Exam (elaborations)
Nclex
- Course
- Bachelor of Nursing
- Institution
- Bachelor Of Nursing
Exam of 45 pages for the course Bachelor of Nursing at Bachelor of Nursing (Nclex)
[Show more]
Seller
Follow
Content preview
NCLEX-RN Practice Questions 5th Edition (75 Questions)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?
A. Septic arthritis
B. Traumatic arthritis
C. Intermittent arthritis
D. 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.
Option A: Septic arthritis results from bacterial invasion of a joint and leads to
inflammation of the synovial lining.
Option B: Traumatic arthritis results from blunt trauma to a joint or ligament.
Option 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?
A. 15 ml/hour
B. 30 ml/hour
C. 45 ml/hour
D. 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.
Option A: 15 ml/hr is incorrect based on the computation used.
Option C: 45 ml/hr is more than the correct milliliters to be infused based on the
computation.
Option D: 50 ml/hr is incorrect 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?
A. Elbow contracture secondary to spasticity.
B. Loss of muscle contraction decreasing venous return.
C. Deep vein thrombosis (DVT) due to immobility of the ipsilateral side.
D. 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.
Option A: Contractures or bony calcifications may occur with a stroke, but don’t appear
with swelling.
Option C: DVT may develop in clients with a stroke but is more likely to occur in the
lower extremities.
Option 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?
A. It appears only in men.
B. It appears on the distal interphalangeal joint.
C. It appears on the proximal interphalangeal joint.
D. 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.
Option A: It appears on both men and women. They are hard bony lumps in the joints of
the fingers.
Option C: It does not appear on the proximal, rather, on the distal interphalangeal joint.
Option 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?
A. Osteoarthritis is gender-specific, rheumatoid arthritis isn’t.
B. Osteoarthritis is a localized disease rheumatoid arthritis is systemic.
C. Osteoarthritis is a systemic disease, rheumatoid arthritis is localized.
D. 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.
Option A: Osteoarthritis isn’t gender-specific, but rheumatoid arthritis is.
Option C: Osteoarthritis is localized while rheumatoid arthritis is systemic.
, Option 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. A walker is a better choice than a cane.
B. The cane should be used on the affected side.
C. The cane should be used on the unaffected side.
D. 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.
Option A: If a single assisting hand helps to walk, then logically a cane might be of
potential benefit.
Option B: A cane should be used on the unaffected side of the client.
Option D: The use of a cane is important to prevent further injury or falls.
7. Question
A male client with type 1 diabetes is scheduled to receive 30 U of 70/30 insulin. There is no
70/30 insulin available. As a substitution, the nurse may give the client:
A. 9 U regular insulin and 21 U neutral protamine Hagedorn (NPH).
B. 21 U regular insulin and 9 U NPH.
C. 10 U regular insulin and 20 U NPH.
D. 20 U regular insulin and 10 U NPH.
Correct Answer: A. 9 U regular insulin and 21 U neutral protamine Hagedorn (NPH).
A 70/30 insulin preparation is 70% NPH and 30% regular insulin. Therefore, a correct
substitution requires mixing 21 U of NPH and 9 U of regular insulin.
Option B: Using this dosage would be incorrect and may produce no effect on the
client’s blood sugar level.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller qabale. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for R133,00. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52355 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy summaries for 14 years now