OSTEOPOROSIS NCLEX EXAMS SCRIPT 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔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
The Bisphosphonate, such as Alendronate, must be taken at least 30 minutes before
food or other medications to promote absorption
✔✔Alendronate (Fosamax) is given to a client with osteoporosis. The nurse advises the
client to?
a-Take the medication in the morning with meals.
b-Take the medication 2 hours before bedtime.
c-Take the medication with a glass of water after rising in the morning.
d-Take the medication during lunch. - ✔✔C: Alendronate needs to be taken with a glass
of water after rising in the morning in order to prevent gastrointestinal effects. A, B, D:
Not taking Alendronate on the specified time of the day could cause GI upset.
✔✔A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin
(Miacalcin) nasal spray. The nurse tells the client to do the following, except?
a-Delivery system contains enough medication for at least 30 doses. Discard any
unused solution after 30 doses.
b-If you do not feel the spray while using it, repeat the dose on the other nostrils.
c-Miacalcin is usually given as one spray per day into only one of your nostrils.
d-Take extra vitamin D while you are using Miacalcin. - ✔✔B: Miacalcin spray delivers a
fine mist into the nose. Even if the client does not feel the spray while using it, the
medication is still being absorbed by the nasal passages. A: Discard any unused
solution after 30 doses because spray may not deliver correct dose. C: Use the other
, nostril the next day and continue alternating back and forth for each daily dose. D:
Vitamin D helps in treating osteoporosis by helping in maintaining healthy bones.
✔✔Which patient should NOT be prescribed alendronate (Fosamax) for osteoporosis?
a-A female patient being treated for high blood pressure with an ACE inhibitor.
b-A patient who is allergic to iodine/shellfish.
c-A patient on a calorie restricted diet.
d-A patient on bed rest who must maintain a supine position - ✔✔D: Alendronate can
cause significant gastrointestinal side effects, such as esophageal irritation, so it should
not be taken if a patient must stay in supine position. A&B: ACE inhibitors are not
contraindicated with alendronate and there is no iodine allergy relationship. C: The
patient should not eat or drink for 30 minutes after administration and should not lie
down.
✔✔The nurse is instructing a 65-year-old female client diagnosed with osteoporosis.
The most important instruction regarding exercise would be to:
a-Exercise doing weight bearing activities.
b-Exercise to reduce weight.
c-Avoid exercise activities that increase the risk of fracture.
d-Exercise to strengthen muscles and thereby protect bones. - ✔✔A: Weight bearing
exercises are beneficial in the treatment of osteoporosis. B, C, D: Although loss of bone
cannot be substantially reversed, further loss can be greatly reduced if the client
includes weight bearing exercises along with estrogen replacement and calcium
supplements in their treatment protocol.
✔✔The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is
most likely related to:
a-Lack of exercise.
b-Hormonal disturbances.
c-Lack of calcium.
d-Genetic predisposition - ✔✔B: After menopause, women lack hormones necessary to
absorb and utilize calcium. A&C: Doing weight-bearing exercises and taking calcium
supplements can help to prevent osteoporosis but are not causes, so answers A and C
QUESTIONS AND SOLUTIONS RATED A+
✔✔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
The Bisphosphonate, such as Alendronate, must be taken at least 30 minutes before
food or other medications to promote absorption
✔✔Alendronate (Fosamax) is given to a client with osteoporosis. The nurse advises the
client to?
a-Take the medication in the morning with meals.
b-Take the medication 2 hours before bedtime.
c-Take the medication with a glass of water after rising in the morning.
d-Take the medication during lunch. - ✔✔C: Alendronate needs to be taken with a glass
of water after rising in the morning in order to prevent gastrointestinal effects. A, B, D:
Not taking Alendronate on the specified time of the day could cause GI upset.
✔✔A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin
(Miacalcin) nasal spray. The nurse tells the client to do the following, except?
a-Delivery system contains enough medication for at least 30 doses. Discard any
unused solution after 30 doses.
b-If you do not feel the spray while using it, repeat the dose on the other nostrils.
c-Miacalcin is usually given as one spray per day into only one of your nostrils.
d-Take extra vitamin D while you are using Miacalcin. - ✔✔B: Miacalcin spray delivers a
fine mist into the nose. Even if the client does not feel the spray while using it, the
medication is still being absorbed by the nasal passages. A: Discard any unused
solution after 30 doses because spray may not deliver correct dose. C: Use the other
, nostril the next day and continue alternating back and forth for each daily dose. D:
Vitamin D helps in treating osteoporosis by helping in maintaining healthy bones.
✔✔Which patient should NOT be prescribed alendronate (Fosamax) for osteoporosis?
a-A female patient being treated for high blood pressure with an ACE inhibitor.
b-A patient who is allergic to iodine/shellfish.
c-A patient on a calorie restricted diet.
d-A patient on bed rest who must maintain a supine position - ✔✔D: Alendronate can
cause significant gastrointestinal side effects, such as esophageal irritation, so it should
not be taken if a patient must stay in supine position. A&B: ACE inhibitors are not
contraindicated with alendronate and there is no iodine allergy relationship. C: The
patient should not eat or drink for 30 minutes after administration and should not lie
down.
✔✔The nurse is instructing a 65-year-old female client diagnosed with osteoporosis.
The most important instruction regarding exercise would be to:
a-Exercise doing weight bearing activities.
b-Exercise to reduce weight.
c-Avoid exercise activities that increase the risk of fracture.
d-Exercise to strengthen muscles and thereby protect bones. - ✔✔A: Weight bearing
exercises are beneficial in the treatment of osteoporosis. B, C, D: Although loss of bone
cannot be substantially reversed, further loss can be greatly reduced if the client
includes weight bearing exercises along with estrogen replacement and calcium
supplements in their treatment protocol.
✔✔The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is
most likely related to:
a-Lack of exercise.
b-Hormonal disturbances.
c-Lack of calcium.
d-Genetic predisposition - ✔✔B: After menopause, women lack hormones necessary to
absorb and utilize calcium. A&C: Doing weight-bearing exercises and taking calcium
supplements can help to prevent osteoporosis but are not causes, so answers A and C
