ATI RN ADULT MEDICAL SURGICAL PROCTORED GRADED A
Which client would the nurse identify as having the greatest risk for osteoporosis?
1- A 40-year-old overweight African American woman
2- A 16-year-old male with a history of asthma
3- A small-framed, thin 45-year-old white woman
4- A 20-year-old male athlete with repeated injuries - correct answer3
The nurse is caring for a 35-year-old man diagnosed with a back strain. What would be
a priority point of discussion with this patient?
1- Avoid lifting heavy weights without assistance.
2- Focus on using back muscles during lifting.
3- Lift objects while holding the object away from the body.
4- Tighten the abdominal muscles and lock the knees during the lifting of an object. -
correct answer1
The nurse is caring for a patient with a bone tumor. The nurse provides education that
teaches the patient to implement measures to reduce the risk of pathologic fractures.
What intervention will assist the patient in fracture prevention?
1- Teaching the patient to achieve maximum weight-bearing capabilities
2- Maintaining strict bed rest
3- Supporting the affected extremity with external supports (splints)
4- Limiting the patient's reliance on assistive devices - correct answer3
Which of the following inhibits bone resorption and promotes bone formation?
1- Calcitonin
2- Estrogen
3- Parathyroid hormone
4- Corticosteroids - correct answer1
Which of the following is the most important nursing diagnosis for an elderly patient
diagnosed with osteoporosis?
1- Deficient knowledge about osteoporosis and the treatment regimen
2- Acute pain related to fracture and muscle spasm
3- Risk for constipation related to immobility
4- Risk for injury related to fractures due to osteoporosis - correct answer4
What clinical manifestation would the nurse expect to find in a client who has had
osteoporosis for several years?
, 1- Bone spurs
2- Diarrhea
3- Increased heel pain
4- Decreased height - correct answer4
Which assessment findings would the nurse expect in a client diagnosed with
osteomyelitis?
1- Thrombocytopenia and ecchymosis
2- Pruritus and uremic frost
3- Petechiae over the chest and abnormal ABGs
4- Leukocytosis and localized bone pain - correct answer4
Which medication classification is prescribed when allergy is a factor causing the skin
disorder?
1- Corticosteroids
2- Antihistamines
3- Antibiotics
4- Local anesthetics - correct answer2
A 49-year-old man with a history of poorly controlled type 1 diabetes has developed
osteomyelitis adjacent to a chronic diabetic ulcer on his great toe. The patient has been
informed that medical treatment for osteomyelitis requires a longer course of antibiotics
than most other infections because:
1- Osteomyelitis is usually caused by simultaneous infection with several
microorganisms, which must be treated sequentially.
2- Osteomyelitis requires treatment with topical antibiotics rather than IV antibiotics,
necessitating a longer course of treatment.
3- Osteomyelitis is usually the result of fungal infection rather than bacterial infection.
4- Osteomyelitis involves the active infection of bone tissue, which is largely avascular. -
correct answer4
A patient with a primary diagnosis of colorectal cancer has developed bone metastases
in recent weeks. When reviewing this patient's daily blood work, the nurse should be
aware that secondary bone tumors create a significant risk of what electrolyte
imbalance?
1- Hypokalemia
2- Hypercalcemia
3- Hyponatremia
4- Hyperchloremia - correct answer2
Which client would the nurse identify as having the greatest risk for osteoporosis?
1- A 40-year-old overweight African American woman
2- A 16-year-old male with a history of asthma
3- A small-framed, thin 45-year-old white woman
4- A 20-year-old male athlete with repeated injuries - correct answer3
The nurse is caring for a 35-year-old man diagnosed with a back strain. What would be
a priority point of discussion with this patient?
1- Avoid lifting heavy weights without assistance.
2- Focus on using back muscles during lifting.
3- Lift objects while holding the object away from the body.
4- Tighten the abdominal muscles and lock the knees during the lifting of an object. -
correct answer1
The nurse is caring for a patient with a bone tumor. The nurse provides education that
teaches the patient to implement measures to reduce the risk of pathologic fractures.
What intervention will assist the patient in fracture prevention?
1- Teaching the patient to achieve maximum weight-bearing capabilities
2- Maintaining strict bed rest
3- Supporting the affected extremity with external supports (splints)
4- Limiting the patient's reliance on assistive devices - correct answer3
Which of the following inhibits bone resorption and promotes bone formation?
1- Calcitonin
2- Estrogen
3- Parathyroid hormone
4- Corticosteroids - correct answer1
Which of the following is the most important nursing diagnosis for an elderly patient
diagnosed with osteoporosis?
1- Deficient knowledge about osteoporosis and the treatment regimen
2- Acute pain related to fracture and muscle spasm
3- Risk for constipation related to immobility
4- Risk for injury related to fractures due to osteoporosis - correct answer4
What clinical manifestation would the nurse expect to find in a client who has had
osteoporosis for several years?
, 1- Bone spurs
2- Diarrhea
3- Increased heel pain
4- Decreased height - correct answer4
Which assessment findings would the nurse expect in a client diagnosed with
osteomyelitis?
1- Thrombocytopenia and ecchymosis
2- Pruritus and uremic frost
3- Petechiae over the chest and abnormal ABGs
4- Leukocytosis and localized bone pain - correct answer4
Which medication classification is prescribed when allergy is a factor causing the skin
disorder?
1- Corticosteroids
2- Antihistamines
3- Antibiotics
4- Local anesthetics - correct answer2
A 49-year-old man with a history of poorly controlled type 1 diabetes has developed
osteomyelitis adjacent to a chronic diabetic ulcer on his great toe. The patient has been
informed that medical treatment for osteomyelitis requires a longer course of antibiotics
than most other infections because:
1- Osteomyelitis is usually caused by simultaneous infection with several
microorganisms, which must be treated sequentially.
2- Osteomyelitis requires treatment with topical antibiotics rather than IV antibiotics,
necessitating a longer course of treatment.
3- Osteomyelitis is usually the result of fungal infection rather than bacterial infection.
4- Osteomyelitis involves the active infection of bone tissue, which is largely avascular. -
correct answer4
A patient with a primary diagnosis of colorectal cancer has developed bone metastases
in recent weeks. When reviewing this patient's daily blood work, the nurse should be
aware that secondary bone tumors create a significant risk of what electrolyte
imbalance?
1- Hypokalemia
2- Hypercalcemia
3- Hyponatremia
4- Hyperchloremia - correct answer2
