NUR 529 EXAM 4 REVIEW STUDY GUIDE & PRACTICE QUESTIONS
2026/2027
An adult female client visits with her health care provider about pain in her hand. She describes
it as an audible grinding and cracking sound, especially in her thumb. "I had to buy an automatic
jar opener...I just can't grasp and open a jar...it just hurts too badly." The health care provider
suspects the client has a degenerative form of joint disease that is often evidenced by: - Correct
answer ✔✔ Osteoarthritis
A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the
Olympic swimming team. As a health care provider, which of the following should be
implemented to prevent premature osteoporosis? - Correct answer ✔✔ Calcium/Vitamin D
supplements
A 77-year-old woman has been admitted to the geriatric medical unit of the hospital for the
treatment of pneumonia. The nurse providing care for the client notes the presence of nasal
calcitonin, vitamin D, and calcium chloride on the client's medication administration record. The
nurse should conclude that this client likely has a history of:
Osteoporosis - Correct answer ✔✔ Osteoporosis
Which of the following measures should a public health nurse recommend to middle-aged
women to reduce their chances of developing osteoporosis later in life? - Correct answer ✔✔
Calcium supplementation and regular physical activity
Which of the following statements about bone mass and the elderly is accurate? - Correct
answer ✔✔ Bone resorption and formation are no longer perfectly coupled, and bone mass is
lost.
While discussing hormonal control of bone formation, one should note that which hormone
lowers blood calcium levels and decreases bone resorption? - Correct answer ✔✔ Calcitonin
, A client with a history of osteoarthritis in his hip, which he refers to as "bad hip," is also
complaining of knee pain. The physiological principle behind this would include the fact that:
All joints of an extremity are innervated by the same peripheral nerves as they travel down the
limb. - Correct answer ✔✔ All joints of an extremity are innervated by the same peripheral
nerves as they travel down the limb.
How are the oxygenation needs of the articulating areas in a synovial joint met? - Correct
answer ✔✔ Oxygen is provided to the articulating areas indirectly by synovial fluid.
A 5-year-old girl has been presented for care by her father due to her recent development of
macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her
primary symptom is extreme pruritus. What disorder of the skin should the clinician who is
assessing the child first suspect? - Correct answer ✔✔ Varicella
Which of the following disorders of the skin is most likely to respond to treatment with systemic
antibiotics? - Correct answer ✔✔ Acne vulgaris
What process accounts for the damaging effects of the sun's radiation - Correct answer ✔✔
Damage to epidermal cell DNA and free radical production
A 44-year-old man has been brought to the emergency department with severe electrical burns
resulting from a workplace accident. The most immediate threat to this client's survival at this
time is: - Correct answer ✔✔ Hemodynamic instability
Dry, itchy plaques on her elbows and knees have prompted a 23-year-old woman to seek care.
The clinician has subsequently diagnosed the client with psoriasis, a disorder that results from: -
Correct answer ✔✔ Increased epidermal cell turnover
When asking pathophysiology students, "Why do sebaceous glands secrete sebum?" the
student with the correct answer would be: - Correct answer ✔✔ To lubricate skin and hair
2026/2027
An adult female client visits with her health care provider about pain in her hand. She describes
it as an audible grinding and cracking sound, especially in her thumb. "I had to buy an automatic
jar opener...I just can't grasp and open a jar...it just hurts too badly." The health care provider
suspects the client has a degenerative form of joint disease that is often evidenced by: - Correct
answer ✔✔ Osteoarthritis
A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the
Olympic swimming team. As a health care provider, which of the following should be
implemented to prevent premature osteoporosis? - Correct answer ✔✔ Calcium/Vitamin D
supplements
A 77-year-old woman has been admitted to the geriatric medical unit of the hospital for the
treatment of pneumonia. The nurse providing care for the client notes the presence of nasal
calcitonin, vitamin D, and calcium chloride on the client's medication administration record. The
nurse should conclude that this client likely has a history of:
Osteoporosis - Correct answer ✔✔ Osteoporosis
Which of the following measures should a public health nurse recommend to middle-aged
women to reduce their chances of developing osteoporosis later in life? - Correct answer ✔✔
Calcium supplementation and regular physical activity
Which of the following statements about bone mass and the elderly is accurate? - Correct
answer ✔✔ Bone resorption and formation are no longer perfectly coupled, and bone mass is
lost.
While discussing hormonal control of bone formation, one should note that which hormone
lowers blood calcium levels and decreases bone resorption? - Correct answer ✔✔ Calcitonin
, A client with a history of osteoarthritis in his hip, which he refers to as "bad hip," is also
complaining of knee pain. The physiological principle behind this would include the fact that:
All joints of an extremity are innervated by the same peripheral nerves as they travel down the
limb. - Correct answer ✔✔ All joints of an extremity are innervated by the same peripheral
nerves as they travel down the limb.
How are the oxygenation needs of the articulating areas in a synovial joint met? - Correct
answer ✔✔ Oxygen is provided to the articulating areas indirectly by synovial fluid.
A 5-year-old girl has been presented for care by her father due to her recent development of
macules on her trunk, extremities, and mucous membranes. The child is mildly febrile, but her
primary symptom is extreme pruritus. What disorder of the skin should the clinician who is
assessing the child first suspect? - Correct answer ✔✔ Varicella
Which of the following disorders of the skin is most likely to respond to treatment with systemic
antibiotics? - Correct answer ✔✔ Acne vulgaris
What process accounts for the damaging effects of the sun's radiation - Correct answer ✔✔
Damage to epidermal cell DNA and free radical production
A 44-year-old man has been brought to the emergency department with severe electrical burns
resulting from a workplace accident. The most immediate threat to this client's survival at this
time is: - Correct answer ✔✔ Hemodynamic instability
Dry, itchy plaques on her elbows and knees have prompted a 23-year-old woman to seek care.
The clinician has subsequently diagnosed the client with psoriasis, a disorder that results from: -
Correct answer ✔✔ Increased epidermal cell turnover
When asking pathophysiology students, "Why do sebaceous glands secrete sebum?" the
student with the correct answer would be: - Correct answer ✔✔ To lubricate skin and hair
