BSNC 1000 FINAL NCLEX Q'S 6-10
Identify methods to specifically prevent osteoporosis in postmenopausal women (Select all that
apply)?
a-Eating more beef.
b-Eating 8 oz. of yogurt daily.
c-performing weight bearing exercises.
d-Spending 15 minutes in the sun each day.
e-Taking postmenopausal estrogen replacement. - ANS-B & C
The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most
important instruction regarding exercise would be to:
a-Exercise doing weight bearing activities.
b-Exercise to reduce weight.
c-Avoid exercise activities that increase the risk of fracture.
d-Exercise to strengthen muscles and thereby protect bones. - ANS-A
The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely
related to:
a-Lack of exercise.
b-Hormonal disturbances.
c-Lack of calcium.
d-Genetic predisposition - ANS-B (probable cause)
All of the following are risk factors for osteoporosis EXCEPT:
(A) Low calcium intake
(B) Smoking
(C) Alcohol use
(D) Turner's syndrome
(E) Obesity - ANS-E
A 50 - year - old African American woman visits your office for an annual examination. She
takes inhaled steroids and Beta- agonists for mild intermittentasthma. Her past medical history
is negative for any fracture. She has no family history of osteoporosis. She exercises regularly.
Her menses areregular. Based on her history, what are your recommendations for osteoporosis
prevention and screening?
(A) Take 800 mg of calcium and 800 IU vitamin Ddaily
(B) Take 1200 mg of calcium and 400 IU vitaminD daily
(C) Bone mineral density (BMD) screening
(D) Begin calcitonin therapy to increase bonedensity
(E) Begin alendronate therapy to increase bonedensity - ANS-B
,A client is diagnosed with osteoporosis. Which statements should the nurse include when
teaching the client about the disease?SELECT ALL THAT APPLY
a)"It's common in females after menopause."
b) "It's a degenerative disease characterized by a decrease in bone density."
c) "It's a congenital disease caused by poor dietary intake of milk products."
d) "It can cause pain and injury."
e) "Passive range-of-motion exercises can promote bone growth."
f) "Weight-bearing exercise should be avoided." - ANS-A, B, D
The nurse should include which of the following client teachings for prevention of rapid
progression of osteoporosis?
a) avoid taking skim milk
b) avoid taking protein-rich foods
c) avoid calcium supplement
d) avoid alcohol - ANS-D
-will prevent rapid progression
Intervention to prevent osteoporosis in women should start at which age? - ANS-20-35 years
Postmenopausal women are more prone to suffer from osteoporosis due to? - ANS-decreased
estrogen levels
What is the best way to diagnose osteoporosis? - ANS-bone density scan
When a client is using a cane for maximal support, the nurse is aware that the client should do
which of the following?
a. Keep the elbow that is holding the cane straight and stiff
b. Advance the weaker foot ahead of the cane
c. Distribute weight evenly between the feet and the cane
d. Hold the cane on the weaker side - ANS-C
Which of the following is not a function of bone remodeling?
a. The maintenance of bone health
b. The release of mineral stores
c. The growth in length and width of bones
d. The strengthening of bones in areas of stress - ANS-C
Which part of the bone does remodeling primarily occur?
a. The surface of trabeculae of spongy bone
b. The central canals of compact bone
c. The outer surface of all bones
d. Only in long bones such as the femur and humerus - ANS-C
, Osteoporosis is a disease process that results in the thinning of the matrix of pore-like structures
within the compact bone.
a. True
b. False - ANS-B. False
______ are found within the spongy bone and are responsible for building up the bone matrix.
While ______, which are also found in the spongy bone, breakdown the bone matrix.
a. Osteocytes, osteoclasts
b. Osteoclasts, osteoblasts
c. Osteocytes, osteoblasts
d. Osteoblasts, osteoclasts - ANS-d. Osteoblasts, osteoclasts
Parathyroid hormone plays an important role in bone health. When the parathyroid gland
secretes PTH (parathyroid hormone) it causes:
a. The body to increase the calcium levels by stimulating the osteoclast activity.
b. The body to decrease the calcium levels by inhibiting osteoclast activity.
c. The body to increase the calcium levels by stimulating osteoblast activity.
d. The body to decrease the calcium levels by inhibiting osteoblast activity. - ANS-A
During discharge teaching to a patient at risk for developing osteoporosis, you discuss the types
of exercise the patient should perform. Which type of exercise is not the best to perform to
prevent osteoporosis?
a. Tennis
b. Weight-Lighting
c. Walking
d. Hiking - ANS-C
You're caring for a patient who has a health history of severe osteoporosis. On assessment you
note the patient has severe kyphosis of the upper back. Which nursing diagnosis takes priority
for this patient's care?
a. Risk for skin breakdown
b. Knowledge deficient regarding disease process
c. Limited mobility
d. Risk for falls - ANS-D
All of the following statements about the concept of mobility are correct except for?
a. Mobility is required to perform activities of daily living
b. Mobility is independent of central and peripheral perfusion
c. Mobility can refer to a particular body part or to the whole body
d. Mobility includes gross and fine movements and coordination - ANS-B
Osteopenia and osteoporosis are distinguished based on the
a. Age of the patient
b. T-score determined through bone density scan
Identify methods to specifically prevent osteoporosis in postmenopausal women (Select all that
apply)?
