Gerontology Presentation NCLEX
Questions
A 70 year-old female patient with osteoporosis asks the nurse which bones she might
be at risk for fracturing. The nurse answers that the three most at-risk areas include the
following: (select all that apply)
a.) Phalanges
b.) Hip
c.) Radius at the wrist (Colles' fracture)
d.) Tibia
e.) Spine - answerb.) Hip
c.) Radius at the wrist (Colles' fracture)
e.) Spine
A nurse is giving teaching to a 65 year-old female patient who has osteoporosis and is
going home from the hospital after a Colles' fracture. What items should be included in
the teaching? (select all that apply)
a.) Remove throw rugs to prevent more falls.
b.) Eat foods such as chicken, pork, or lamb, because they are high in calcium.
c.) Eat foods such as white or red beans and green leafy vegetables because they are
high in calcium.
d.) If the nail beds on your affected hand are blue, don't worry. That's normal when you
have a cast on.
e.) If the skin under the cast becomes itchy or uncomfortable, you can put a small piece
of cotton gauze underneath the cast. - answera.) Remove throw rugs to prevent more
falls.
c.) Eat foods such as white or red beans and green leafy vegetables because they are
high in calcium.
Which patient below is NOT at risk for osteoporosis?
a.) A 48 year old female patient who has been taking glucocorticoids for the last 6
months.
b.) A 50 year old female whose last menstrual period was 7 years ago.
c.) A 30 year old male who says he drinks alcohol a few times a month and has a BMI
of 26
d.) A 35 year old female who has a history of seizures and takes Dilantin regularly. -
answerc.) A 30 year old male who says he drinks alcohol a few times a month and has
a BMI of 26
Which patients below are at risk for developing osteoarthritis? Select all that apply:
a.) 65 year old male with a BMI of 35.
b.) 59 year old female with a history of taking long term doses of corticosteroids.
, c.) 55 year old male with a history of repeated right knee injuries.
d.) 60 year old female with high uric acid levels.
e.) 45 year old female with a BMI of 21 - answera.) 65 year old male with a BMI of 35.
c.) 55 year old male with a history of repeated right knee injuries.
During a home health visit you are helping a patient with gout identify foods in their
pantry they should avoid eating. Select all the foods below the patient should avoid:
a.) Sardines
b.) Whole wheat bread
c.) Steak
d.) Crackers
e.) Craft beer
f.) Bananas - answera.) Sardines
c.) Steak
e.) Craft beer
The nurse is providing education to a patient, who was recently diagnosed with
rheumatoid arthritis, about physical exercise. Which statement made by the patient is
correct?
a.) "It is best I try to incorporate a moderate level of high impact exercises weekly into
my routine, such as running and aerobics."
b.) "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a
weekly regime of range of motion exercises along with walking and riding a stationary
bike."
c.) "It is important I perform range of motion exercises during joint flare-ups and
incorporate low-impact exercises into my daily routine."
d.) "Physical exercise should be limited to only range of motion exercises to prevent
further joint damage." - answerb.) "I will be sure to rest joints that are experiencing a
flare-up, but I will try to maintain a weekly regime of range of motion exercises along
with walking and riding a stationary bike."
When assessing a patient with osteoarthritis, what symptom should the nurse look for
with this diagnosis?
a.) Crepitus in one or more joints
b.) Decreased grip strength
c.) Bilateral joint swelling
d.) Increased joint movement - answera.) Crepitus in one or more joints
A nurse is educating a patient with rheumatoid arthritis about management of the
disease, what should the nurse include in the teaching?
a) "Stay on a low-purine diet and lower your consumption of red meats and shellfish."
b) "To avoid sensitivity, avoid applying cold or heat to your joints."
c) "Weight has no effect on this disease, so there is no need to change your diet or
exercise."
Questions
A 70 year-old female patient with osteoporosis asks the nurse which bones she might
be at risk for fracturing. The nurse answers that the three most at-risk areas include the
following: (select all that apply)
a.) Phalanges
b.) Hip
c.) Radius at the wrist (Colles' fracture)
d.) Tibia
e.) Spine - answerb.) Hip
c.) Radius at the wrist (Colles' fracture)
e.) Spine
A nurse is giving teaching to a 65 year-old female patient who has osteoporosis and is
going home from the hospital after a Colles' fracture. What items should be included in
the teaching? (select all that apply)
a.) Remove throw rugs to prevent more falls.
b.) Eat foods such as chicken, pork, or lamb, because they are high in calcium.
c.) Eat foods such as white or red beans and green leafy vegetables because they are
high in calcium.
d.) If the nail beds on your affected hand are blue, don't worry. That's normal when you
have a cast on.
e.) If the skin under the cast becomes itchy or uncomfortable, you can put a small piece
of cotton gauze underneath the cast. - answera.) Remove throw rugs to prevent more
falls.
c.) Eat foods such as white or red beans and green leafy vegetables because they are
high in calcium.
Which patient below is NOT at risk for osteoporosis?
a.) A 48 year old female patient who has been taking glucocorticoids for the last 6
months.
b.) A 50 year old female whose last menstrual period was 7 years ago.
c.) A 30 year old male who says he drinks alcohol a few times a month and has a BMI
of 26
d.) A 35 year old female who has a history of seizures and takes Dilantin regularly. -
answerc.) A 30 year old male who says he drinks alcohol a few times a month and has
a BMI of 26
Which patients below are at risk for developing osteoarthritis? Select all that apply:
a.) 65 year old male with a BMI of 35.
b.) 59 year old female with a history of taking long term doses of corticosteroids.
, c.) 55 year old male with a history of repeated right knee injuries.
d.) 60 year old female with high uric acid levels.
e.) 45 year old female with a BMI of 21 - answera.) 65 year old male with a BMI of 35.
c.) 55 year old male with a history of repeated right knee injuries.
During a home health visit you are helping a patient with gout identify foods in their
pantry they should avoid eating. Select all the foods below the patient should avoid:
a.) Sardines
b.) Whole wheat bread
c.) Steak
d.) Crackers
e.) Craft beer
f.) Bananas - answera.) Sardines
c.) Steak
e.) Craft beer
The nurse is providing education to a patient, who was recently diagnosed with
rheumatoid arthritis, about physical exercise. Which statement made by the patient is
correct?
a.) "It is best I try to incorporate a moderate level of high impact exercises weekly into
my routine, such as running and aerobics."
b.) "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a
weekly regime of range of motion exercises along with walking and riding a stationary
bike."
c.) "It is important I perform range of motion exercises during joint flare-ups and
incorporate low-impact exercises into my daily routine."
d.) "Physical exercise should be limited to only range of motion exercises to prevent
further joint damage." - answerb.) "I will be sure to rest joints that are experiencing a
flare-up, but I will try to maintain a weekly regime of range of motion exercises along
with walking and riding a stationary bike."
When assessing a patient with osteoarthritis, what symptom should the nurse look for
with this diagnosis?
a.) Crepitus in one or more joints
b.) Decreased grip strength
c.) Bilateral joint swelling
d.) Increased joint movement - answera.) Crepitus in one or more joints
A nurse is educating a patient with rheumatoid arthritis about management of the
disease, what should the nurse include in the teaching?
a) "Stay on a low-purine diet and lower your consumption of red meats and shellfish."
b) "To avoid sensitivity, avoid applying cold or heat to your joints."
c) "Weight has no effect on this disease, so there is no need to change your diet or
exercise."
