Exam (elaborations)

Ortho NCLEX Questions| exam set questions and answers correct and verified A+

Name: Ortho NCLEX Questions| exam set questions and answers correct and verified A+
SKU: doc_6599229
Rating: 2.00 (1 reviews)
Author: clevercopies

Rating

2.0

(1)

Sold

Pages

Grade

A+

Uploaded on

10-11-2024

Written in

2024/2025

Ortho NCLEX Questions| exam set questions and answers correct and verified A+Ortho NCLEX Questions| exam set questions and answers correct and verified A+Ortho NCLEX Questions| exam set questions and answers correct and verified A+ 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 answers-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. 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? 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 answers-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. 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 answers-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). 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 answers-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. 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 answers-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. The nurse is caring for a patient with osteoporosis who is being discharged on alendronate (Fosamax). Which statement would indicate effective teaching? A. "I should take the medication immediately before bed" B. "I should remain in an upright position for 30 minutes after taking the medication" C. "The medication is more effective if I take it with milk or dairy products" D. If I skip a dose, I can take two tablets the next time" - correct answers-Answer: B- Rationale should remain upright for 30 mins. How long does a patient taking bisphosphonates need to stay upright after administration? A. 10 minutes B. 20 minutes C. 30 minutes D. 120 minutes - correct answers-30 minutes Bisphosphonates are administered on arising in the morning with a full glass of water on an empty stomach, and the patient must stay upright for 30 to 60 minutes. When caring for a client with hypocalcemia, the nurse should assess for: A. A decreased level of consciousness B. Tetany C. Bradycardia D. Respiratory Depression - correct answers-Answer B is correct. The most common complication of hypocalcemia is overstimulation of the nerves and muscles. Tetany, which can progress to convulsions, indicated that the patient's condition is worsening. Answer A is incorrect because a decreased level of consciousness is not associated with hypocalcemia. Tachycardia, not bradycardia, is associated with hypocalcemia, making answer C incorrect. Answer D is incorrect because respiratory depression is not directly related to hypocalcemia. A patient has been diagnosised with osteomalacia. What symptoms does the nurse recognize that correlate with the diagnosis? A. Bone fractures and kyphosis B. Bone pain and tenderness C. Muscle Weakness and spasms D. Softened and compressed vertebrae - correct answers-Rationale: Answer B is correct. The patient who is taking alendronate (Fosamax) is at high risk for developing which disorder? A. Cardiovascular disease B. Breast cancer C. Inflammation of the esophagus D. Stroke - correct answers-Answer: C Rationale: Esophagitis and esophageal ulcers have been reported with use of all of the bisphosphonates. The other answer selections apply to hormone replacement therapy. The patient who has completed radiation therapy treatments for a form of cancer is at high risk for developing: A. Osteomalacia B. Osteosarcoma C. Paget's disease of the bone D. Osteochondroma - correct answers-Answer: B Rationale: Patients who have received radiation for other forms of cancer are at high risk for developing osteosarcoma. Osteomalacia is caused by a vitamin D deficiency. Paget's disease is a metabolic disorder of bone remodeling. Osteochondroma is a benign bone tumor that has its onset in childhood An expected outcome of an older patient with acute osteomyelitis is: A. Pain B. Fatigue C. Low-grade fever D. Elevated leukocyte count - correct answers-Answer: C Rationale: Common presenting symptoms of osteomyelitis are pain, fever, edema, elevated leukocyte count, fatigue, and general malaise. However, older adults may not have an extreme temperature elevation because of lower core body temperature and compromised immune system that occur with normal aging. Certain transdermal patches must be removed before an MRI is performed because they can cause burns. True False - correct answers-True. Rationale: Transdermal patches (eg, NicoDerm, Transderm Nitro, Transderm Scopolamine, and Catapres-TTS) that have a thin layer of aluminized backing must be removed before an MRI because they can cause burns A patient is admitted for an MRI, a CT scan, and a myelogram. Which of the following medication orders should be questioned for the patient who is to have a myelogram? A. Ampicillin 250mg PO q6H B. Motrin 400mg PO q4h PRN for headache C. Seconal 50mg HS PRN sleep D. Darvon 65mg PO q4h for pain - correct answers-Rationale: Answer C is correct. Seconal is a barbiturate, and CNS depressants and stimulants, as well as phenothiazines, should not be given for 48 hours prior to a mylegram because they decrea

Show more Read less

Institution

Nclex

Course

Nclex

Whoops! We can’t load your doc right now. Try again or contact support.

