OSTEOPOROSIS NCLEX 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔Alendronate is used in treatment of osteoporosis because it? - ✔✔Inhibits
osteoclastic activity
✔✔Postmenopausal women are more prone to suffer from osteoporosis due to? -
✔✔Decreased estrogen level
✔✔What is the best way to diagnose osteoporosis - ✔✔Bone density scan
✔✔The daily requirement of calcium for an adult woman is - ✔✔1200 mg
✔✔Which of these is a risk factor for osteoporosis
a-Age and family history
b-Obesity and smoking
c-All of the above - ✔✔All of the above
✔✔ Alendronate (Fosamax) is prescribed for a patient with osteoporosis. The nurse
teaches the patient that
a )the drug must be taken with food to prevent GI side effects.
b )bisphosphonates prevent calcium from being taken from the bones.
c )lying down after taking the drug prevents light-headedness and dizziness.
d )taking the drug with milk enhances the absorption of calcium from the bowel. -
✔✔Answer is: b
✔✔Which patient would be at greatest risk for developing osteoporosis?
a )A 73-year-old man who has five alcoholic drinks per week and limits sun exposure to
prevent recurrence of skin cancer.
b )An 84-year-old man who has recently been diagnosed with hypothyroidism and is
prescribed levothyroxine (Synthroid).
c )A 69-year-old woman who had a renal transplant 5 years ago and has been taking
prednisone to prevent organ rejection.
d )A 55-year-old woman who recently had a hysterectomy with bilateral salpingo-
oophorectomy and refuses estrogen therapy. - ✔✔Answer is: c
, ✔✔You are teaching a patient with osteopenia. What is important to include in the
teaching plan?
a )Lose weight.
b )Stop smoking.
c )Eat high protein diet.
d )Start swimming for exercise. - ✔✔Answer b
✔✔Which female patients are at risk for developing osteoporosis (Select all that apply)
?
a-60 year old white aerobic instructor.
b-55 year old Asian American cigarette smoker.
c-62 year old African American on estrogen therapy.
d-68 year old white who is underweight and inactive
e-58 year old Native American who started menopause prematurely. - ✔✔Answers are:
b,d,e
Risk factors for osteoporosis include age greater than 65, white or Asian ethnicity,
cigarette smoking, inactive lifestyle, low weight and postmenopausal estrogen
deficiency including premature menopause.
✔✔Identify methods to specifically prevent osteoporosis in postmenopausal women
(Select all that apply)?
a-Eating more beef.
b-Eating 8 oz. of yogurt daily.
c-performing weight bearing exercises.
d-Spending 15 minutes in the sun each day.
e-Taking postmenopausal estrogen replacement. - ✔✔Answers are: b,c
To specifically prevent osteoporosis in postmenopausal women, increased calcium and
vitamin D intake and weight bearing exercises (e.g. walking) are the best methods.
✔✔A patient started Alendronate (Fosamax) once a week for the treatment of
osteoporosis. The nurse determines that further instruction about the drug is needed
when what is said by the patient?
a-"I should take the drug with a meal to prevent stomach irritation".
b-"This drug will prevent further bone loss and increase my bone density".
c-"I need to sit or stand upright for at least 30 minutes after taking the drug".
d-"I will still need to take my calcium supplements while taking this new drug ". -
✔✔Answer: a
SOLUTIONS RATED A+
✔✔Alendronate is used in treatment of osteoporosis because it? - ✔✔Inhibits
osteoclastic activity
✔✔Postmenopausal women are more prone to suffer from osteoporosis due to? -
✔✔Decreased estrogen level
✔✔What is the best way to diagnose osteoporosis - ✔✔Bone density scan
✔✔The daily requirement of calcium for an adult woman is - ✔✔1200 mg
✔✔Which of these is a risk factor for osteoporosis
a-Age and family history
b-Obesity and smoking
c-All of the above - ✔✔All of the above
✔✔ Alendronate (Fosamax) is prescribed for a patient with osteoporosis. The nurse
teaches the patient that
a )the drug must be taken with food to prevent GI side effects.
b )bisphosphonates prevent calcium from being taken from the bones.
c )lying down after taking the drug prevents light-headedness and dizziness.
d )taking the drug with milk enhances the absorption of calcium from the bowel. -
✔✔Answer is: b
✔✔Which patient would be at greatest risk for developing osteoporosis?
a )A 73-year-old man who has five alcoholic drinks per week and limits sun exposure to
prevent recurrence of skin cancer.
b )An 84-year-old man who has recently been diagnosed with hypothyroidism and is
prescribed levothyroxine (Synthroid).
c )A 69-year-old woman who had a renal transplant 5 years ago and has been taking
prednisone to prevent organ rejection.
d )A 55-year-old woman who recently had a hysterectomy with bilateral salpingo-
oophorectomy and refuses estrogen therapy. - ✔✔Answer is: c
, ✔✔You are teaching a patient with osteopenia. What is important to include in the
teaching plan?
a )Lose weight.
b )Stop smoking.
c )Eat high protein diet.
d )Start swimming for exercise. - ✔✔Answer b
✔✔Which female patients are at risk for developing osteoporosis (Select all that apply)
?
a-60 year old white aerobic instructor.
b-55 year old Asian American cigarette smoker.
c-62 year old African American on estrogen therapy.
d-68 year old white who is underweight and inactive
e-58 year old Native American who started menopause prematurely. - ✔✔Answers are:
b,d,e
Risk factors for osteoporosis include age greater than 65, white or Asian ethnicity,
cigarette smoking, inactive lifestyle, low weight and postmenopausal estrogen
deficiency including premature menopause.
✔✔Identify methods to specifically prevent osteoporosis in postmenopausal women
(Select all that apply)?
a-Eating more beef.
b-Eating 8 oz. of yogurt daily.
c-performing weight bearing exercises.
d-Spending 15 minutes in the sun each day.
e-Taking postmenopausal estrogen replacement. - ✔✔Answers are: b,c
To specifically prevent osteoporosis in postmenopausal women, increased calcium and
vitamin D intake and weight bearing exercises (e.g. walking) are the best methods.
✔✔A patient started Alendronate (Fosamax) once a week for the treatment of
osteoporosis. The nurse determines that further instruction about the drug is needed
when what is said by the patient?
a-"I should take the drug with a meal to prevent stomach irritation".
b-"This drug will prevent further bone loss and increase my bone density".
c-"I need to sit or stand upright for at least 30 minutes after taking the drug".
d-"I will still need to take my calcium supplements while taking this new drug ". -
✔✔Answer: a
