ONC ORTHOPEDIC NURSING NCLEX EXAM
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A retired 66- year- old female patient is being evaluated for osteoporosis as part of a
yearly physical exam. The patient states that she is a smoker, watches television for most
of the day, and has been hospitalized twice with fractures within the last year. Based on
this information, the nurse suspects which condition?
A.Low bone mass leading to increased bone fragility
B.Degeneration of the articular cartilage
C.Recurrent attacks of acute arthritis
D.Personality changes caused by chronic nature of illness
CORRECT ANSWER
A. Low bone mass leading to increased bone fragility
'
Low bone mass, structural deterioration of bone tissue leading to bone fragility, and
increased susceptibility to fractures are seen with osteoporosis. The patient also has risk
factors associated with osteoporosis: smoking, sedentary lifestyle, and being female and
menopausal. Degenerative changes are associated with frequent exacerbations of
arthritis. There is no indication of personality change in this patient.
Question 2
The nurse determines that a 55- year-old female patient is experiencing menopause and is
also at risk for osteoporosis. What foods other than milk can the nurse suggest to this
patient to increase calcium intake?
1
,A. Seafood, wheat, corn, green vegetables
B. Chicken vegetables, green vegetables, pasta, broccoli
C. Green vegetables, sardines, salmon with bone, molasses
D. Fresh fruits, English muffins, black beans, asparagus
CORRECT ANSWER
Answer C is correct. Women of menopausal age are at risk for osteoporosis, and foods high
in calcium should be encouraged. A diet with green vegetables, sardines, salmon with bone,
and molasses provides high- quality calcium and is recommended for a patient experiencing
menopause in order to decrease the risk of osteoporosis. A diet with seafood, wheat, corn,
and green vegetables is more concentrated in carbohydrates than proteins containing more
calcium. A diet with chicken, green vegetables, sardines, and broccoli contains some calcium
but is lower than the other option. Foods such as fresh fruits, English muffins, black beans,
and asparagus are inadequate in calcium.
Question 3
A patient with osteoporosis has been advised to increase the amount of calcium in her
diet. Which food provides the most calcium?
An 8- oz glass of milk
An ounce of cheddar cheese
A half cup of raw broccoli
A 4- ounce salmon croquette
CORRECT ANSWER
Answer A is correct. An 8-ounce glass of milk contains 290mg of calcium. Answers B, C, and
D contain lesser amounts; therefore, they are incorrect. (Note: An ounce of cheddar cheese
contains 205 mg of calcium; half a cup of raw broccoli contains 175mg of calcium; and 4
ounces of salmon croquette contains 165 mg of calcium).
Question 4
2
, Which of the following instructions should be included for the patient taking calcium
supplements?
A.The patient should take her calcium with meals
B.The patient should take all her daily calcium supplements at one time
C.The patient should take her calcium supplement after meals to prevent stomach upset
D.The patient can use calcium- based antacids for supplement.
CORRECT ANSWER
Rationale: Answer D is correct. Many people prefer to supplement their calcium intake with
calcium- based antacids. If calcium supplements are used, they should be administered 30
minutes before meals to maximize absorption, so answer A is wrong. Calcium absorption is
better if it is administered throughout the day rather than in a single dose, making answer B
wrong. Calcium supplements do not cause stomach upset, so answer C is wrong.
Question 5
Alendronate (Fosamax) is ordered for a patient with osteoporosis. Which information
should the nurse teach the patient about the medication?
A. Acts as a selective estrogen receptor modulator
B. Reduces risk of invasive breast cancer
C. May be obtained as a nasal spray
D. Inhibits bone resorption
CORRECT ANSWER
Alendronate (Fosamax), a bisphosphonate, is a potent inhibitor of bone resorption that
preserves bone mass and increases bone density. Raloxifene (Evista) is an example of a
selective estrogen receptor modulator that is used to treat osteoporosis, and which also
reduces the risk of invasive breast cancer. Calcitonin (Miacalcin) is dispensed as a nasal
spray.
