NUR 1024: NCLEX Questions for
Osteoarthritis Questions and answers |
Question 1
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
Answer: C. Hands, knees, and hips
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 .
Question 2
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
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 .
,Question 3
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
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 .
Question 4
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
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 .
, Question 5
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."
D. "Idiopathic OA, as compared with secondary OA, is caused by some kind of
underlying condition."
Answer: C
Rationale: There are two types of OA, idiopathic and secondary. Idiopathic OA has
no identifiable cause and can be further subdivided as localized or generalized,
with localized indicating that the OA only affects one or two joints, so stating that
it has no identifiable cause and is limited to one or two joints would be the most
accurate response .
Question 6
Which health promotion activity supports a healthy lifestyle for clients
with osteoarthritis? (Select all that apply.) A. Maintaining a normal
weight
B. Using proper body mechanics
C. Using assistive devices as needed
D. Increasing dietary intake of calcium
E. Using soft chairs and recliners for rest
Osteoarthritis Questions and answers |
Question 1
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
Answer: C. Hands, knees, and hips
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 .
Question 2
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
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 .
,Question 3
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
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 .
Question 4
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
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 .
, Question 5
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."
D. "Idiopathic OA, as compared with secondary OA, is caused by some kind of
underlying condition."
Answer: C
Rationale: There are two types of OA, idiopathic and secondary. Idiopathic OA has
no identifiable cause and can be further subdivided as localized or generalized,
with localized indicating that the OA only affects one or two joints, so stating that
it has no identifiable cause and is limited to one or two joints would be the most
accurate response .
Question 6
Which health promotion activity supports a healthy lifestyle for clients
with osteoarthritis? (Select all that apply.) A. Maintaining a normal
weight
B. Using proper body mechanics
C. Using assistive devices as needed
D. Increasing dietary intake of calcium
E. Using soft chairs and recliners for rest