Report Copyright Violation

Written for

Institution: Nclex
Course: Nclex

Document information

Uploaded on: November 10, 2024
Number of pages: 17
Written in: 2024/2025
Type: Exam (elaborations)
Contains: Questions & answers

Subjects

ortho nclex questions exam set questions and answ

Content preview

Ortho NCLEX Questions| exam set questi
gs gs gs gs gs

ons and answers correct and verified A+
gs gs gs gs gs gs

Agsretiredgs66-gsyear-
gsoldgsfemalegspatientgsisgsbeinggsevaluatedgsforgsosteoporosisgsasgspartgsofgsagsyearlygsphysicalgsexam.gsThegspatie

ntgsstatesgsthatgsshegsisgsagssmoker,gswatchesgstelevisiongsforgsmostgsofgsthegsday,gsandgshasgsbeengshospitalizedgst
wicegswithgsfracturesgswithingsthegslastgsyear.gsBasedgsongsthisgsinformation,gsthegsnursegssuspectsgswhichgscondit
ion?

A.Lowgsbonegsmassgsleadinggstogsincreasedgsbonegsfragility
B.Degenerationgsofgsthegsarticulargscartilage
C.Recurrentgsattacksgsofgsacutegsarthritis
D.Personalitygschangesgscausedgsbygschronicgsnaturegsofgsillnessgs-gscorrectgsanswers-
A.gsLowgsbonegsmassgsleadinggstogsincreasedgsbonegsfragility
'

Lowgsbonegsmass,gsstructuralgsdeteriorationgsofgsbonegstissuegsleadinggstogsbonegsfragility,gsandgsincreasedgssusc
eptibilitygstogsfracturesgsaregsseengswithgsosteoporosis.gsThegspatientgsalsogshasgsriskgsfactorsgsassociatedgswithgs
osteoporosis:gssmoking,gssedentarygslifestyle,gsandgsbeinggsfemalegsandgsmenopausal.gsDegenerativegschanges
gsaregsassociatedgswithgsfrequentgsexacerbationsgsofgsarthritis.gsTheregsisgsnogsindicationgsofgspersonalitygschang

egsingsthisgspatient.
Thegsnursegsdeterminesgsthatgsags55-gsyear-
oldgsfemalegspatientgsisgsexperiencinggsmenopausegsandgsisgsalsogsatgsriskgsforgsosteoporosis.gsWhatgsfoodsgsothe
rgsthangsmilkgscangsthegsnursegssuggestgstogsthisgspatientgstogsincreasegscalciumgsintake?
A.gsSeafood,gswheat,gscorn,gsgreengsvegetables
B.gsChickengsvegetables,gsgreengsvegetables,gspasta,gsbroccoli
C.gsGreengsvegetables,gssardines,gssalmongswithgsbone,gsmolasses
D.gsFreshgsfruits,gsEnglishgsmuffins,gsblackgsbeans,gsasparagusgs-gscorrectgsanswers-
AnswergsCgsisgscorrect.gsWomengsofgsmenopausalgsagegsaregsatgsriskgsforgsosteoporosis,gsandgsfoodsgshighgsingscalc
iumgsshouldgsbegsencouraged.gsAgsdietgswithgsgreengsvegetables,gssardines,gssalmongswithgsbone,gsandgsmolasse
sgsprovidesgshigh-
gsqualitygscalciumgsandgsisgsrecommendedgsforgsagspatientgsexperiencinggsmenopausegsingsordergstogsdecreasegst