Question 6
3
|ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A retired 66- year- old female patient is being evaluated for osteoporosis as part of a
yearly physical exam. The patient states that she is a smoker, watches television for most
of the day, and has been hospitalized twice with fractures within the last year. Based on
this information, the nurse suspects which condition?
A.Low bone mass leading to increased bone fragility
B.Degeneration of the articular cartilage
C.Recurrent attacks of acute arthritis
D.Personality changes caused by chronic nature of illness
CORRECT ANSWER
A. Low bone mass leading to increased bone fragility
'
Low bone mass, structural deterioration of bone tissue leading to bone fragility, and
increased susceptibility to fractures are seen with osteoporosis. The patient also has risk
factors associated with osteoporosis: smoking, sedentary lifestyle, and being female and
menopausal. Degenerative changes are associated with frequent exacerbations of
arthritis. There is no indication of personality change in this patient.
Question 2
The nurse determines that a 55- year-old female patient is experiencing menopause and is
also at risk for osteoporosis. What foods other than milk can the nurse suggest to this
patient to increase calcium intake?
1
,A. Seafood, wheat, corn, green vegetables
B. Chicken vegetables, green vegetables, pasta, broccoli
C. Green vegetables, sardines, salmon with bone, molasses
D. Fresh fruits, English muffins, black beans, asparagus
CORRECT ANSWER
Answer C is correct. Women of menopausal age are at risk for osteoporosis, and foods high
in calcium should be encouraged. A diet with green vegetables, sardines, salmon with bone,
and molasses provides high- quality calcium and is recommended for a patient experiencing
menopause in order to decrease the risk of osteoporosis. A diet with seafood, wheat, corn,
and green vegetables is more concentrated in carbohydrates than proteins containing more
calcium. A diet with chicken, green vegetables, sardines, and broccoli contains some calcium
but is lower than the other option. Foods such as fresh fruits, English muffins, black beans,
and asparagus are inadequate in calcium.
Question 3
A patient with osteoporosis has been advised to increase the amount of calcium in her
diet. Which food provides the most calcium?
An 8- oz glass of milk
An ounce of cheddar cheese
A half cup of raw broccoli
A 4- ounce salmon croquette
CORRECT ANSWER
Answer A is correct. An 8-ounce glass of milk contains 290mg of calcium. Answers B, C, and
D contain lesser amounts; therefore, they are incorrect. (Note: An ounce of cheddar cheese
contains 205 mg of calcium; half a cup of raw broccoli contains 175mg of calcium; and 4
ounces of salmon croquette contains 165 mg of calcium).
Question 4
2
, Which of the following instructions should be included for the patient taking calcium
supplements?
A.The patient should take her calcium with meals
B.The patient should take all her daily calcium supplements at one time
C.The patient should take her calcium supplement after meals to prevent stomach upset
D.The patient can use calcium- based antacids for supplement.
CORRECT ANSWER
Rationale: Answer D is correct. Many people prefer to supplement their calcium intake with
calcium- based antacids. If calcium supplements are used, they should be administered 30
minutes before meals to maximize absorption, so answer A is wrong. Calcium absorption is
better if it is administered throughout the day rather than in a single dose, making answer B
wrong. Calcium supplements do not cause stomach upset, so answer C is wrong.
Question 5
Alendronate (Fosamax) is ordered for a patient with osteoporosis. Which information
should the nurse teach the patient about the medication?
A. Acts as a selective estrogen receptor modulator
B. Reduces risk of invasive breast cancer
C. May be obtained as a nasal spray
D. Inhibits bone resorption
CORRECT ANSWER
Alendronate (Fosamax), a bisphosphonate, is a potent inhibitor of bone resorption that
preserves bone mass and increases bone density. Raloxifene (Evista) is an example of a
selective estrogen receptor modulator that is used to treat osteoporosis, and which also
reduces the risk of invasive breast cancer. Calcitonin (Miacalcin) is dispensed as a nasal
spray.
Question 6
3
