NCLEX-RN Practice Quiz Test Bank #5 (75
Questions)
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?
o A. Septic arthritis
o B. Traumatic arthritis
o C. Intermittent arthritis
o D. Gouty arthritis
Incorrect
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. 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
Incorrect
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. 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.
Incorrect
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. 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.
Incorrect
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. 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.
Incorrect
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. 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.
Incorrect
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. 7. Question
Questions)
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?
o A. Septic arthritis
o B. Traumatic arthritis
o C. Intermittent arthritis
o D. Gouty arthritis
Incorrect
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. 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
Incorrect
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. 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.
Incorrect
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. 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.
Incorrect
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. 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.
Incorrect
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. 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.
Incorrect
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. 7. Question
