NUR 1024: NCLEX Questions for Osteoarthritis and Answers Rated A
The nurse is teaching a class about the joints commonly
attected by osteoarthritis (OA). Which joints should the
Answer: C
nurse include?
Rationale: Hands, knees, and hips are the most commonly
A. Ankles, feet, and spine
attected joints of OA. Feet, spine, neck, shoulders, and
B. Knees, feet, and spine
ankles are not the most common locations.
C. Hands, knees, and hips
D. Neck, shoulders, and ankles
After performing a physical assessment, the nurse sus-
pects that a client is experiencing manifestations of os-
teoarthritis (OA). Which finding supports the nurse's sus- Answer: B, C, D, E
picion? (Select all that apply.) Rationale: Manifestations of OA include crackling sounds,
A. Leg tremors or crepitation, with joint movement; joint stittness and
B. Joint tenderness tenderness; and reduced joint flexibility. Leg tremors can
C. Reduced joint flexibility be associated with multiple sclerosis or Parkinson disease.
D. Crepitation
E. Joint stittness
Which is a common risk factor for osteoarthritis? (Select all Answer: A, B, E
that apply.) Rationale: Common risk factors for osteoarthritis include
A. Overuse of joints from sports or strenuous activities obesity, overuse of joints from sports injuries or strenuous
B. Obesity activities, and activities attecting weight-bearing joints.
C. Ingestion of large amounts of purine Rheumatoid arthritis is thought to be an autoimmune
D. Autoimmune disorder disorder. Ingestion of large amounts of purines is a risk
E. Activities attecting weight-bearing joints factor for gout.
Answer: A, B, E
Which clinical manifestation of osteoarthritis (OA) should
Rationale: Joint pain with activity, grating or crepitus noted
the nurse include when teaching about osteoarthritis?
with movement, and pain and stittness with prolonged in-
(Select all that apply.)
activity are general manifestations of OA. Mild fever is as-
A. Joint pain with activity
sociated with rheumatoidarthritis, not OA. Osteoarthritis is
B. Pain and stittness at night
a degenerative disease that develops over time, although
C. Abrupt onset
symptoms may appear suddenly.
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, NUR 1024: NCLEX Questions for Osteoarthritis and Answers Rated A
D. Mild fever
E. Crepitus with movement of joint
Answer: C
A client diagnosed with localized idiopathic osteoarthritis
Rationale: There are two types of OA, idiopathic and sec-
(OA) asks the nurse what this means. Which response by
ondary. Idiopathic OA has no identifiable cause and can
the nurse provides the most accurate information?
be further subdivided as localized or generalized, with
A. "Idiopathic describes OA overall while localized indi-
localized indicating that the OA only attects one or two
cates that it attects one body joint only."
joints, so stating that it has no identifiable cause and is
B. "Idiopathic refers to the fact that the OA has already
limited to one or two joints would be the most accurate
progressed significantly in one or two joints."
response. Idiopathic OA is not due to an underlying con-
C. "Idiopathic OA has no identifiable cause; when it is
dition. Idiopathic refers to cause, not progression of the
localized, it only attects one or two joints."
disease. Idiopathic is not a term used in general for OA,
D. "Idiopathic OA, as compared with secondary OA, is
nor does the term localized indicate that attected joints are
caused by some kind of underlying condition."
either in the upper or lower torso.
Answer: A, C
Rationale: Maintaining a normal weight places less strain
Which health promotion activity supports a healthy on the joints than carrying additional weight. Assistive
lifestyle for clients with osteoarthritis? (Select all that ap- devices such as grab bars, a shower chair, or long-han-
ply.) dled grippers help the client to maintain an independent
A. Maintaining a normal weight lifestyle in safety. Using proper body mechanics during
B. Using proper body mechanics activities reduces stress on joints. Although calcium intake
C. Using assistive devices as needed is essential for preventing osteoporosis, especially in older
D. Increasing dietary intake of calcium adults, increasing daily calcium intake does not have a
E. Using soft chairs and recliners for rest positive ettect on OA. Chairs and mattresses should pro-
vide support and help to maintain normal body alignment.
Soft chairs and recliners do not provide such support.
Answer: A, B, C
Which health promotion activity supports a healthy Rationale: Maintaining a normal weight places less strain
lifestyle for clients with osteoarthritis? (Select all that ap- on the joints than carrying additional weight. Assistive
ply.) devices such as grab bars, a shower chair, or long-han-
dled grippers help the client to maintain an independent
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The nurse is teaching a class about the joints commonly
attected by osteoarthritis (OA). Which joints should the
Answer: C
nurse include?
