2024 ORTHO NCLEX EXAM
QUESTIONS WITH CORRECT
ANSWERS
A patient has been diagnosised with osteomalacia. What symptoms does the
nurse recognize that correlate with the diagnosis?
A. Bone fractures and kyphosis
B. Bone pain and tenderness
C. Muscle Weakness and spasms
D. Softened and compressed vertebrae - CORRECT ANSWERS-Rationale:
Answer B is correct.
The patient who is taking alendronate (Fosamax) is at
high risk for developing which disorder?
A. Cardiovascular disease
B. Breast cancer
C. Inflammation of the esophagus
D. Stroke - CORRECT ANSWERS-Answer: C
Rationale: Esophagitis and esophageal ulcers have been reported with use of
all of the bisphosphonates. The other answer selections apply to hormone
replacement therapy.
The patient who has completed radiation therapy
treatments for a form of cancer is at high risk for
developing:
A. Osteomalacia
B. Osteosarcoma
C. Paget's disease of the bone
D. Osteochondroma - CORRECT ANSWERS-Answer: B
Rationale: Patients who have received radiation for other forms of cancer are
at high risk for developing osteosarcoma. Osteomalacia is caused by a
vitamin D deficiency. Paget's disease is a metabolic disorder of bone
remodeling. Osteochondroma is a benign bone tumor that has its onset in
childhood
, A retired 66- year- old female patient is being evaluated for osteoporosis as
part of a yearly physical exam. The patient states that she is a smoker,
watches television for most of the day, and has been hospitalized twice with
fractures within the last year. Based on this information, the nurse suspects
which condition?
A.Low bone mass leading to increased bone fragility
B.Degeneration of the articular cartilage
C.Recurrent attacks of acute arthritis
D.Personality changes caused by chronic nature of illness - CORRECT
ANSWERS-A. Low bone mass leading to increased bone fragility
'
Low bone mass, structural deterioration of bone tissue leading to bone
fragility, and increased susceptibility to fractures are seen with osteoporosis.
The patient also has risk factors associated with osteoporosis: smoking,
sedentary lifestyle, and being female and menopausal. Degenerative
changes are associated with frequent exacerbations of arthritis. There is no
indication of personality change in this patient.
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 - CORRECT
ANSWERS-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 - CORRECT ANSWERS-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
QUESTIONS WITH CORRECT
ANSWERS
A patient has been diagnosised with osteomalacia. What symptoms does the
nurse recognize that correlate with the diagnosis?
A. Bone fractures and kyphosis
B. Bone pain and tenderness
C. Muscle Weakness and spasms
D. Softened and compressed vertebrae - CORRECT ANSWERS-Rationale:
Answer B is correct.
The patient who is taking alendronate (Fosamax) is at
high risk for developing which disorder?
A. Cardiovascular disease
B. Breast cancer
C. Inflammation of the esophagus
D. Stroke - CORRECT ANSWERS-Answer: C
Rationale: Esophagitis and esophageal ulcers have been reported with use of
all of the bisphosphonates. The other answer selections apply to hormone
replacement therapy.
The patient who has completed radiation therapy
treatments for a form of cancer is at high risk for
developing:
A. Osteomalacia
B. Osteosarcoma
C. Paget's disease of the bone
D. Osteochondroma - CORRECT ANSWERS-Answer: B
Rationale: Patients who have received radiation for other forms of cancer are
at high risk for developing osteosarcoma. Osteomalacia is caused by a
vitamin D deficiency. Paget's disease is a metabolic disorder of bone
remodeling. Osteochondroma is a benign bone tumor that has its onset in
childhood
, A retired 66- year- old female patient is being evaluated for osteoporosis as
part of a yearly physical exam. The patient states that she is a smoker,
watches television for most of the day, and has been hospitalized twice with
fractures within the last year. Based on this information, the nurse suspects
which condition?
A.Low bone mass leading to increased bone fragility
B.Degeneration of the articular cartilage
C.Recurrent attacks of acute arthritis
D.Personality changes caused by chronic nature of illness - CORRECT
ANSWERS-A. Low bone mass leading to increased bone fragility
'
Low bone mass, structural deterioration of bone tissue leading to bone
fragility, and increased susceptibility to fractures are seen with osteoporosis.
The patient also has risk factors associated with osteoporosis: smoking,
sedentary lifestyle, and being female and menopausal. Degenerative
changes are associated with frequent exacerbations of arthritis. There is no
indication of personality change in this patient.
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 - CORRECT
ANSWERS-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 - CORRECT ANSWERS-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
