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Exam (elaborations)

NUR 257 Exam 4 | Questions And Verified Answers| Latest 2026

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a complete set of Exam 4 questions and verified correct answers for NUR 257, covering musculoskeletal disorders, dermatologic conditions, sensory changes, sleep disturbances, fall prevention, chronic pain, and age-related health changes. It provides definitions, clinical manifestations, nursing interventions, risk factors, and exam-style Q&A across more than 200 items. The material is comprehensive and aligned with common NUR 257 course exams, making it highly suitable for test preparation and rapid review.

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Institution
NUR 257
Course
NUR 257

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Uploaded on
December 8, 2025
Number of pages
59
Written in
2025/2026
Type
Exam (elaborations)
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NUR 257 Exam 4 | Questions And Verified Answers| Latest
2026
Which of the following is a true statement about osteoporosis?
A high risk of death follows an osteoporosis-related fracture.
Which of the following nursing interventions are suitable as a last resort
treatment for gout?
Colchicine by mouth
The nurse sees an older adult diagnosed with osteoarthritis (OA) who
presents with a low-grade fever. The client tells the nurse that the pain is
changing; it is worse at night and in the shoulder muscles. Which of the
following does the nurse perform to prevent complications of this client's
condition?
Direct the client to report temporal or scalp pain.
The nurse prepares an older adult diagnosed with osteoarthritis (OA) for
discharge. Which instruction does the nurse include in client teaching to
maintain safety for this client?
Report joint instability to the health care provider.
Which of the following is a true statement about joints in older adults?
Surgical joint replacement can effectively manage OA pain.
A nurse is teaching an older adult who is experiencing an acute attack of
gout. Which of the following instructions should the nurse include in the
teaching? (Select all that apply.)
A. Take ASA to relieve pain.
B. Increase fluid intake to 2 L/day.
C. Walk barefooted as much as possible.
D. Avoid foods high in purine.
E. Avoid alcoholic beverages.
BDE
Contact dermatitis is caused by
contact with skin allergens.

,What is the deadliest form of skin cancer?
Melanoma
Which finding is characteristic of oral candidiasis?
Whitish coating on the tongue
A 4-year-old is brought to the clinic for evaluation of dry, scaly, itchy
patches on the face, antecubital areas, and behind the ears and knees. The
skin is dry overall, and there is evidence of scratching. This is likely a case
of
atopic dermatitis.
Which of the following statements is true about rheumatoid arthritis (RA)?
Can affect body systems other than the joints.
A nurse is teaching an older adult who is experiencing an acute attack of
gout. Which of the following should the nurse include in the teaching?
Avoid foods high in purine.
Which assessment is typical for a client with osteoarthritis (OA)?
Narrow joint spaces with crepitus
The nurse is educating an older adult on foods high in calcium. Which
foods should the nurse include? (Select all that apply.)
A. Almonds
B. Cheese pizza
C. Whole wheat bread
D. Chinese cabbage
E. Soy milk
ABDE
It is true that vitiligo
is a depigmented patch of skin
Psoriasis is characterized by
silvery scale on the skin.
Onycholysis is characterized by

,destruction of the nails.
The difference between chickenpox and measles is that chickenpox
causes vesicles that scab, whereas measles remains a macular rash.
Which of the following characteristics of rheumatoid arthritis (RA) are
unlike those of osteoarthritis (OA)?
Systemic and symmetrical
Which type of dermatitis is associated with cradle cap in newborns?
Seborrheic
Which statements are true of herpes simplex I infection? (Select all that
apply.)
A. Begins with a burning or tingling sensation
B. Causes both oral and genital infections
C. Reactivates with stress, sun exposure, menses
D. Remains latent in spinal ganglia between outbreaks
E. Is usually painless
ACD
Impetigo is a skin infection caused by
bacteria.
The nurse prepares an older adult diagnosed with osteoarthritis (OA) for
discharge. Which instruction does the nurse include in client teaching to
maintain safety for this client?
Report joint instability to the health care provider.
The nurse identifies which risk factor(s) for arthritis? (Select all that apply.)
A. Men
B. American Indian
C. Advanced age
D. History of Paget’s disease
E. Steroid use
BC

, Itchy linear burrows on the hands and wrists are associated with
scabies.
What is the most common, benign form of skin cancer?
Basal
After living with osteoporosis for 2 years, an older adult's bone density scan
shows no improvement, despite consistent bisphosphonate therapy. Which
intervention should the nurse implement to reduce bone loss for this older
adult?
Review the client's daily nutritional habits.
Which of the following is a true statement about joints in older adults?
Surgical joint replacement can effectively manage OA pain.
A nurse plans for the discharge of a 75-year-old client diagnosed with of
osteoporosis. Which of these actions would the nurse consider first to best
address safety needs?
Remove clutter from the floors of the home.
Which finding indicates a need for further evaluation of a nevus mole?
Variations in color within the nevus
A topical therapy that would tend to dry the skin because it is an astringent
is
gel.
An older woman seeks advice from the nurse about preventing further
bone loss after being diagnosed with osteopenia. To achieve the woman's
goal, which of the following client teachings should the nurse provide to
enhance the activity of the osteoblasts?
Engage in weight-bearing exercise.
Deep pressure ulcers usually
result from thrombosis of deep vessels.
Which skin disorder is thought to be caused by an autoimmune reaction
and is characterized by bullous eruptions?
Pemphigus

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