Ortho NCLEX Questions| exam set questi
gs gs gs gs gs
ons and answers correct and verified A+
gs gs gs gs gs gs
Agsretiredgs66-gsyear-
gsoldgsfemalegspatientgsisgsbeinggsevaluatedgsforgsosteoporosisgsasgspartgsofgsagsyearlygsphysicalgsexam.gsThegspatie
ntgsstatesgsthatgsshegsisgsagssmoker,gswatchesgstelevisiongsforgsmostgsofgsthegsday,gsandgshasgsbeengshospitalizedgst
wicegswithgsfracturesgswithingsthegslastgsyear.gsBasedgsongsthisgsinformation,gsthegsnursegssuspectsgswhichgscondit
ion?
A.Lowgsbonegsmassgsleadinggstogsincreasedgsbonegsfragility
B.Degenerationgsofgsthegsarticulargscartilage
C.Recurrentgsattacksgsofgsacutegsarthritis
D.Personalitygschangesgscausedgsbygschronicgsnaturegsofgsillnessgs-gscorrectgsanswers-
A.gsLowgsbonegsmassgsleadinggstogsincreasedgsbonegsfragility
'
Lowgsbonegsmass,gsstructuralgsdeteriorationgsofgsbonegstissuegsleadinggstogsbonegsfragility,gsandgsincreasedgssusc
eptibilitygstogsfracturesgsaregsseengswithgsosteoporosis.gsThegspatientgsalsogshasgsriskgsfactorsgsassociatedgswithgs
osteoporosis:gssmoking,gssedentarygslifestyle,gsandgsbeinggsfemalegsandgsmenopausal.gsDegenerativegschanges
gsaregsassociatedgswithgsfrequentgsexacerbationsgsofgsarthritis.gsTheregsisgsnogsindicationgsofgspersonalitygschang
egsingsthisgspatient.
Thegsnursegsdeterminesgsthatgsags55-gsyear-
oldgsfemalegspatientgsisgsexperiencinggsmenopausegsandgsisgsalsogsatgsriskgsforgsosteoporosis.gsWhatgsfoodsgsothe
rgsthangsmilkgscangsthegsnursegssuggestgstogsthisgspatientgstogsincreasegscalciumgsintake?
A.gsSeafood,gswheat,gscorn,gsgreengsvegetables
B.gsChickengsvegetables,gsgreengsvegetables,gspasta,gsbroccoli
C.gsGreengsvegetables,gssardines,gssalmongswithgsbone,gsmolasses
D.gsFreshgsfruits,gsEnglishgsmuffins,gsblackgsbeans,gsasparagusgs-gscorrectgsanswers-
AnswergsCgsisgscorrect.gsWomengsofgsmenopausalgsagegsaregsatgsriskgsforgsosteoporosis,gsandgsfoodsgshighgsingscalc
iumgsshouldgsbegsencouraged.gsAgsdietgswithgsgreengsvegetables,gssardines,gssalmongswithgsbone,gsandgsmolasse
sgsprovidesgshigh-
gsqualitygscalciumgsandgsisgsrecommendedgsforgsagspatientgsexperiencinggsmenopausegsingsordergstogsdecreasegst
hegsriskgsofgsosteoporosis.gsAgsdietgswithgsseafood,gswheat,gscorn,gsandgsgreengsvegetablesgsisgsmoregsconcentrat
edgsingscarbohydratesgsthangsproteinsgscontaininggsmoregscalcium.gsAgsdietgswithgschicken,gsgreengsvegetables,gs
sardines,gsandgsbroccoligscontainsgssomegscalciumgsbutgsisgslowergsthangsthegsothergsoption.gsFoodsgssuchgsasgsfre
shgsfruits,gsEnglishgsmuffins,gsblackgsbeans,gsandgsasparagusgsaregsinadequategsingscalcium.
Agspatientgswithgsosteoporosisgshasgsbeengsadvisedgstogsincreasegsthegsamountgsofgscalciumgsingshergsdiet.gsWhich
gsfoodgsprovidesgsthegsmostgscalcium?
Angs8-gsozgsglassgsofgsmilk
Angsouncegsofgscheddargscheese
Agshalfgscupgsofgsrawgsbroccoli
Ags4-gsouncegssalmongscroquettegs-gscorrectgsanswers-AnswergsAgsisgscorrect.gsAngs8-
ouncegsglassgsofgsmilkgscontainsgs290mggsofgscalcium.gsAnswersgsB,gsC,gsandgsDgscontaingslessergsamounts;gstheref
ore,gstheygsaregsincorrect.gs(Note:gsAngsouncegsofgscheddargscheesegscontainsgs205gsmggsofgscalcium;gshalfgsagscupg
,sofgsrawgsbroccoligscontainsgs175mggsofgscalcium;gsandgs4gsouncesgsofgssalmongscroquettegscontainsgs165gsmggsofgs
calcium).
