NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
A nurse is caring for an adult patient diagnosed with a back strain. What health education should
the nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance.
B) Focus on using back muscles efficiently when lifting heavy objects.
C) Lift objects while holding the object a safe distance from the body.
D) Tighten the abdominal muscles and lock the knees when lifting of an object
Ans: A
Feedback: The nurse will instruct the patient on the safe and correct way to lift objects using the
strong quadriceps muscles of the thighs, with minimal use of the weak back muscles. To prevent
recurrence of acute low back pain, the nurse may instruct the patient to avoid lifting more than
one-third of his weight without help. The patient should be informed to place the feet a hip-width
apart to provide a wide base of support, the person should bend the knees, tighten the abdominal
muscles, and lift the object close to the body with a smooth motion, avoiding twisting and
jerking.
A nurse is discussing conservative management of tendonitis with a patient. Which of the
following may be an effective approach to managing tendonitis?
A) Weight reduction
B) Use of oral opioid analgesics
C) Intermittent application of ice and heat
D) Passive range of motion exercises
Ans: C
, NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
Feedback: Conservative management of tendonitis includes rest of the extremity, intermittent ice
and heat to the joint, and NSAIDs. Weight reduction may prevent future injuries but will not
relieve existing tendonitis. Range-of-motion exercises may exacerbate pain. Opioids would not
be considered a conservative treatment measure
A nurse is providing an educational class to a group of older adults at a community senior center.
In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they
consume the recommended adequate intake of what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D
Ans: D, E
Feedback: A diet rich in calcium and vitamin D protects against skeletal demineralization. Intake
of vitamin B12and potassium does not directly influence the risk for osteoporosis. Calcitonin is
not considered to be a dietary nutrient
A nurse is providing a class on osteoporosis at the local seniors center. Which of the following
statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a persons level of activity.
, NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis
Ans: D
Feedback: When corticosteroid therapy is discontinued, the progression of osteoporosis is halted,
but restoration of lost bone mass does not occur. Osteoporosis is not a disease of the elderly
because its onset occurs earlier in life, when bone mass peaks and then begins to decline. A
persons level of physical activity is a modifiable factor that influences peak bone mass. Lack of
activity increases the risk for the development of osteoporosis. Primary osteoporosis occurs in
women after menopause.
A nurse is teaching a patient with osteomalacia about the role of diet. What would be the best
choice for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes
Ans: A
Feedback: The best meal option is the one that contains the highest dietary sources of calcium
and vitamin D. The best selection among those listed is cereal with milk, and eggs, as these foods
contain calcium and vitamin D in a higher quantity over the other menu options.
, NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the
patient reduce the risk for pathologic fractures. What should the nurse teach the patient?
A) Strive to achieve maximum weight-bearing capabilities.
B) Gradually strengthen the affected muscles through weight training.
C) Support the affected extremity with external supports such as splints.
D) Limit reliance on assistive devices in order to build strength.
Ans: C
Feedback: During nursing care, the affected extremities must be supported and handled gently.
External supports (splints) may be used for additional protection. Prescribed weight-bearing
restrictions must be followed. Assistive devices should be used to strengthen the unaffected
extremities.
A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density.
What hormone should the nurse identify as inhibiting bone resorption and promoting bone
formation?
A) Estrogen
B) Parathyroid hormone (PTH)
C) Calcitonin
D) Progesterone
Ans: C
Feedback: Calcitonin inhibits bone resorption and promotes bone formation, estrogen inhibits
bone breakdown, and parathyroid increases bone resorption. Estrogen, which inhibits bone
breakdown, decreases with aging. Parathyroid hormone (PTH) increases with aging, increasing
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
A nurse is caring for an adult patient diagnosed with a back strain. What health education should
the nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance.
B) Focus on using back muscles efficiently when lifting heavy objects.
C) Lift objects while holding the object a safe distance from the body.
D) Tighten the abdominal muscles and lock the knees when lifting of an object
Ans: A
Feedback: The nurse will instruct the patient on the safe and correct way to lift objects using the
strong quadriceps muscles of the thighs, with minimal use of the weak back muscles. To prevent
recurrence of acute low back pain, the nurse may instruct the patient to avoid lifting more than
one-third of his weight without help. The patient should be informed to place the feet a hip-width
apart to provide a wide base of support, the person should bend the knees, tighten the abdominal
muscles, and lift the object close to the body with a smooth motion, avoiding twisting and
jerking.
A nurse is discussing conservative management of tendonitis with a patient. Which of the
following may be an effective approach to managing tendonitis?
A) Weight reduction
B) Use of oral opioid analgesics
C) Intermittent application of ice and heat
D) Passive range of motion exercises
Ans: C
, NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
Feedback: Conservative management of tendonitis includes rest of the extremity, intermittent ice
and heat to the joint, and NSAIDs. Weight reduction may prevent future injuries but will not
relieve existing tendonitis. Range-of-motion exercises may exacerbate pain. Opioids would not
be considered a conservative treatment measure
A nurse is providing an educational class to a group of older adults at a community senior center.
In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they
consume the recommended adequate intake of what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D
Ans: D, E
Feedback: A diet rich in calcium and vitamin D protects against skeletal demineralization. Intake
of vitamin B12and potassium does not directly influence the risk for osteoporosis. Calcitonin is
not considered to be a dietary nutrient
A nurse is providing a class on osteoporosis at the local seniors center. Which of the following
statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a persons level of activity.
, NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis
Ans: D
Feedback: When corticosteroid therapy is discontinued, the progression of osteoporosis is halted,
but restoration of lost bone mass does not occur. Osteoporosis is not a disease of the elderly
because its onset occurs earlier in life, when bone mass peaks and then begins to decline. A
persons level of physical activity is a modifiable factor that influences peak bone mass. Lack of
activity increases the risk for the development of osteoporosis. Primary osteoporosis occurs in
women after menopause.
A nurse is teaching a patient with osteomalacia about the role of diet. What would be the best
choice for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes
Ans: A
Feedback: The best meal option is the one that contains the highest dietary sources of calcium
and vitamin D. The best selection among those listed is cereal with milk, and eggs, as these foods
contain calcium and vitamin D in a higher quantity over the other menu options.
, NSG 430/ NSG430 Final NCLEX Exam (Latest
Update) Adult Health Nursing II Review | Questions &
Answers with Rationales| 100 out of 100 Grade A|
100% Correct Solutions (Verified ELABORATIONS)-
GCU
A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the
patient reduce the risk for pathologic fractures. What should the nurse teach the patient?
A) Strive to achieve maximum weight-bearing capabilities.
B) Gradually strengthen the affected muscles through weight training.
C) Support the affected extremity with external supports such as splints.
D) Limit reliance on assistive devices in order to build strength.
Ans: C
Feedback: During nursing care, the affected extremities must be supported and handled gently.
External supports (splints) may be used for additional protection. Prescribed weight-bearing
restrictions must be followed. Assistive devices should be used to strengthen the unaffected
extremities.
A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density.
What hormone should the nurse identify as inhibiting bone resorption and promoting bone
formation?
A) Estrogen
B) Parathyroid hormone (PTH)
C) Calcitonin
D) Progesterone
Ans: C
Feedback: Calcitonin inhibits bone resorption and promotes bone formation, estrogen inhibits
bone breakdown, and parathyroid increases bone resorption. Estrogen, which inhibits bone
breakdown, decreases with aging. Parathyroid hormone (PTH) increases with aging, increasing
