Page 1 of 58
NSG 210 Exam 1 QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE THIS
YEAR NEW!!
NSG 210 Exam 1
A nurse is caring for a client with bone metastasis from a primary breast cancer. The client
reports muscle weakness and nausea and is voiding large amounts frequently. The telemetry
monitor is observed showing premature ventricular contractions. What should the nurse
suspect based on the clinical manifestations?
Hypercalcemia
Hypocalcemia
Hypokalemia
Hyperkalemia
Correct response:
Hypercalcemia
Explanation:
Hypercalcemia is present with bone metastases from breast, lung, or kidney cancer. Symptoms
of hypercalcemia include muscle weakness, fatigue, anorexia, nausea, vomiting, polyuria,
cardiac dysrhythmias such a premature ventricular contractions, seizures, and coma.
1
,Page 2 of 58
Hypercalcemia must be identified and treated promptly. Hypocalcemia will not be seen with
bone cancer. Hypokalemia and hyperkalemia are not common with bone metastasis.
*for hypercalcemia practice*
Which of the following is the most important nursing diagnosis for an elderly patient
diagnosed with osteoporosis?
Deficient knowledge about osteoporosis and the treatment regimen
Acute pain related to fracture and muscle spasm
Risk for constipation related to immobility
Risk for injury related to fractures due to osteoporosis
Correct response:
Risk for injury related to fractures due to osteoporosis
Explanation:
The most important concern for an elderly patient with osteoporosis is prevention of falls and
fractures. Pain and constipation can be managed, and knowledge can be reinforced, but
fractures can cause significant morbidity and mortality.
A female client is at risk for developing osteoporosis. Which action will reduce the client's
risk?
Living a sedentary lifestyle to reduce the incidence of injury
Stopping estrogen therapy
Taking a 300-mg calcium supplement to meet dietary guidelines
Initiating weight-bearing exercise routines
Correct response:
Initiating weight-bearing exercise routines
Explanation:
2
,Page 3 of 58
Performing weight-bearing exercise increases bone health. A sedentary lifestyle increases the
risk of developing osteoporosis. Estrogen is needed to promote calcium absorption. The
recommended daily intake of calcium is 1,000 mg, not 300 mg.
Most cases of osteomyelitis are caused by which microorganism?
Staphylococcus aureus
Proteus species
Pseudomonas species
Escherichia coli
Correct response:
Staphylococcus aureus
Explanation:
Staphylococcus aureus causes 70% to 80% of bone
infections. Proteus species, Pseudomonas species, and E. coli are frequently found in
osteomyelitis, they do not cause the majority of bone infections.
What clinical manifestation would the nurse expect to find in a client who has had
osteoporosis for several years?
Bone spurs
Diarrhea
Increased heel pain
Decreased height
Correct response:
Decreased height
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, Page 4 of 58
Explanation:
Clients with osteoporosis become shorter over time.
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound
appearance has not improved. What action would the nurse anticipate to promote healing?
Wound packing
Wound irrigation
Vitamin supplements
Surgical debridement
Correct response:
Surgical debridement
Explanation:
In chronic osteomyelitis, surgical debridement is used when the wound fails to respond to
antibiotic therapy. Wound packing, vitamin supplements, and wound irrigation are not the
standard of care when treating chronic osteomyelitis.
Which of the following inhibits bone resorption and promotes bone formation?
Calcitonin
Estrogen
Parathyroid hormone
Corticosteroids
Correct response:
Calcitonin
Explanation:
4
NSG 210 Exam 1 QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE THIS
YEAR NEW!!
NSG 210 Exam 1
A nurse is caring for a client with bone metastasis from a primary breast cancer. The client
reports muscle weakness and nausea and is voiding large amounts frequently. The telemetry
monitor is observed showing premature ventricular contractions. What should the nurse
suspect based on the clinical manifestations?
Hypercalcemia
Hypocalcemia
Hypokalemia
Hyperkalemia
Correct response:
Hypercalcemia
Explanation:
Hypercalcemia is present with bone metastases from breast, lung, or kidney cancer. Symptoms
of hypercalcemia include muscle weakness, fatigue, anorexia, nausea, vomiting, polyuria,
cardiac dysrhythmias such a premature ventricular contractions, seizures, and coma.
1
,Page 2 of 58
Hypercalcemia must be identified and treated promptly. Hypocalcemia will not be seen with
bone cancer. Hypokalemia and hyperkalemia are not common with bone metastasis.
*for hypercalcemia practice*
Which of the following is the most important nursing diagnosis for an elderly patient
diagnosed with osteoporosis?
Deficient knowledge about osteoporosis and the treatment regimen
Acute pain related to fracture and muscle spasm
Risk for constipation related to immobility
Risk for injury related to fractures due to osteoporosis
Correct response:
Risk for injury related to fractures due to osteoporosis
Explanation:
The most important concern for an elderly patient with osteoporosis is prevention of falls and
fractures. Pain and constipation can be managed, and knowledge can be reinforced, but
fractures can cause significant morbidity and mortality.
A female client is at risk for developing osteoporosis. Which action will reduce the client's
risk?
Living a sedentary lifestyle to reduce the incidence of injury
Stopping estrogen therapy
Taking a 300-mg calcium supplement to meet dietary guidelines
Initiating weight-bearing exercise routines
Correct response:
Initiating weight-bearing exercise routines
Explanation:
2
,Page 3 of 58
Performing weight-bearing exercise increases bone health. A sedentary lifestyle increases the
risk of developing osteoporosis. Estrogen is needed to promote calcium absorption. The
recommended daily intake of calcium is 1,000 mg, not 300 mg.
Most cases of osteomyelitis are caused by which microorganism?
Staphylococcus aureus
Proteus species
Pseudomonas species
Escherichia coli
Correct response:
Staphylococcus aureus
Explanation:
Staphylococcus aureus causes 70% to 80% of bone
infections. Proteus species, Pseudomonas species, and E. coli are frequently found in
osteomyelitis, they do not cause the majority of bone infections.
What clinical manifestation would the nurse expect to find in a client who has had
osteoporosis for several years?
Bone spurs
Diarrhea
Increased heel pain
Decreased height
Correct response:
Decreased height
3
, Page 4 of 58
Explanation:
Clients with osteoporosis become shorter over time.
A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound
appearance has not improved. What action would the nurse anticipate to promote healing?
Wound packing
Wound irrigation
Vitamin supplements
Surgical debridement
Correct response:
Surgical debridement
Explanation:
In chronic osteomyelitis, surgical debridement is used when the wound fails to respond to
antibiotic therapy. Wound packing, vitamin supplements, and wound irrigation are not the
standard of care when treating chronic osteomyelitis.
Which of the following inhibits bone resorption and promotes bone formation?
Calcitonin
Estrogen
Parathyroid hormone
Corticosteroids
Correct response:
Calcitonin
Explanation:
4
