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NUR 1024: NCLEX Questions/Answers For Hip Fractures
NUR 1024: NCLEX Questions/Answers For Hip Fractures
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NUR 1024: NCLEX Questions/Answers For HipFractures
The nurse is teaching a group of older adults about risk factors related to
hip fractures. Which information should the nurse include in the
presentation? (Select all that apply.)
A. Arthritis
B. Lack of physical activity
C. Osteoporosis
D. Tobacco use
E.Calcium deficiency Correct Ans - Answer: B, C, D, E
Rationale: Risk factors for hip fractures include lack of physical activity;
deficiency in calcium or vitamin D; tobacco and alcohol use; and
osteoporosis. Arthritis is not considered a risk factor for hip fractures.
The nurse is assessing a client's risk for sustaining a hip fracture. Which
information should the nurse obtain when obtaining the health history?
(Select all that apply.)
A. History of osteoporosis
B. Skin integrity
C. Age
D. Vital signs
E. History of falls Correct Ans - Answer: A, C, E
Rationale: The health history of a client with a hip fracture should include
age, history of falls, and history of osteoporosis. Vital signs and skin
integrity are obtained when performing a physical examination.
The nurse is assigned to care for a client who experienced a recent fall.
Which manifestation indicates that the client's hip is fractured?
A. Complaints of stiffness when transferring to chair
B. The affected leg is shorter than the other and turned outward
C. Bruising noted to the injured hip and leg
D. Discomfort when performing range of motion exercises Correct Ans
- Answer: B
Rationale: The leg of the injured hip is shorter than the uninjured leg and is
sometimes turned outward in clients with hip fracture. These clients
complain of severe pain, not discomfort, when flexing and rotating the hip.
, Bruising noted to the hip and leg may or may not be related to the fall.
Complaints of stiffness may be related to the fall or from lying in bed.
The nurse is caring for four clients. Which client should the nurse identify
as having the highest risk for sustaining a hip fracture if they sustain a fall?
A. 60-year-old man admitted for treatment of pneumonia
B. 80-year-old man admitted for benign prostatic hypertrophy
C. 50-year-old woman with a history of osteoarthritis
D. 70-year-old woman who consumes 800 mg calcium/day Correct Ans
- Answer: D
Rationale: Women who are postmenopausal and not taking estrogen should
consume a minimum of 1500 mg of calcium per day to maintain bone
health. The 70-year-old woman who only consumes 800 mg of calcium per
day is at the highest risk for a hip fracture if she falls. The 50-year-old
woman may not be postmenopausal and is at a lower risk, and the men are
at a lower risk.
The parish health nurse notices a higher incidence of hip fractures in the
church community. Which intervention should the nurse implement to help
decrease the clients' risk of a hip fracture?
A. Obtain assistive devices
B. A walking program
C. Periodic home care visits
D. Use of medical alert systems Correct Ans - Answer: B
Rationale: Weight-bearing exercise can decrease an individual's risk for hip
fractures. Therefore, establishing a walking program would benefit the
parishioners. Assistive devices would help with gait stability, but are not
required by every individual. Periodic home care visits can check
medication compliance and blood pressures, but will not prevent hip
fractures. Medical alert systems can signal for help after a fall and fracture
have occurred, but does not prevent it.
The nurse is teaching an older adult client about preventing hip fractures.
Which information should the nurse include? (Select all that apply.)
A. Obtaining a screening to test for osteoporosis
B. Maintaining adequate intake of calcium and vitamin D
C. Ensuring throw rugs are placed throughout the home
D. Performing weight-bearing exercises daily
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