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2024 NUR 1024 NCLEX OSTEOARTHRITIS EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NUR 1024 NCLEX OSTEOARTHRITIS EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NUR 1024 NCLEXOSTEOARTHRITIS EXAM
QUESTIONS WITH CORRECT
ANSWERS
The nurse is planning care for a client with osteoarthritis (OA). Which nursing
diagnosis is a priority for the nurse to address?
A. Lifestyle, Sedentary
B. Pain, Chronic
C. Skin Integrity, Impaired
D. Family Processes, Interrupted - CORRECT ANSWERS-Answer: B Rationale: Chronic pain is the priority problem for the nurse to address when planning care for a client diagnosed with osteoarthritis. Sedentary lifestyle would be a concern because exercise can help to address OA but would not be a priority nursing diagnosis. Skin integrity and impaired family processes are not expected problems for the nurse to address when planning care for a
client diagnosed with OA.
Which assistive device should the nurse recommend to a client with osteoarthritis (OA) of the hands? (Select all that apply.)
A. Handrails
B. Reacher device
C. Electric can opener
D. Zipper hook
E. Large-handled toothbrush - CORRECT ANSWERS-Answer: C, D, E
Rationale: Zipper hooks, electric can openers, and large-handled toothbrushes can be helpful for clients with OA of the hands. Handrails can be useful for clients with OA of the hips. Reacher devices can be helpful for clients with OA of the shoulders.
The nurse is teaching a class about the joints commonly affected by osteoarthritis (OA). Which joints should the nurse include?
A. Ankles, feet, and spine
B. Knees, feet, and spine
C. Hands, knees, and hips
D. Neck, shoulders, and ankles - CORRECT ANSWERS-Answer: C
Rationale: Hands, knees, and hips are the most commonly affected joints of OA. Feet, spine, neck, shoulders, and ankles are not the most common locations. After performing a physical assessment, the nurse suspects that a client is experiencing manifestations of osteoarthritis (OA). Which finding supports the nurse's suspicion? (Select all that apply.)
A. Leg tremors
B. Joint tenderness
C. Reduced joint flexibility D. Crepitation
E. Joint stiffness - CORRECT ANSWERS-Answer: B, C, D, E
Rationale: Manifestations of OA include crackling sounds, or crepitation, with joint movement; joint stiffness and tenderness; and reduced joint flexibility. Leg tremors can be associated with multiple sclerosis or Parkinson disease.
Which is a common risk factor for osteoarthritis? (Select all that apply.)
A. Overuse of joints from sports or strenuous activities
B. Obesity
C. Ingestion of large amounts of purine
D. Autoimmune disorder
E. Activities affecting weight-bearing joints - CORRECT ANSWERS-Answer: A, B, E
Rationale: Common risk factors for osteoarthritis include obesity, overuse of joints from sports injuries or strenuous activities, and activities affecting weight-bearing joints. Rheumatoid arthritis is thought to be an autoimmune disorder. Ingestion of large amounts of purines is a risk factor for gout.
Which clinical manifestation of osteoarthritis (OA) should the nurse include when teaching about osteoarthritis? (Select all that apply.)
A. Joint pain with activity
B. Pain and stiffness at night
C. Abrupt onset
D. Mild fever
E. Crepitus with movement of joint - CORRECT ANSWERS-Answer: A, B, E
Rationale: Joint pain with activity, grating or crepitus noted with movement, and pain and stiffness with prolonged inactivity are general manifestations of
OA. Mild fever is associated with rheumatoid arthritis, not OA. Osteoarthritis is a degenerative disease that develops over time, although symptoms may appear suddenly.
A client diagnosed with localized idiopathic osteoarthritis (OA) asks the nurse
what this means. Which response by the nurse provides the most accurate information?
A. "Idiopathic describes OA overall while localized indicates that it affects one
body joint only."
B. "Idiopathic refers to the fact that the OA has already progressed significantly in one or two joints."
C. "Idiopathic OA has no identifiable cause; when it is localized, it only affects
one or two joints."
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