NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
The nurse is caring for a patient who had a
dual-energy x-ray absorptiometry (DEXA)
scan and is now prescribed cal- cium with
vitamin D twice a day. The pa- tient asks the 1, 3, 5
nurse the purpose of this drug.What is the
nurse's best response? Select all that apply. Vitamin D and its metabolites are pro-
1. "When your calcium and vitamin D duced in the body and transported in the
levels are low, your risk for blood to promote the absorption of cal-
osteoporosis and osteomalacia increas- es." cium and phosphorus from the small in-
2. "When your vitamin D level is high, your testine. A decrease in the body's vitamin D
bones release calcium to keep your blood level can result in osteomalacia (soft- ening
calcium level in the normal range." of bone) in an adult. When serum calcium
3. "When your blood calcium is low, calci- levels are lowered, parathyroid hormone
um is released from your bones increas- ing (PTH, or parathormone) secretion increases
your risk for fractures." and stimulates bone to promote osteoclastic
4. "When blood calcium is normal, long activity and re- lease calcium to the blood.
bones are formed increasing a person's PTH reduces the renal excretion of calcium
height." and facil- itates its absorption from the
5. "The extra calcium and vitamin D will intestine.
help protect your bones from damage such Sources of vitamin D include sunlight,
as fractures." fatty fish, and vitamin D-enriched foods.
6. "You can also get extra vitamin D by
increasing your intake of beef and pork Focus: Prioritization.
sources."
1, 3, 4, 5, 6
The nurse is preparing a discussion of
musculoskeletal health maintenance for a Many health problems of the muscu-
group of older adults. Which key points loskeletal system can be
would the nurse be sure to prevented through health promotion
include? Select all that apply. strategies and avoidance of risky lifestyle
1. Be aware of and consume foods rich in behaviors. Weight-bearing activ- ities such
calcium and vitamin D. as walking can reduce risk fac- tors for
2. Wear hats and long sleeves to avoid sun osteoporosis and maintain mus- cle strength.
exposure at all times. Young men are at the great- est risk for
3. Consider exercise with low impact to trauma related to motor vehi- cle crashes.
Older adults are at
the greatest risk for falls that result in
, NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
fractures and soft tissue injury. High- impact
avoid risk for injury. sports, such as excessive jogging or running,
4. If you smoke, consider a smoking ces- can cause
sation program. musculoskeletal injury to soft tissues and
5. Excessive alcohol intake can interfere bone. Tobacco use slows the healing of
with vitamins and nutrients for bone growth. musculoskeletal injuries. Excessive alco- hol
6. Weight-bearing activities decrease the risk intake can decrease vitamins and nu- trients
for osteoporosis. the person needs for bone and muscle tissue
growth.
Focus: Prioritization.
The nurse is caring for a patient with
osteoporosis who is at increased risk for 4
falls.Which intervention should the nurse
delegate to the unlicensed assistive per- Assisting with activities of daily living, in-
sonnel (UAP)? cluding assisting with
1. Identifying environmental factors that ambulation to the bathroom, is within the
increase risk for falls scope of the UAP's practice. The
2. Monitoring gait, balance, and fatigue other three interventions require addi-
level with ambulation tional educational preparation and are
3. Collaborating with the physical thera- within the scope of practice of licensed
pist to provide the patient with a walker nurses. Focus: Delegation, Supervision.
4. Assisting the patient with ambulation to
the bathroom and in the halls 1, 2, 3, 5
The nurse is preparing to teach a patient with
a new diagnosis of osteoporosis about The purpose of the teaching is to help the
strategies to prevent falls. Which teaching patient prevent falls.The hip protector can
points should the nurse be sure to include? prevent hip fractures if the patient falls.
Select all that apply. Throw rugs and obstacles in the home
1. Wear a hip protector when ambulating. increase the risk of falls. Patients who are
2. Remove throw rugs and other obsta- tired are
cles at home. also more likely to fall. Exercise helps to
3. Exercise to help build your strength. strengthen muscles and improve
4. Expect a few bumps and bruises when you coordination. Women should not con- sume
go home. more than one drink per day, and men
5. Rest when you are tired. should not consume more than two drinks
6. Avoid consuming three or more alco- per day. Focus: Prioritization.
holic drinks per day.
, NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
The nurse's assessment reveals all of these
data when a patient with Paget dis- ease is 2
admitted to the acute care unit. Which
finding should the nurse notify the health Platybasia (basilar skull invagination) causes
care provider about first? brainstem manifestations
1. There is a bowing of both legs, and the that threaten life. Patients with Paget dis-
knees are asymmetrical. ease are usually short and often have
2. The base of the skull is invaginated bowing of the long bones that results in
(platybasia). asymmetrical knees or elbow deformities.
3. The patient is only 5 feet tall and The skull is typically soft, thick, and
weighs 120 lb. enlarged. Focus: Prioritization.
4. The skull is soft, thick, and larger than
normal. 3
Applying heat, not ice, is the appropriate
measure to help reduce the
The charge nurse observes an LPN/LVN patient's pain. Ibuprofen is useful to man- age
assigned to provide all of these interven- mild to moderate pain. Exercise pre- scribed
tions for a patient with Paget disease. by a physical therapist would
Which action requires that the charge be nonimpact in nature and provide
nurse intervene? strengthening for the patient. A diet rich in
1. Administering 600 mg of ibuprofen to calcium promotes bone health.
the patient
2. Encouraging the patient to perform ex- Focus: Assignment, Supervision
ercises recommended by a physical
therapist Test Taking Tip: The charge nurse would be
3. Applying ice and gentle massage to the familiar with the usual care of a pa- tient
patient's lower extremities with Paget disease. Supervise the LPN/LVN
4. Reminding the patient to drink milk so that he or she would stop the ice
and eat cottage cheese treatment and explain to the LPN/LVN that
the use of heat is prefer- able to reduce the
patient's pain.
The charge nurse is making assign- ments
4
for the day shift. Which patient should be
assigned to the nurse who was floated from
the postanesthesia care unit (PACU) for the
day?
, NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
1. A 35-year-old patient with os-
teomyelitis who needs teaching before
The PACU nurse is very familiar with the
hyperbaric oxygen therapy
assessment skills necessary to monitor a
2. A 62-year-old patient with osteomala- cia
patient who just underwent surgery. For the
who is being discharged to a long- term
other patients, nurses familiar with
care facility
musculoskeletal system-related nursing care
3. A 68-year-old patient with osteoporo- sis
are needed to provide teaching and
given a new orthotic device whose
assessment and prepare a report to the long-
knowledge of its use must be assessed
term
4. A 72-year-old patient with Paget dis-
care facility. Focus: Assignment.
ease who has just returned from surgery for
total knee replacement
The nurse delegates the measurement of
vital signs to an experienced unli- censed 1
assistive personnel (UAP). Os- teomyelitis
has been diagnosed in a patient. Which vital An elevated temperature indicates infec- tion
sign value would the nurse instruct the UAP and inflammation. This patient needs IV
to report immedi- ately for this patient? antibiotic therapy. The other vital sign
1. Temperature of 101°F (38.3°C) values are normal or
2. Blood pressure of 136/80 mm Hg high normal.
3. Heart rate of 96 beats/min
4. Respiratory rate of 24 breaths/min Focus: Delegation, Supervision.
The nurse is working with unlicensed as- 1, 3, 5, 6
sistive personnel (UAP) to provide care for
six patients. At the beginning of the shift, Clear, concise, correct, complete are the
the nurse carefully tells the "Four Cs" of
UAP what patient interventions and tasks communication. Implementing the four Cs
he or she is expected to perform. Which of communication helps the nurse en- sure
"Four Cs" guide the nurse's com- that the UAP understands what is being said;
munication with the UAP? Select all that that the UAP does not con- fuse the nurse's
