NUR 1024: HIP FRACTURES : NCLEX QUESTIONS WITH
ACCURATE SOLUTIONS
1) Which information should the nurse provide a 70-year-old client to prevent falls
and hip fractures? (Select all that apply.)
A) Having an eye exam every year
B) Limiting cigarette smoking
C) Taking 500 mg of calcium every day
D) Participating in weight-bearing exercises
E) Avoiding excessive alcohol use -- Correct Answer ✔✔ A, D, E
Rationale: Yearly eye exams, daily weight-bearing exercises, and avoiding
excessive alcohol use are interventions to help reduce falls and prevent hip
fractures. Any amount of cigarette smoking places a client at risk of hip fractures;
the client needs to refrain from smoking altogether. A postmenopausal woman
who is not on estrogen replacement should take 1,500 mg of calcium daily.
2) Which information should the nurse include in discharge teaching for a client who
had a hip arthroplasty?
A) "Extend the operative leg backward."
B) "Use an elevated toilet seat."
C) "Restrict motion for 2 weeks."
D) "Place an abduction pillow between the legs only at night." -- Correct
Answer ✔✔
Rationale: A client who had a hip arthroplasty should use an elevated toilet seat
and shower chair to prevent excess flexion of the hip. It is important for the
client to ambulate throughout the day and to not restrict motion, including
extending the legs backwards. An abduction pillow, if ordered, should be used
when sleeping, including during the night and when resting during the day.
, 3) Which pharmacologic treatment should the nurse expect the healthcare provider
to prescribe to a client with osteoporosis to prevent hip fractures?
A) Selective serotonin reuptake inhibitors (SSRIs)
B) Loop diuretics
C) Incretin mimetic agents
D) Bone density enhancers -- Correct Answer ✔✔ D
Rationale: Bone density enhancers (e.g., bisphosphonates) stimulate bone growth
and can be administered to clients with osteoporosis to prevent hip fractures.
Incretin mimetic agents, SSRIs, and loop diuretics are not indicated in the
treatment of osteoporosis to prevent hip fractures.
4) The nurse is providing a seminar about hip fracture treatment in the older adult.
Which surgery should be included? (Select all that apply.)
A) Fractional ablation
B) Open internal fixation
C) Arthroplasty
D) Hemiarthroplasty
E) Appendectomy -- Correct Answer ✔✔ B, C, D
Rationale: Hemiarthroplasty is a partial hip replacement of the ball or head of the
femur. Arthroplasty is a total replacement of the ball and socket or head and
acetabulum of the hip joint. Open internal fixation is performed to align the bone
when placing hardware. Appendectomy and fractional ablation are not indicated
for hip fractures.
5) A client diagnosed with a hip fracture is scheduled for an arthroplasty. Which
information should the nurse provide when describing this type of surgery to the
client?
A) Insertion of an intramedullary nail into the marrow canal of the bone via
an opening made in the greater trochanter
B) Replacement of the ball and socket or head and acetabulum of the hip
joint
C) Percutaneous pinning or compression hip screws that slide within the
barrel of the plate
D) Partial replacement of the ball or head of the femur -- Correct Answer
✔✔ B
ACCURATE SOLUTIONS
1) Which information should the nurse provide a 70-year-old client to prevent falls
and hip fractures? (Select all that apply.)
A) Having an eye exam every year
B) Limiting cigarette smoking
C) Taking 500 mg of calcium every day
D) Participating in weight-bearing exercises
E) Avoiding excessive alcohol use -- Correct Answer ✔✔ A, D, E
Rationale: Yearly eye exams, daily weight-bearing exercises, and avoiding
excessive alcohol use are interventions to help reduce falls and prevent hip
fractures. Any amount of cigarette smoking places a client at risk of hip fractures;
the client needs to refrain from smoking altogether. A postmenopausal woman
who is not on estrogen replacement should take 1,500 mg of calcium daily.
2) Which information should the nurse include in discharge teaching for a client who
had a hip arthroplasty?
A) "Extend the operative leg backward."
B) "Use an elevated toilet seat."
C) "Restrict motion for 2 weeks."
D) "Place an abduction pillow between the legs only at night." -- Correct
Answer ✔✔
Rationale: A client who had a hip arthroplasty should use an elevated toilet seat
and shower chair to prevent excess flexion of the hip. It is important for the
client to ambulate throughout the day and to not restrict motion, including
extending the legs backwards. An abduction pillow, if ordered, should be used
when sleeping, including during the night and when resting during the day.
, 3) Which pharmacologic treatment should the nurse expect the healthcare provider
to prescribe to a client with osteoporosis to prevent hip fractures?
A) Selective serotonin reuptake inhibitors (SSRIs)
B) Loop diuretics
C) Incretin mimetic agents
D) Bone density enhancers -- Correct Answer ✔✔ D
Rationale: Bone density enhancers (e.g., bisphosphonates) stimulate bone growth
and can be administered to clients with osteoporosis to prevent hip fractures.
Incretin mimetic agents, SSRIs, and loop diuretics are not indicated in the
treatment of osteoporosis to prevent hip fractures.
4) The nurse is providing a seminar about hip fracture treatment in the older adult.
Which surgery should be included? (Select all that apply.)
A) Fractional ablation
B) Open internal fixation
C) Arthroplasty
D) Hemiarthroplasty
E) Appendectomy -- Correct Answer ✔✔ B, C, D
Rationale: Hemiarthroplasty is a partial hip replacement of the ball or head of the
femur. Arthroplasty is a total replacement of the ball and socket or head and
acetabulum of the hip joint. Open internal fixation is performed to align the bone
when placing hardware. Appendectomy and fractional ablation are not indicated
for hip fractures.
5) A client diagnosed with a hip fracture is scheduled for an arthroplasty. Which
information should the nurse provide when describing this type of surgery to the
client?
A) Insertion of an intramedullary nail into the marrow canal of the bone via
an opening made in the greater trochanter
B) Replacement of the ball and socket or head and acetabulum of the hip
joint
C) Percutaneous pinning or compression hip screws that slide within the
barrel of the plate
D) Partial replacement of the ball or head of the femur -- Correct Answer
✔✔ B