a-Eating more beef.
b-Eating 8 oz. of yogurt daily.
c-performing weight bearing exercises.
d-Spending 15 minutes in the sun each day.
e-Taking postmenopausal estrogen replacement. - ANS-B & C
The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most
important instruction regarding exercise would be to:
a-Exercise doing weight bearing activities.
b-Exercise to reduce weight.
c-Avoid exercise activities that increase the risk of fracture.
d-Exercise to strengthen muscles and thereby protect bones. - ANS-A
The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely
related to:
a-Lack of exercise.
b-Hormonal disturbances.
c-Lack of calcium.
d-Genetic predisposition - ANS-B (probable cause)
All of the following are risk factors for osteoporosis EXCEPT:
(A) Low calcium intake
(B) Smoking
(C) Alcohol use
(D) Turner's syndrome
(E) Obesity - ANS-E
A 50 - year - old African American woman visits your office for an annual examination. She
takes inhaled steroids and Beta- agonists for mild intermittentasthma. Her past medical history
is negative for any fracture. She has no family history of osteoporosis. She exercises regularly.
Her menses areregular. Based on her history, what are your recommendations for osteoporosis
prevention and screening?
(A) Take 800 mg of calcium and 800 IU vitamin Ddaily
(B) Take 1200 mg of calcium and 400 IU vitaminD daily
(C) Bone mineral density (BMD) screening
(D) Begin calcitonin therapy to increase bonedensity
(E) Begin alendronate therapy to increase bonedensity - ANS-B
,A client is diagnosed with osteoporosis. Which statements should the nurse include when
teaching the client about the disease?SELECT ALL THAT APPLY
a)"It's common in females after menopause."
b) "It's a degenerative disease characterized by a decrease in bone density."
c) "It's a congenital disease caused by poor dietary intake of milk products."
d) "It can cause pain and injury."
e) "Passive range-of-motion exercises can promote bone growth."
f) "Weight-bearing exercise should be avoided." - ANS-A, B, D
The nurse should include which of the following client teachings for prevention of rapid
progression of osteoporosis?
a) avoid taking skim milk
b) avoid taking protein-rich foods
c) avoid calcium supplement
d) avoid alcohol - ANS-D
-will prevent rapid progression
Intervention to prevent osteoporosis in women should start at which age? - ANS-20-35 years
Postmenopausal women are more prone to suffer from osteoporosis due to? - ANS-decreased
estrogen levels
What is the best way to diagnose osteoporosis? - ANS-bone density scan
When a client is using a cane for maximal support, the nurse is aware that the client should do
which of the following?
a. Keep the elbow that is holding the cane straight and stiff
b. Advance the weaker foot ahead of the cane
c. Distribute weight evenly between the feet and the cane
d. Hold the cane on the weaker side - ANS-C
Which of the following is not a function of bone remodeling?
a. The maintenance of bone health
b. The release of mineral stores
c. The growth in length and width of bones
d. The strengthening of bones in areas of stress - ANS-C
Which part of the bone does remodeling primarily occur?
a. The surface of trabeculae of spongy bone
b. The central canals of compact bone
c. The outer surface of all bones
d. Only in long bones such as the femur and humerus - ANS-C
, Osteoporosis is a disease process that results in the thinning of the matrix of pore-like structures
within the compact bone.
a. True
b. False - ANS-B. False
______ are found within the spongy bone and are responsible for building up the bone matrix.
While ______, which are also found in the spongy bone, breakdown the bone matrix.
a. Osteocytes, osteoclasts
b. Osteoclasts, osteoblasts
c. Osteocytes, osteoblasts
d. Osteoblasts, osteoclasts - ANS-d. Osteoblasts, osteoclasts
Parathyroid hormone plays an important role in bone health. When the parathyroid gland
secretes PTH (parathyroid hormone) it causes:
a. The body to increase the calcium levels by stimulating the osteoclast activity.
b. The body to decrease the calcium levels by inhibiting osteoclast activity.
c. The body to increase the calcium levels by stimulating osteoblast activity.
d. The body to decrease the calcium levels by inhibiting osteoblast activity. - ANS-A
During discharge teaching to a patient at risk for developing osteoporosis, you discuss the types
of exercise the patient should perform. Which type of exercise is not the best to perform to
prevent osteoporosis?
a. Tennis
b. Weight-Lighting
c. Walking
d. Hiking - ANS-C
You're caring for a patient who has a health history of severe osteoporosis. On assessment you
note the patient has severe kyphosis of the upper back. Which nursing diagnosis takes priority
for this patient's care?
a. Risk for skin breakdown
b. Knowledge deficient regarding disease process
c. Limited mobility
d. Risk for falls - ANS-D
All of the following statements about the concept of mobility are correct except for?
a. Mobility is required to perform activities of daily living
b. Mobility is independent of central and peripheral perfusion
c. Mobility can refer to a particular body part or to the whole body
d. Mobility includes gross and fine movements and coordination - ANS-B
Osteopenia and osteoporosis are distinguished based on the
a. Age of the patient
b. T-score determined through bone density scan