apply. directions; that the direc- tions comply with
1. Clear policies,
2. Comprehensive procedures, job descriptions, and the law;
3. Concise and that the UAP has all the infor- mation
4. Credible necessary to complete the tasks assigned.
2025/2026 Exam|Graded A
The nurse is caring for a patient who had a
dual-energy x-ray absorptiometry (DEXA)
scan and is now prescribed cal- cium with
vitamin D twice a day. The pa- tient asks the 1, 3, 5
nurse the purpose of this drug.What is the
nurse's best response? Select all that apply. Vitamin D and its metabolites are pro-
1. "When your calcium and vitamin D duced in the body and transported in the
levels are low, your risk for blood to promote the absorption of cal-
osteoporosis and osteomalacia increas- es." cium and phosphorus from the small in-
2. "When your vitamin D level is high, your testine. A decrease in the body's vitamin D
bones release calcium to keep your blood level can result in osteomalacia (soft- ening
calcium level in the normal range." of bone) in an adult. When serum calcium
3. "When your blood calcium is low, calci- levels are lowered, parathyroid hormone
um is released from your bones increas- ing (PTH, or parathormone) secretion increases
your risk for fractures." and stimulates bone to promote osteoclastic
4. "When blood calcium is normal, long activity and re- lease calcium to the blood.
bones are formed increasing a person's PTH reduces the renal excretion of calcium
height." and facil- itates its absorption from the
5. "The extra calcium and vitamin D will intestine.
help protect your bones from damage such Sources of vitamin D include sunlight,
as fractures." fatty fish, and vitamin D-enriched foods.
6. "You can also get extra vitamin D by
increasing your intake of beef and pork Focus: Prioritization.
sources."
1, 3, 4, 5, 6
The nurse is preparing a discussion of
musculoskeletal health maintenance for a Many health problems of the muscu-
group of older adults. Which key points loskeletal system can be
would the nurse be sure to prevented through health promotion
include? Select all that apply. strategies and avoidance of risky lifestyle
1. Be aware of and consume foods rich in behaviors. Weight-bearing activ- ities such
calcium and vitamin D. as walking can reduce risk fac- tors for
2. Wear hats and long sleeves to avoid sun osteoporosis and maintain mus- cle strength.
exposure at all times. Young men are at the great- est risk for
3. Consider exercise with low impact to trauma related to motor vehi- cle crashes.
Older adults are at
the greatest risk for falls that result in
, NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
fractures and soft tissue injury. High- impact
avoid risk for injury. sports, such as excessive jogging or running,
4. If you smoke, consider a smoking ces- can cause
sation program. musculoskeletal injury to soft tissues and
5. Excessive alcohol intake can interfere bone. Tobacco use slows the healing of
with vitamins and nutrients for bone growth. musculoskeletal injuries. Excessive alco- hol
6. Weight-bearing activities decrease the risk intake can decrease vitamins and nu- trients
for osteoporosis. the person needs for bone and muscle tissue
growth.
Focus: Prioritization.
The nurse is caring for a patient with
osteoporosis who is at increased risk for 4
falls.Which intervention should the nurse
delegate to the unlicensed assistive per- Assisting with activities of daily living, in-
sonnel (UAP)? cluding assisting with
1. Identifying environmental factors that ambulation to the bathroom, is within the
increase risk for falls scope of the UAP's practice. The
2. Monitoring gait, balance, and fatigue other three interventions require addi-
level with ambulation tional educational preparation and are
3. Collaborating with the physical thera- within the scope of practice of licensed
pist to provide the patient with a walker nurses. Focus: Delegation, Supervision.
4. Assisting the patient with ambulation to
the bathroom and in the halls 1, 2, 3, 5
The nurse is preparing to teach a patient with
a new diagnosis of osteoporosis about The purpose of the teaching is to help the
strategies to prevent falls. Which teaching patient prevent falls.The hip protector can
points should the nurse be sure to include? prevent hip fractures if the patient falls.
Select all that apply. Throw rugs and obstacles in the home
1. Wear a hip protector when ambulating. increase the risk of falls. Patients who are
2. Remove throw rugs and other obsta- tired are
cles at home. also more likely to fall. Exercise helps to
3. Exercise to help build your strength. strengthen muscles and improve
4. Expect a few bumps and bruises when you coordination. Women should not con- sume
go home. more than one drink per day, and men
5. Rest when you are tired. should not consume more than two drinks
6. Avoid consuming three or more alco- per day. Focus: Prioritization.
holic drinks per day.
, NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
The nurse's assessment reveals all of these
data when a patient with Paget dis- ease is 2
admitted to the acute care unit. Which
finding should the nurse notify the health Platybasia (basilar skull invagination) causes
care provider about first? brainstem manifestations
1. There is a bowing of both legs, and the that threaten life. Patients with Paget dis-
knees are asymmetrical. ease are usually short and often have
2. The base of the skull is invaginated bowing of the long bones that results in
(platybasia). asymmetrical knees or elbow deformities.
3. The patient is only 5 feet tall and The skull is typically soft, thick, and
weighs 120 lb. enlarged. Focus: Prioritization.
4. The skull is soft, thick, and larger than
normal. 3
Applying heat, not ice, is the appropriate
measure to help reduce the
The charge nurse observes an LPN/LVN patient's pain. Ibuprofen is useful to man- age
assigned to provide all of these interven- mild to moderate pain. Exercise pre- scribed
tions for a patient with Paget disease. by a physical therapist would
Which action requires that the charge be nonimpact in nature and provide
nurse intervene? strengthening for the patient. A diet rich in
1. Administering 600 mg of ibuprofen to calcium promotes bone health.
the patient
2. Encouraging the patient to perform ex- Focus: Assignment, Supervision
ercises recommended by a physical
therapist Test Taking Tip: The charge nurse would be
3. Applying ice and gentle massage to the familiar with the usual care of a pa- tient
patient's lower extremities with Paget disease. Supervise the LPN/LVN
4. Reminding the patient to drink milk so that he or she would stop the ice
and eat cottage cheese treatment and explain to the LPN/LVN that
the use of heat is prefer- able to reduce the
patient's pain.
The charge nurse is making assign- ments
4
for the day shift. Which patient should be
assigned to the nurse who was floated from
the postanesthesia care unit (PACU) for the
day?
, NURS 221 Questions & Answers 100% Correct (Verified Solutions )
2025/2026 Exam|Graded A
1. A 35-year-old patient with os-
teomyelitis who needs teaching before
The PACU nurse is very familiar with the
hyperbaric oxygen therapy
assessment skills necessary to monitor a
2. A 62-year-old patient with osteomala- cia
patient who just underwent surgery. For the
who is being discharged to a long- term
other patients, nurses familiar with
care facility
musculoskeletal system-related nursing care
3. A 68-year-old patient with osteoporo- sis
are needed to provide teaching and
given a new orthotic device whose
assessment and prepare a report to the long-
knowledge of its use must be assessed
term
4. A 72-year-old patient with Paget dis-
care facility. Focus: Assignment.
ease who has just returned from surgery for
total knee replacement
The nurse delegates the measurement of
vital signs to an experienced unli- censed 1
assistive personnel (UAP). Os- teomyelitis
has been diagnosed in a patient. Which vital An elevated temperature indicates infec- tion
sign value would the nurse instruct the UAP and inflammation. This patient needs IV
to report immedi- ately for this patient? antibiotic therapy. The other vital sign
1. Temperature of 101°F (38.3°C) values are normal or
2. Blood pressure of 136/80 mm Hg high normal.
3. Heart rate of 96 beats/min
4. Respiratory rate of 24 breaths/min Focus: Delegation, Supervision.
The nurse is working with unlicensed as- 1, 3, 5, 6
sistive personnel (UAP) to provide care for
six patients. At the beginning of the shift, Clear, concise, correct, complete are the
the nurse carefully tells the "Four Cs" of
UAP what patient interventions and tasks communication. Implementing the four Cs
he or she is expected to perform. Which of communication helps the nurse en- sure
"Four Cs" guide the nurse's com- that the UAP understands what is being said;
munication with the UAP? Select all that that the UAP does not con- fuse the nurse's
apply. directions; that the direc- tions comply with
1. Clear policies,
2. Comprehensive procedures, job descriptions, and the law;
3. Concise and that the UAP has all the infor- mation
4. Credible necessary to complete the tasks assigned.
