NCLEX Daily Practical Exercise 50

Welcome to our NCLEX Daily Ten Practice! This practice is designed to help you solidify your knowledge, improve your skills, and prepare thoroughly for the NCLEX exam. With ten questions to tackle each day, you’ll have the opportunity to review a broad range of subjects covered in the NCLEX exam.

 

1. 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

Answer Explanation:

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.

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2. 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?

Correct Answer: B

Answer Explanation:

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.

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3. 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?

Correct Answer: B

Answer Explanation:

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.

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4. Heberden’s nodes are a common sign of osteoarthritis. Which of the following statements is correct about this deformity?

Correct Answer: B

Answer Explanation:

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.

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5. Which of the following statements explains the main difference between rheumatoid arthritis and osteoarthritis?

Correct Answer: B

Answer Explanation:

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.

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