Orthopedic NCLEX Questions and Verified Rationalized
Answers 100% Guaranteed Pass
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: 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.
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?
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: 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, sar- dines, 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.
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: Answer A is correct. An 8-ounce glass of milk contains 290mg
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).
4. 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.: 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 admin- istered 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.
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: Alendronate (Fosamax), a bisphosphonate, is a potent inhibitor of
bone resorption that preserves bone mass and increases bone density. Raloxifene (Evista) is
Answers 100% Guaranteed Pass
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: 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.
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?
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: 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, sar- dines, 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.
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: Answer A is correct. An 8-ounce glass of milk contains 290mg
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).
4. 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.: 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 admin- istered 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.
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: Alendronate (Fosamax), a bisphosphonate, is a potent inhibitor of
bone resorption that preserves bone mass and increases bone density. Raloxifene (Evista) is