hegsriskgsofgsosteoporosis.gsAgsdietgswithgsseafood,gswheat,gscorn,gsandgsgreengsvegetablesgsisgsmoregsconcentrat
edgsingscarbohydratesgsthangsproteinsgscontaininggsmoregscalcium.gsAgsdietgswithgschicken,gsgreengsvegetables,gs
sardines,gsandgsbroccoligscontainsgssomegscalciumgsbutgsisgslowergsthangsthegsothergsoption.gsFoodsgssuchgsasgsfre
shgsfruits,gsEnglishgsmuffins,gsblackgsbeans,gsandgsasparagusgsaregsinadequategsingscalcium.
Agspatientgswithgsosteoporosisgshasgsbeengsadvisedgstogsincreasegsthegsamountgsofgscalciumgsingshergsdiet.gsWhich
gsfoodgsprovidesgsthegsmostgscalcium?

Angs8-gsozgsglassgsofgsmilk
Angsouncegsofgscheddargscheese
Agshalfgscupgsofgsrawgsbroccoli
Ags4-gsouncegssalmongscroquettegs-gscorrectgsanswers-AnswergsAgsisgscorrect.gsAngs8-
ouncegsglassgsofgsmilkgscontainsgs290mggsofgscalcium.gsAnswersgsB,gsC,gsandgsDgscontaingslessergsamounts;gstheref
ore,gstheygsaregsincorrect.gs(Note:gsAngsouncegsofgscheddargscheesegscontainsgs205gsmggsofgscalcium;gshalfgsagscupg

,sofgsrawgsbroccoligscontainsgs175mggsofgscalcium;gsandgs4gsouncesgsofgssalmongscroquettegscontainsgs165gsmggsofgs
calcium).
Whichgsofgsthegsfollowinggsinstructionsgsshouldgsbegsincludedgsforgsthegspatientgstakinggscalciumgssupplements?
A.Thegspatientgsshouldgstakegshergscalciumgswithgsmeals
B.Thegspatientgsshouldgstakegsallgshergsdailygscalciumgssupplementsgsatgsonegstime
C.Thegspatientgsshouldgstakegshergscalciumgssupplementgsaftergsmealsgstogspreventgsstomachgsupset
D.Thegspatientgscangsusegscalcium-gsbasedgsantacidsgsforgssupplement.gs-gscorrectgsanswers-
Rationale:gsAnswergsDgsisgscorrect.gsManygspeoplegsprefergstogssupplementgstheirgscalciumgsintakegswithgscalciu
m-
gsbasedgsantacids.gsIfgscalciumgssupplementsgsaregsused,gstheygsshouldgsbegsadministeredgs30gsminutesgsbeforegs

mealsgstogsmaximizegsabsorption,gssogsanswergsAgsisgswrong.gsCalciumgsabsorptiongsisgsbettergsifgsitgsisgsadministe
redgsthroughoutgsthegsdaygsrathergsthangsingsagssinglegsdose,gsmakinggsanswergsBgswrong.gsCalciumgssupplements
gsdogsnotgscausegsstomachgsupset,gssogsanswergsCgsisgswrong.

