N419 Exam 3 Honan NCLEX Questions With
Complete Answers
A 78-year-old woman is complaining of neck and upper back pain. The nurse's
assessment reveals an abnormal convex curvature of the cervical and thoracic
area. What is the terminology for this finding?
A. Kyphosis
B. Lordosis
C. Kyphoscoliosis
D. Scoliosis - ANSWER A
A 12-year-old girl complained to the school nurse about back pain. The nurse's
assessment revealed a deviation of the vertebrae to the right, with a raised
shoulder and hip. What is the terminology for this finding?
A. Kyphosis
B. Lordosis
C. Osteoporosis
D. Scoliosis - ANSWER D
A cast was applied to a patient's fractured leg 4 hours ago. Which finding is
associated with neurovascular compromise?
A. Capillary refill of 5 seconds
B. Ability to move the toes without limitation
C. Full sensation
D. Toes warm to touch - ANSWER A
What food would the nurse recommend for bone health?
A. Herbal tea
B. Yogurt
C. Liver
D. Eggs - ANSWER B
An MRI has been ordered for a patient with low back pain. What should be
included in the teaching plan for this patient?
A. The patient will need to lie still for 3-4 hours
B. A rhythmic rocking sound will be heard during the procedure
C. There is no rise of claustrophobia
D. It is an invasive technique - ANSWER B
A 25-year-old woman experienced an open fracture of the right fibula with major
soft tissue damage of her lower leg in a motor vehicle accident. Surgical
, reduction and fixation of the fibula were performed with debridement of
nonviable tissue and drain placement in the damaged soft tissue. Which
complication is this patient at rise for?
A. Osteoporosis
B. Osteomyelitis
C. Fat emboli
D. Compartment syndrome - ANSWER B
Which assessment finding may indicate to the nurse an acute peripheral
neurovascular dysfunction for the patient recovering from surgery of the foot?
A. Pale skin, atrophy of the limb, with capillary refill of 2 seconds.
B. Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
C. Atrophy of limb, increased motion, and thickened toe nails
D. Pale skin, weakness in motion, and loss of toe hairs - ANSWER B
Which assessment finding would the nurse expect to find in a patient diagnosed
with acute osteomyelitis?
A. Leukopenia and localized bone pain
B. Leukocytosis and elevated sedimentation (SED) rate
C. Leukopenia and elevated fever
D. Petechiae over the chest and abnormal arterial blood gas (ABG) results -
ANSWER B
A client is diagnosed with osteoporosis. Which statements should the nurse
include when teaching the patient about the disease? Select all that apply.
A. Osteoporosis is common in females after menopause
B. Osteoporosis is a degenerative disease characterized by an increase in bone
density
C. Osteoporosis can increase the risk for fractures
D. The recommended daily calcium dose should be taken as a single does, and
the patient should be instructed not to lie down for 30 minutes
E. Weight-bearing exercise should be avoided
F. The patient's T score is at least 2.5 SD below the young adult mean value on
the BMD scale - ANSWER A, C, F
What places the patient at risk for impaired wound healing after surgery for a
primary bone cancer? Select all that apply.
A. Radiation therapy
B. Prealbumin level is 28mg/dL
C. Weight loss of 18% over the pervious 3 months
D. Anorexia
E. Satisfactory vitamin C levels - ANSWER A, C, D
In the immediate postoperative period, which measure would best prevent a
DVT?
A. Adding a multivitamin to the patient's medication
Complete Answers
A 78-year-old woman is complaining of neck and upper back pain. The nurse's
assessment reveals an abnormal convex curvature of the cervical and thoracic
area. What is the terminology for this finding?
A. Kyphosis
B. Lordosis
C. Kyphoscoliosis
D. Scoliosis - ANSWER A
A 12-year-old girl complained to the school nurse about back pain. The nurse's
assessment revealed a deviation of the vertebrae to the right, with a raised
shoulder and hip. What is the terminology for this finding?
A. Kyphosis
B. Lordosis
C. Osteoporosis
D. Scoliosis - ANSWER D
A cast was applied to a patient's fractured leg 4 hours ago. Which finding is
associated with neurovascular compromise?
A. Capillary refill of 5 seconds
B. Ability to move the toes without limitation
C. Full sensation
D. Toes warm to touch - ANSWER A
What food would the nurse recommend for bone health?
A. Herbal tea
B. Yogurt
C. Liver
D. Eggs - ANSWER B
An MRI has been ordered for a patient with low back pain. What should be
included in the teaching plan for this patient?
A. The patient will need to lie still for 3-4 hours
B. A rhythmic rocking sound will be heard during the procedure
C. There is no rise of claustrophobia
D. It is an invasive technique - ANSWER B
A 25-year-old woman experienced an open fracture of the right fibula with major
soft tissue damage of her lower leg in a motor vehicle accident. Surgical
, reduction and fixation of the fibula were performed with debridement of
nonviable tissue and drain placement in the damaged soft tissue. Which
complication is this patient at rise for?
A. Osteoporosis
B. Osteomyelitis
C. Fat emboli
D. Compartment syndrome - ANSWER B
Which assessment finding may indicate to the nurse an acute peripheral
neurovascular dysfunction for the patient recovering from surgery of the foot?
A. Pale skin, atrophy of the limb, with capillary refill of 2 seconds.
B. Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
C. Atrophy of limb, increased motion, and thickened toe nails
D. Pale skin, weakness in motion, and loss of toe hairs - ANSWER B
Which assessment finding would the nurse expect to find in a patient diagnosed
with acute osteomyelitis?
A. Leukopenia and localized bone pain
B. Leukocytosis and elevated sedimentation (SED) rate
C. Leukopenia and elevated fever
D. Petechiae over the chest and abnormal arterial blood gas (ABG) results -
ANSWER B
A client is diagnosed with osteoporosis. Which statements should the nurse
include when teaching the patient about the disease? Select all that apply.
A. Osteoporosis is common in females after menopause
B. Osteoporosis is a degenerative disease characterized by an increase in bone
density
C. Osteoporosis can increase the risk for fractures
D. The recommended daily calcium dose should be taken as a single does, and
the patient should be instructed not to lie down for 30 minutes
E. Weight-bearing exercise should be avoided
F. The patient's T score is at least 2.5 SD below the young adult mean value on
the BMD scale - ANSWER A, C, F
What places the patient at risk for impaired wound healing after surgery for a
primary bone cancer? Select all that apply.
A. Radiation therapy
B. Prealbumin level is 28mg/dL
C. Weight loss of 18% over the pervious 3 months
D. Anorexia
E. Satisfactory vitamin C levels - ANSWER A, C, D
In the immediate postoperative period, which measure would best prevent a
DVT?
A. Adding a multivitamin to the patient's medication
