NUR 257 EXAM 4 PRACTICE
1. Which of the following is a true statement about osteoporosis?
Answer A high risk of death follows an osteoporosis-related fracture.
2. Which of the following nursing interventions are suitable as a last resort
treatment for gout?
Answer Colchicine by mouth
3. The nurse sees an older adult diagnosed with osteoarthritis (OA) who pre-
sents with a low-grade fever. The client tells the nurse that the pain is changing;
it is worse at night and in the shoulder muscles. Which of the following does
the nurse perform to prevent complications of this client's condition?
Answer Direct the client to report temporal or scalp pain.
4. The nurse prepares an older adult diagnosed with osteoarthritis (OA) for dis-
charge. Which instruction does the nurse include in client teaching to maintain
safety for this client?
Answer Report joint instability to the health care provider.
,5. Which of the following is a true statement about joints in older adults?
Answer Surgical joint replacement can ettectively manage OA pain.
6. A nurse is teaching an older adult who is experiencing an acute attack of gout.
Which of the following instructions should the nurse include in the teaching?
(Select all that apply.)
A. Take ASA to relieve pain.
B. Increase fluid intake to 2 L/day.
C. Walk barefooted as much as possible.
D. Avoid foods high in purine.
E. Avoid alcoholic beverages.
Answer BDE
7. Contact dermatitis is caused by
Answer contact with skin allergens.
8. What is the deadliest form of skin cancer?
Answer Melanoma
,9. Which finding is characteristic of oral candidiasis?
Answer Whitish coating on the tongue
10. A 4-year-old is brought to the clinic for evaluation of dry, scaly, itchy patches
on the face, antecubital areas, and behind the ears and knees. The skin is dry
overall, and there is evidence of scratching. This is likely a case of
Answer atopic dermatitis.
11. Which of the following statements is true about rheumatoid arthritis (RA)?
Answer -
Can attect body systems other than the joints.
, 12. A nurse is teaching an older adult who is experiencing an acute attack of
gout. Which of the following should the nurse include in the teaching?
Answer Avoid foods high in purine.
13. Which assessment is typical for a client with osteoarthritis (OA)?
Answer Narrow joint spaces with crepitus
14. The nurse is educating an older adult on foods high in calcium. Which foods
should the nurse include? (Select all that apply.)
A. Almonds
B. Cheese pizza
C. Whole wheat bread
D. Chinese cabbage
E. Soy milk
Answer ABDE
15. It is true that vitiligo
Answer is a depigmented patch of skin
1. Which of the following is a true statement about osteoporosis?
Answer A high risk of death follows an osteoporosis-related fracture.
2. Which of the following nursing interventions are suitable as a last resort
treatment for gout?
Answer Colchicine by mouth
3. The nurse sees an older adult diagnosed with osteoarthritis (OA) who pre-
sents with a low-grade fever. The client tells the nurse that the pain is changing;
it is worse at night and in the shoulder muscles. Which of the following does
the nurse perform to prevent complications of this client's condition?
Answer Direct the client to report temporal or scalp pain.
4. The nurse prepares an older adult diagnosed with osteoarthritis (OA) for dis-
charge. Which instruction does the nurse include in client teaching to maintain
safety for this client?
Answer Report joint instability to the health care provider.
,5. Which of the following is a true statement about joints in older adults?
Answer Surgical joint replacement can ettectively manage OA pain.
6. A nurse is teaching an older adult who is experiencing an acute attack of gout.
Which of the following instructions should the nurse include in the teaching?
(Select all that apply.)
A. Take ASA to relieve pain.
B. Increase fluid intake to 2 L/day.
C. Walk barefooted as much as possible.
D. Avoid foods high in purine.
E. Avoid alcoholic beverages.
Answer BDE
7. Contact dermatitis is caused by
Answer contact with skin allergens.
8. What is the deadliest form of skin cancer?
Answer Melanoma
,9. Which finding is characteristic of oral candidiasis?
Answer Whitish coating on the tongue
10. A 4-year-old is brought to the clinic for evaluation of dry, scaly, itchy patches
on the face, antecubital areas, and behind the ears and knees. The skin is dry
overall, and there is evidence of scratching. This is likely a case of
Answer atopic dermatitis.
11. Which of the following statements is true about rheumatoid arthritis (RA)?
Answer -
Can attect body systems other than the joints.
, 12. A nurse is teaching an older adult who is experiencing an acute attack of
gout. Which of the following should the nurse include in the teaching?
Answer Avoid foods high in purine.
13. Which assessment is typical for a client with osteoarthritis (OA)?
Answer Narrow joint spaces with crepitus
14. The nurse is educating an older adult on foods high in calcium. Which foods
should the nurse include? (Select all that apply.)
A. Almonds
B. Cheese pizza
C. Whole wheat bread
D. Chinese cabbage
E. Soy milk
Answer ABDE
15. It is true that vitiligo
Answer is a depigmented patch of skin
