Ortho NCLEX UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
● The nurse determines that a 55- year-old female patient is
experiencing menopause and is also at risk for osteoporosis. What foods
other than milk can the nurse suggest to this patient to increase calcium
intake?
A. Seafood, wheat, corn, green vegetables
B. Chicken vegetables, green vegetables, pasta, broccoli
C. Green vegetables, sardines, salmon with bone, molasses
D. Fresh fruits, English muffins, black beans, asparagus. Answer:
Answer C is correct. Women of menopausal age are at risk for
osteoporosis, and foods high in calcium should be encouraged. A diet
with green vegetables, sardines, salmon with bone, and molasses
provides high- quality calcium and is recommended for a patient
experiencing menopause in order to decrease the risk of osteoporosis. A
diet with seafood, wheat, corn, and green vegetables is more
concentrated in carbohydrates than proteins containing more calcium. A
diet with chicken, green vegetables, sardines, and broccoli contains
some calcium but is lower than the other option. Foods such as fresh
fruits, English muffins, black beans, and asparagus are inadequate in
calcium.
● A patient with osteoporosis has been advised to increase the amount
of calcium in her diet. Which food provides the most calcium?
An 8- oz glass of milk
,An ounce of cheddar cheese
A half cup of raw broccoli
A 4- ounce salmon croquette. Answer: Answer A is correct. An 8-ounce
glass of milk contains 290mg of calcium. Answers B, C, and D contain
lesser amounts; therefore, they are incorrect. (Note: An ounce of cheddar
cheese contains 205 mg of calcium; half a cup of raw broccoli contains
175mg of calcium; and 4 ounces of salmon croquette contains 165 mg of
calcium).
● Which of the following instructions should be included for the patient
taking calcium supplements?
A.The patient should take her calcium with meals
B.The patient should take all her daily calcium supplements at one time
C.The patient should take her calcium supplement after meals to prevent
stomach upset
D.The patient can use calcium- based antacids for supplement.. Answer:
Rationale: Answer D is correct. Many people prefer to supplement their
calcium intake with calcium- based antacids. If calcium supplements are
used, they should be administered 30 minutes before meals to maximize
absorption, so answer A is wrong. Calcium absorption is better if it is
administered throughout the day rather than in a single dose, making
answer B wrong. Calcium supplements do not cause stomach upset, so
answer C is wrong.
, ● Alendronate (Fosamax) is ordered for a patient with osteoporosis.
Which information should the nurse teach the patient about the
medication?
A. Acts as a selective estrogen receptor modulator
B. Reduces risk of invasive breast cancer
C. May be obtained as a nasal spray
D. Inhibits bone resorption. Answer: Alendronate (Fosamax), a
bisphosphonate, is a potent inhibitor of bone resorption that preserves
bone mass and increases bone density. Raloxifene (Evista) is an example
of a selective estrogen receptor modulator that is used to treat
osteoporosis, and which also reduces the risk of invasive breast cancer.
Calcitonin (Miacalcin) is dispensed as a nasal spray.
● The nurse is caring for a patient with osteoporosis who is being
discharged on alendronate (Fosamax). Which statement would indicate
effective teaching?
A. "I should take the medication immediately before bed"
B. "I should remain in an upright position for 30 minutes after taking the
medication"
C. "The medication is more effective if I take it with milk or dairy
products"
D. If I skip a dose, I can take two tablets the next time". Answer:
Answer: B- Rationale should remain upright for 30 mins.
● How long does a patient taking bisphosphonates need to stay upright
after administration?
PRACTICE SOLUTIONS GRADED A+
● The nurse determines that a 55- year-old female patient is
experiencing menopause and is also at risk for osteoporosis. What foods
other than milk can the nurse suggest to this patient to increase calcium
intake?
A. Seafood, wheat, corn, green vegetables
B. Chicken vegetables, green vegetables, pasta, broccoli
C. Green vegetables, sardines, salmon with bone, molasses
D. Fresh fruits, English muffins, black beans, asparagus. Answer:
Answer C is correct. Women of menopausal age are at risk for
osteoporosis, and foods high in calcium should be encouraged. A diet
with green vegetables, sardines, salmon with bone, and molasses
provides high- quality calcium and is recommended for a patient
experiencing menopause in order to decrease the risk of osteoporosis. A
diet with seafood, wheat, corn, and green vegetables is more
concentrated in carbohydrates than proteins containing more calcium. A
diet with chicken, green vegetables, sardines, and broccoli contains
some calcium but is lower than the other option. Foods such as fresh
fruits, English muffins, black beans, and asparagus are inadequate in
calcium.
● A patient with osteoporosis has been advised to increase the amount
of calcium in her diet. Which food provides the most calcium?
An 8- oz glass of milk
,An ounce of cheddar cheese
A half cup of raw broccoli
A 4- ounce salmon croquette. Answer: Answer A is correct. An 8-ounce
glass of milk contains 290mg of calcium. Answers B, C, and D contain
lesser amounts; therefore, they are incorrect. (Note: An ounce of cheddar
cheese contains 205 mg of calcium; half a cup of raw broccoli contains
175mg of calcium; and 4 ounces of salmon croquette contains 165 mg of
calcium).
● Which of the following instructions should be included for the patient
taking calcium supplements?
A.The patient should take her calcium with meals
B.The patient should take all her daily calcium supplements at one time
C.The patient should take her calcium supplement after meals to prevent
stomach upset
D.The patient can use calcium- based antacids for supplement.. Answer:
Rationale: Answer D is correct. Many people prefer to supplement their
calcium intake with calcium- based antacids. If calcium supplements are
used, they should be administered 30 minutes before meals to maximize
absorption, so answer A is wrong. Calcium absorption is better if it is
administered throughout the day rather than in a single dose, making
answer B wrong. Calcium supplements do not cause stomach upset, so
answer C is wrong.
, ● Alendronate (Fosamax) is ordered for a patient with osteoporosis.
Which information should the nurse teach the patient about the
medication?
A. Acts as a selective estrogen receptor modulator
B. Reduces risk of invasive breast cancer
C. May be obtained as a nasal spray
D. Inhibits bone resorption. Answer: Alendronate (Fosamax), a
bisphosphonate, is a potent inhibitor of bone resorption that preserves
bone mass and increases bone density. Raloxifene (Evista) is an example
of a selective estrogen receptor modulator that is used to treat
osteoporosis, and which also reduces the risk of invasive breast cancer.
Calcitonin (Miacalcin) is dispensed as a nasal spray.
● The nurse is caring for a patient with osteoporosis who is being
discharged on alendronate (Fosamax). Which statement would indicate
effective teaching?
A. "I should take the medication immediately before bed"
B. "I should remain in an upright position for 30 minutes after taking the
medication"
C. "The medication is more effective if I take it with milk or dairy
products"
D. If I skip a dose, I can take two tablets the next time". Answer:
Answer: B- Rationale should remain upright for 30 mins.
● How long does a patient taking bisphosphonates need to stay upright
after administration?
