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OSTEOPOROSIS NCLEX STUDY GUIDE EXAM 2026.pdf

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OSTEOPOROSIS NCLEX STUDY GUIDE EXAM

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OSTEOPOROSIS NCLEX STUDY GUIDE EXAM 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔A client is diagnosed with osteoporosis. Which statements should the nurse include
when teaching the client about the disease?
SELECT ALL THAT APPLY

a)"It's common in females after menopause."
b) "It's a degenerative disease characterized by a decrease in bone density."
c) "It's a congenital disease caused by poor dietary intake of milk products."
d) "It can cause pain and injury."
e) "Passive range-of-motion exercises can promote bone growth."
f) "Weight-bearing exercise should be avoided." - ✔✔Answer: a, b, d
Osteoporosis is a degenerative metabolic bone disorder in which the rate of bone
resorption accelerates and the rate of bone formation decelerates, thus decreasing
bone density. Postmenopausal women are at increased risk for this disorder because of
the loss of estrogen. The decrease in bone density can cause pain and injury.
Osteoporosis isn't a congenital disorder; however, low calcium intake does contribute to
the disorder. Passive range-of-motion exercises may be performed but they won't
promote bone growth. The client should be encouraged to participate in weight-bearing
exercise because it promotes bone growth.

✔✔The nurse should include which of the following client teachings for prevention of
rapid progression of osteoporosis?

a) avoid taking skim milk
b) avoid taking protein-rich foods
c) avoid calcium supplement
d) avoid alcohol - ✔✔D
- avoiding alcohol and cigarette smoking will prevent rapid progression of osteoporosis.
Skim milk is indicated among elderly because it is low in fats. Protein foods are
necessary for calcium absorption. Calcium supplements help maintain integrity of the
bones

✔✔A nurse is conducting a health screening among females at the mall to assess those
who are at risk for developing osteoporosis. Which of the following questions is most
appropriate to be asked by the nurse in relation to development of osteoporosis?

a) at what age did you have your menstruation?
b) did you have any fracture?
c) are you taking corticosteroids?
d) are you on the diet high in vitamin D? - ✔✔C
- corticosteroids promote calcium loss. This increases the risk for osteoporosis.

, ✔✔Intervention to prevent osteoporosis in women should start at which age? - ✔✔20-
35 years

✔✔Alendronate is used in treatment of osteoporosis because it? - ✔✔Inhibits
osteoclastic activity

✔✔Postmenopausal women are more prone to suffer from osteoporosis due to? -
✔✔Decreased estrogen level

✔✔What is the best way to diagnose osteoporosis - ✔✔Bone density scan

✔✔The daily requirement of calcium for an adult woman is - ✔✔1200 mg

✔✔Which of these is a risk factor for osteoporosis

a-Age and family history
b-Obesity and smoking
c-All of the above - ✔✔All of the above

✔✔ Alendronate (Fosamax) is prescribed for a patient with osteoporosis. The nurse
teaches the patient that
a )the drug must be taken with food to prevent GI side effects.

b )bisphosphonates prevent calcium from being taken from the bones.

c )lying down after taking the drug prevents light-headedness and dizziness.

d )taking the drug with milk enhances the absorption of calcium from the bowel. -
✔✔Answer is: b

✔✔Which patient would be at greatest risk for developing osteoporosis?

a )A 73-year-old man who has five alcoholic drinks per week and limits sun exposure to
prevent recurrence of skin cancer.

b )An 84-year-old man who has recently been diagnosed with hypothyroidism and is
prescribed levothyroxine (Synthroid).

c )A 69-year-old woman who had a renal transplant 5 years ago and has been taking
prednisone to prevent organ rejection.

d )A 55-year-old woman who recently had a hysterectomy with bilateral salpingo-
oophorectomy and refuses estrogen therapy. - ✔✔Answer is: c

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