Alendronategs(Fosamax)gsisgsorderedgsforgsagspatientgswithgsosteoporosis.gsWhichgsinformationgsshouldgsthegsnu
rsegsteachgsthegspatientgsaboutgsthegsmedication?
A.gsActsgsasgsagsselectivegsestrogengsreceptorgsmodulator
B.gsReducesgsriskgsofgsinvasivegsbreastgscancer
C.gsMaygsbegsobtainedgsasgsagsnasalgsspray
D.gsInhibitsgsbonegsresorptiongs-gscorrectgsanswers-
Alendronategs(Fosamax),gsagsbisphosphonate,gsisgsagspotentgsinhibitorgsofgsbonegsresorptiongsthatgspreservesgsb
onegsmassgsandgsincreasesgsbonegsdensity.gsRaloxifenegs(Evista)gsisgsangsexamplegsofgsagsselectivegsestrogengsrece
ptorgsmodulatorgsthatgsisgsusedgstogstreatgsosteoporosis,gsandgswhichgsalsogsreducesgsthegsriskgsofgsinvasivegsbrea
stgscancer.gsCalcitonings(Miacalcin)gsisgsdispensedgsasgsagsnasalgsspray.
Thegsnursegsisgscaringgsforgsagspatientgswithgsosteoporosisgswhogsisgsbeinggsdischargedgsongsalendronategs(Fosam
ax).gsWhichgsstatementgswouldgsindicategseffectivegsteaching?
A.gs"Igsshouldgstakegsthegsmedicationgsimmediatelygsbeforegsbed"
B.gs"Igsshouldgsremaingsingsangsuprightgspositiongsforgs30gsminutesgsaftergstakinggsthegsmedication"
C.gs"ThegsmedicationgsisgsmoregseffectivegsifgsIgstakegsitgswithgsmilkgsorgsdairygsproducts"
D.gsIfgsIgsskipgsagsdose,gsIgscangstakegstwogstabletsgsthegsnextgstime"gs-gscorrectgsanswers-Answer:gsB-
gsRationalegsshouldgsremaingsuprightgsforgs30gsmins.

Howgslonggsdoesgsagspatientgstakinggsbisphosphonatesgsneedgstogsstaygsuprightgsaftergsadministration?
A.gs10gsminutes
B.gs20gsminutes
C.gs30gsminutes
D.gs120gsminutesgs-gscorrectgsanswers-30gsminutes

Bisphosphonatesgsaregsadministeredgsongsarisinggsingsthegsmorninggswithgsagsfullgsglassgsofgswatergsongsangsempty
gsstomach,gsandgsthegspatientgsmustgsstaygsuprightgsforgs30gstogs60gsminutes.

Whengscaringgsforgsagsclientgswithgshypocalcemia,gsthegsnursegsshouldgsassessgsfor:
A.gsAgsdecreasedgslevelgsofgsconsciousness
B.gsTetany
C.gsBradycardia
D.gsRespiratorygsDepressiongs-gscorrectgsanswers-
AnswergsBgsisgscorrect.gsThegsmostgscommongscomplicationgsofgshypocalcemiagsisgsoverstimulationgsofgsthegsner
vesgsandgsmuscles.gsTetany,gswhichgscangsprogressgstogsconvulsions,gsindicatedgsthatgsthegspatient'sgsconditiongsis
gsworsening.gsAnswergsAgsisgsincorrectgsbecausegsagsdecreasedgslevelgsofgsconsciousnessgsisgsnotgsassociatedgswit

hgshypocalcemia.gsTachycardia,gsnotgsbradycardia,gsisgsassociatedgswithgshypocalcemia,gsmakinggsanswergsCgsinc
orrect.gsAnswergsDgsisgsincorrectgsbecausegsrespiratorygsdepressiongsisgsnotgsdirectlygsrelatedgstogshypocalcemia.

, Agspatientgshasgsbeengsdiagnosisedgswithgsosteomalacia.gsWhatgssymptomsgsdoesgsthegsnursegsrecognizegsthatgs
correlategswithgsthegsdiagnosis?
A.gsBonegsfracturesgsandgskyphosis
B.gsBonegspaingsandgstenderness
C.gsMusclegsWeaknessgsandgsspasms
D.gsSoftenedgsandgscompressedgsvertebraegs-gscorrectgsanswers-Rationale:gsAnswergsBgsisgscorrect.
Thegspatientgswhogsisgstakinggsalendronategs(Fosamax)gsisgsatgs
highgsriskgsforgsdevelopinggswhichgsdisorder?

