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2024 NUR 1024 NCLEX FOR HIP FRACTURES EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NUR 1024 NCLEX FOR HIP FRACTURES EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 NUR 1024 NCLEX FOR HIPFRACTURES EXAM QUESTIONS
WITH CORRECT ANSWERS
Which pharmacologic treatment should the nurse expect the healthcare provider to prescribe to a client with osteoporosis to prevent hip fractures?
A. Selective serotonin reuptake inhibitors (SSRIs)
B. Loop diuretics
C. Incretin mimetic agents
D. Bone density enhancers - CORRECT ANSWERS-Answer: D
Rationale: Bone density enhancers (e.g., bisphosphonates) stimulate bone growth and can be administered to clients with osteoporosis to prevent hip fractures. Incretin mimetic agents, SSRIs, and loop diuretics are not indicated
in the treatment of osteoporosis to prevent hip fractures.
The nurse is providing a seminar about hip fracture treatment in the older adult. Which surgery should be included? (Select all that apply.)
A. Fractional ablation
B. Open internal fixation
C. Arthroplasty
D. Hemiarthroplasty
E. Appendectomy - CORRECT ANSWERS-Answer: B, C, D
Rationale: Hemiarthroplasty is a partial hip replacement of the ball or head of the femur. Arthroplasty is a total replacement of the ball and socket or head and acetabulum of the hip joint. Open internal fixation is performed to align the bone when placing hardware. Appendectomy and fractional ablation are not indicated for hip fractures.
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 ANSWERS-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 ANSWERS-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 ANSWERS-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 ANSWERS-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 ANSWERS-Answer: B
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