Whichgsofgsthegsfollowinggsinstructionsgsshouldgsbegsincludedgsforgsthegspatientgstakinggscalciumgssupplements?
A.Thegspatientgsshouldgstakegshergscalciumgswithgsmeals
B.Thegspatientgsshouldgstakegsallgshergsdailygscalciumgssupplementsgsatgsonegstime
C.Thegspatientgsshouldgstakegshergscalciumgssupplementgsaftergsmealsgstogspreventgsstomachgsupset
D.Thegspatientgscangsusegscalcium-gsbasedgsantacidsgsforgssupplement.gs-gscorrectgsanswers-
Rationale:gsAnswergsDgsisgscorrect.gsManygspeoplegsprefergstogssupplementgstheirgscalciumgsintakegswithgscalciu
m-
gsbasedgsantacids.gsIfgscalciumgssupplementsgsaregsused,gstheygsshouldgsbegsadministeredgs30gsminutesgsbeforegs
mealsgstogsmaximizegsabsorption,gssogsanswergsAgsisgswrong.gsCalciumgsabsorptiongsisgsbettergsifgsitgsisgsadministe
redgsthroughoutgsthegsdaygsrathergsthangsingsagssinglegsdose,gsmakinggsanswergsBgswrong.gsCalciumgssupplements
gsdogsnotgscausegsstomachgsupset,gssogsanswergsCgsisgswrong.
Alendronategs(Fosamax)gsisgsorderedgsforgsagspatientgswithgsosteoporosis.gsWhichgsinformationgsshouldgsthegsnu
rsegsteachgsthegspatientgsaboutgsthegsmedication?
A.gsActsgsasgsagsselectivegsestrogengsreceptorgsmodulator
B.gsReducesgsriskgsofgsinvasivegsbreastgscancer
C.gsMaygsbegsobtainedgsasgsagsnasalgsspray
D.gsInhibitsgsbonegsresorptiongs-gscorrectgsanswers-
Alendronategs(Fosamax),gsagsbisphosphonate,gsisgsagspotentgsinhibitorgsofgsbonegsresorptiongsthatgspreservesgsb
onegsmassgsandgsincreasesgsbonegsdensity.gsRaloxifenegs(Evista)gsisgsangsexamplegsofgsagsselectivegsestrogengsrece
ptorgsmodulatorgsthatgsisgsusedgstogstreatgsosteoporosis,gsandgswhichgsalsogsreducesgsthegsriskgsofgsinvasivegsbrea
stgscancer.gsCalcitonings(Miacalcin)gsisgsdispensedgsasgsagsnasalgsspray.
Thegsnursegsisgscaringgsforgsagspatientgswithgsosteoporosisgswhogsisgsbeinggsdischargedgsongsalendronategs(Fosam
ax).gsWhichgsstatementgswouldgsindicategseffectivegsteaching?
A.gs"Igsshouldgstakegsthegsmedicationgsimmediatelygsbeforegsbed"
B.gs"Igsshouldgsremaingsingsangsuprightgspositiongsforgs30gsminutesgsaftergstakinggsthegsmedication"
C.gs"ThegsmedicationgsisgsmoregseffectivegsifgsIgstakegsitgswithgsmilkgsorgsdairygsproducts"
D.gsIfgsIgsskipgsagsdose,gsIgscangstakegstwogstabletsgsthegsnextgstime"gs-gscorrectgsanswers-Answer:gsB-
gsRationalegsshouldgsremaingsuprightgsforgs30gsmins.
Howgslonggsdoesgsagspatientgstakinggsbisphosphonatesgsneedgstogsstaygsuprightgsaftergsadministration?
A.gs10gsminutes
B.gs20gsminutes
C.gs30gsminutes
D.gs120gsminutesgs-gscorrectgsanswers-30gsminutes
Bisphosphonatesgsaregsadministeredgsongsarisinggsingsthegsmorninggswithgsagsfullgsglassgsofgswatergsongsangsempty
gsstomach,gsandgsthegspatientgsmustgsstaygsuprightgsforgs30gstogs60gsminutes.