A.gsCardiovasculargsdisease
B.gsBreastgscancer
C.gsInflammationgsofgsthegsesophagusgs
D.gsStrokegs-gscorrectgsanswers-Answer:gsC
Rationale:gsEsophagitisgsandgsesophagealgsulcersgshavegsbeengsreportedgswithgsusegsofgsallgsofgsthegsbisphospho
nates.gsThegsothergsanswergsselectionsgsapplygstogshormonegsreplacementgstherapy.
Thegspatientgswhogshasgscompletedgsradiationgstherapygs
treatmentsgsforgsagsformgsofgscancergsisgsatgshighgsriskgsforgs
developing:

A.gsOsteomalacia
B.gsOsteosarcoma
C.gsPaget'sgsdiseasegsofgsthegsbonegs
D.gsOsteochondromags-gscorrectgsanswers-Answer:gsB
Rationale:gsPatientsgswhogshavegsreceivedgsradiationgsforgsothergsformsgsofgscancergsaregsatgshighgsriskgsforgsdevel
opinggsosteosarcoma.gsOsteomalaciagsisgscausedgsbygsagsvitamingsDgsdeficiency.gsPaget'sgsdiseasegsisgsagsmetabol
icgsdisordergsofgsbonegsremodeling.gsOsteochondromagsisgsagsbenigngsbonegstumorgsthatgshasgsitsgsonsetgsingschil
dhood
Angsexpectedgsoutcomegsofgsangsoldergspatientgswithgsacute
osteomyelitisgsis:

A.gsPain
B.gsFatiguegs
C.gsLow-gradegsfever
D.gsElevatedgsleukocytegscountgs-gscorrectgsanswers-Answer:gsC
Rationale:gsCommongspresentinggssymptomsgsofgsosteomyelitisgsaregspain,gsfever,gsedema,gselevatedgsleukocyt
egscount,gsfatigue,gsandgsgeneralgsmalaise.gsHowever,gsoldergsadultsgsmaygsnotgshavegsangsextremegstemperature
gselevationgsbecausegsofgslowergscoregsbodygstemperaturegsandgscompromisedgsimmunegssystemgsthatgsoccurgs

withgsnormalgsaging.
CertaingstransdermalgspatchesgsmustgsbegsremovedgsbeforegsangsMRIgsisgsperformedgsbecausegstheygscangscause
gsburns.

True
Falsegs-gscorrectgsanswers-True.
Rationale:gsTransdermalgspatchesgs(eg,gsNicoDerm,gsTransdermgsNitro,gsTransdermgsScopolamine,gsandgsCatap
res-
TTS)gsthatgshavegsagsthingslayergsofgsaluminizedgsbackinggsmustgsbegsremovedgsbeforegsangsMRIgsbecausegstheygsca
ngscausegsburns

$13.99

Get access to the full document:

100% satisfaction guarantee

Immediately available after payment

Both online and in PDF

No strings attached

Get to know the seller

clevercopies

4.0

(46)

Document also available in package deal

Reviews from verified buyers

Showing all reviews

D3f4ult12 Teachme2-tutor · 219 reviews

1 year ago

2.0

1 reviews

Trustworthy reviews on Stuvia

All reviews are made by real Stuvia users after verified purchases.

Get to know the seller

clevercopies Teachme2-tutor

View profile

Sold

Member since

1 year

Number of followers

Documents

4167

Last sold

2 weeks ago

EXAM HUB test banks and exam help

we believe in making study materials accessible and engaging for everyone. Our store specializes in high-quality notes, study guides, and resources tailored for all subjects and academic levels. message for any academic writing and tasks

4.0

46 reviews

Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their exams and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can immediately select a different document that better matches what you need.

Pay how you prefer, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card or EFT and download your PDF document instantly.

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying this summary from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller clevercopies. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy this summary for $13.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews) 43863 documents were sold in the last 30 days Founded in 2010, the go-to place to buy summaries for 15 years now

Ortho NCLEX Questions| exam set questions and answers correct and verified A+

Written for

Document information

Subjects

Content preview

Document also available in package deal

Reviews from verified buyers

Get to know the seller

Recently viewed by you

Why students choose Stuvia

Created by fellow students, verified by reviews

Didn't get what you expected? Choose another document

Pay how you prefer, start learning right away

Frequently asked questions

What do I get when I buy this document?

Satisfaction guarantee: how does it work?

Who am I buying this summary from?

Will I be stuck with a subscription?

Can Stuvia be trusted?