Rationale: Hands, knees, and hips are the most commonly
A. Ankles, feet, and spine
attected joints of OA. Feet, spine, neck, shoulders, and
B. Knees, feet, and spine
ankles are not the most common locations.
C. Hands, knees, and hips
D. Neck, shoulders, and ankles
After performing a physical assessment, the nurse sus-
pects that a client is experiencing manifestations of os-
teoarthritis (OA). Which finding supports the nurse's sus- Answer: B, C, D, E
picion? (Select all that apply.) Rationale: Manifestations of OA include crackling sounds,
A. Leg tremors or crepitation, with joint movement; joint stittness and
B. Joint tenderness tenderness; and reduced joint flexibility. Leg tremors can
C. Reduced joint flexibility be associated with multiple sclerosis or Parkinson disease.
D. Crepitation
E. Joint stittness
Which is a common risk factor for osteoarthritis? (Select all Answer: A, B, E
that apply.) Rationale: Common risk factors for osteoarthritis include
A. Overuse of joints from sports or strenuous activities obesity, overuse of joints from sports injuries or strenuous
B. Obesity activities, and activities attecting weight-bearing joints.
C. Ingestion of large amounts of purine Rheumatoid arthritis is thought to be an autoimmune
D. Autoimmune disorder disorder. Ingestion of large amounts of purines is a risk
E. Activities attecting weight-bearing joints factor for gout.
Answer: A, B, E
Which clinical manifestation of osteoarthritis (OA) should
Rationale: Joint pain with activity, grating or crepitus noted
the nurse include when teaching about osteoarthritis?
with movement, and pain and stittness with prolonged in-
(Select all that apply.)
activity are general manifestations of OA. Mild fever is as-
A. Joint pain with activity
sociated with rheumatoidarthritis, not OA. Osteoarthritis is
B. Pain and stittness at night
a degenerative disease that develops over time, although
C. Abrupt onset
symptoms may appear suddenly.
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, NUR 1024: NCLEX Questions for Osteoarthritis and Answers Rated A
D. Mild fever
E. Crepitus with movement of joint
Answer: C
A client diagnosed with localized idiopathic osteoarthritis
Rationale: There are two types of OA, idiopathic and sec-
(OA) asks the nurse what this means. Which response by
ondary. Idiopathic OA has no identifiable cause and can
the nurse provides the most accurate information?
be further subdivided as localized or generalized, with
A. "Idiopathic describes OA overall while localized indi-
localized indicating that the OA only attects one or two
cates that it attects one body joint only."
joints, so stating that it has no identifiable cause and is
B. "Idiopathic refers to the fact that the OA has already
limited to one or two joints would be the most accurate
progressed significantly in one or two joints."
response. Idiopathic OA is not due to an underlying con-
C. "Idiopathic OA has no identifiable cause; when it is
dition. Idiopathic refers to cause, not progression of the
localized, it only attects one or two joints."
disease. Idiopathic is not a term used in general for OA,
D. "Idiopathic OA, as compared with secondary OA, is
nor does the term localized indicate that attected joints are
caused by some kind of underlying condition."
either in the upper or lower torso.
Answer: A, C
Rationale: Maintaining a normal weight places less strain
Which health promotion activity supports a healthy on the joints than carrying additional weight. Assistive
lifestyle for clients with osteoarthritis? (Select all that ap- devices such as grab bars, a shower chair, or long-han-
ply.) dled grippers help the client to maintain an independent
A. Maintaining a normal weight lifestyle in safety. Using proper body mechanics during
B. Using proper body mechanics activities reduces stress on joints. Although calcium intake
C. Using assistive devices as needed is essential for preventing osteoporosis, especially in older
D. Increasing dietary intake of calcium adults, increasing daily calcium intake does not have a
E. Using soft chairs and recliners for rest positive ettect on OA. Chairs and mattresses should pro-
vide support and help to maintain normal body alignment.
Soft chairs and recliners do not provide such support.
Answer: A, B, C
Which health promotion activity supports a healthy Rationale: Maintaining a normal weight places less strain
lifestyle for clients with osteoarthritis? (Select all that ap- on the joints than carrying additional weight. Assistive
ply.) devices such as grab bars, a shower chair, or long-han-
dled grippers help the client to maintain an independent
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