Whengscaringgsforgsagsclientgswithgshypocalcemia,gsthegsnursegsshouldgsassessgsfor:
A.gsAgsdecreasedgslevelgsofgsconsciousness
B.gsTetany
C.gsBradycardia
D.gsRespiratorygsDepressiongs-gscorrectgsanswers-
AnswergsBgsisgscorrect.gsThegsmostgscommongscomplicationgsofgshypocalcemiagsisgsoverstimulationgsofgsthegsner
vesgsandgsmuscles.gsTetany,gswhichgscangsprogressgstogsconvulsions,gsindicatedgsthatgsthegspatient'sgsconditiongsis
gsworsening.gsAnswergsAgsisgsincorrectgsbecausegsagsdecreasedgslevelgsofgsconsciousnessgsisgsnotgsassociatedgswit
hgshypocalcemia.gsTachycardia,gsnotgsbradycardia,gsisgsassociatedgswithgshypocalcemia,gsmakinggsanswergsCgsinc
orrect.gsAnswergsDgsisgsincorrectgsbecausegsrespiratorygsdepressiongsisgsnotgsdirectlygsrelatedgstogshypocalcemia.
, Agspatientgshasgsbeengsdiagnosisedgswithgsosteomalacia.gsWhatgssymptomsgsdoesgsthegsnursegsrecognizegsthatgs
correlategswithgsthegsdiagnosis?
A.gsBonegsfracturesgsandgskyphosis
B.gsBonegspaingsandgstenderness
C.gsMusclegsWeaknessgsandgsspasms
D.gsSoftenedgsandgscompressedgsvertebraegs-gscorrectgsanswers-Rationale:gsAnswergsBgsisgscorrect.
Thegspatientgswhogsisgstakinggsalendronategs(Fosamax)gsisgsatgs
highgsriskgsforgsdevelopinggswhichgsdisorder?
A.gsCardiovasculargsdisease
B.gsBreastgscancer
C.gsInflammationgsofgsthegsesophagusgs
D.gsStrokegs-gscorrectgsanswers-Answer:gsC
Rationale:gsEsophagitisgsandgsesophagealgsulcersgshavegsbeengsreportedgswithgsusegsofgsallgsofgsthegsbisphospho
nates.gsThegsothergsanswergsselectionsgsapplygstogshormonegsreplacementgstherapy.
Thegspatientgswhogshasgscompletedgsradiationgstherapygs
treatmentsgsforgsagsformgsofgscancergsisgsatgshighgsriskgsforgs
developing:
A.gsOsteomalacia
B.gsOsteosarcoma
C.gsPaget'sgsdiseasegsofgsthegsbonegs
D.gsOsteochondromags-gscorrectgsanswers-Answer:gsB
Rationale:gsPatientsgswhogshavegsreceivedgsradiationgsforgsothergsformsgsofgscancergsaregsatgshighgsriskgsforgsdevel
opinggsosteosarcoma.gsOsteomalaciagsisgscausedgsbygsagsvitamingsDgsdeficiency.gsPaget'sgsdiseasegsisgsagsmetabol
icgsdisordergsofgsbonegsremodeling.gsOsteochondromagsisgsagsbenigngsbonegstumorgsthatgshasgsitsgsonsetgsingschil
dhood
Angsexpectedgsoutcomegsofgsangsoldergspatientgswithgsacute
osteomyelitisgsis:
A.gsPain
B.gsFatiguegs
C.gsLow-gradegsfever
D.gsElevatedgsleukocytegscountgs-gscorrectgsanswers-Answer:gsC
Rationale:gsCommongspresentinggssymptomsgsofgsosteomyelitisgsaregspain,gsfever,gsedema,gselevatedgsleukocyt
egscount,gsfatigue,gsandgsgeneralgsmalaise.gsHowever,gsoldergsadultsgsmaygsnotgshavegsangsextremegstemperature
gselevationgsbecausegsofgslowergscoregsbodygstemperaturegsandgscompromisedgsimmunegssystemgsthatgsoccurgs
withgsnormalgsaging.
CertaingstransdermalgspatchesgsmustgsbegsremovedgsbeforegsangsMRIgsisgsperformedgsbecausegstheygscangscause
gsburns.
True
Falsegs-gscorrectgsanswers-True.
Rationale:gsTransdermalgspatchesgs(eg,gsNicoDerm,gsTransdermgsNitro,gsTransdermgsScopolamine,gsandgsCatap
res-
TTS)gsthatgshavegsagsthingslayergsofgsaluminizedgsbackinggsmustgsbegsremovedgsbeforegsangsMRIgsbecausegstheygsca
ngscausegsburns
