with osteoarthritis should be encouraged to

ambulate without the cane.

Correct Answer: C. The cane should be used on the

unaffected side A cane should be used on the unaffected side. A client with osteoarthritis should be encouraged to ambulate with a cane, walker, or other assistive device as needed; their use takes weight and stress off joints.