Nursing 430 Final Exam (New 2025
/ 2026 Update) Adult Health
Nursing Guide | Q & A | 100%
Correct with RATIONALES | A
Grade (Verified Answers)- GCU
Terms in this set (79)
Quiz_________________?
A nurse is caring for an adult patient diagnosed with a back strain. What health education should the
nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance.
B) Focus on using back muscles efficiently when lifting heavy objects.
C) Lift objects while holding the object a safe distance from the body.
D) Tighten the abdominal muscles and lock the knees when lifting of an object -
Answer☑A
Feedback: The nurse will instruct the patient on the safe and correct way to lift objects using the strong
quadriceps muscles of the thighs, with minimal use of the weak back muscles. To prevent recurrence of
acute low back pain, the nurse may instruct the patient to avoid lifting more than one-third of his weight
without help. The patient should be informed to place the feet a hip-width apart to provide a wide base
of support, the person should bend the knees, tighten the abdominal muscles, and lift the object close to
the body with a smooth motion, avoiding twisting and jerking.
Quiz_________________?
A nurse is discussing conservative management of tendonitis with a patient. Which of the following may
be an effective approach to managing tendonitis?
A) Weight reduction
1
,B) Use of oral opioid analgesics
C) Intermittent application of ice and heat
D) Passive range of motion exercises -
Answer☑C
Feedback: Conservative management of tendonitis includes rest of the extremity, intermittent ice and
heat to the joint, and NSAIDs. Weight reduction may prevent future injuries but will not relieve existing
tendonitis. Range-of-motion exercises may exacerbate pain. Opioids would not be considered a
conservative treatment measure
Quiz_________________?
A nurse is providing an educational class to a group of older adults at a community senior center. In an
effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume
the recommended adequate intake of what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D -
Answer☑D, E
Feedback: A diet rich in calcium and vitamin D protects against skeletal demineralization. Intake of
vitamin B12and potassium does not directly influence the risk for osteoporosis. Calcitonin is not
considered to be a dietary nutrient
Quiz_________________?
A nurse is providing a class on osteoporosis at the local seniors center. Which of the following
statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a persons level of activity.
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis -
Answer☑D
2
,Feedback: When corticosteroid therapy is discontinued, the progression of osteoporosis is halted, but
restoration of lost bone mass does not occur. Osteoporosis is not a disease of the elderly because its
onset occurs earlier in life, when bone mass peaks and then begins to decline. A persons level of physical
activity is a modifiable factor that influences peak bone mass. Lack of activity increases the risk for the
development of osteoporosis. Primary osteoporosis occurs in women after menopause.
Quiz_________________?
A nurse is teaching a patient with osteomalacia about the role of diet. What would be the best choice
for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes -
Answer☑A
Feedback: The best meal option is the one that contains the highest dietary sources of calcium and
vitamin D. The best selection among those listed is cereal with milk, and eggs, as these foods contain
calcium and vitamin D in a higher quantity over the other menu options.
Quiz_________________?
A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the patient
reduce the risk for pathologic fractures. What should the nurse teach the patient?
A) Strive to achieve maximum weight-bearing capabilities.
B) Gradually strengthen the affected muscles through weight training.
C) Support the affected extremity with external supports such as splints.
D) Limit reliance on assistive devices in order to build strength. -
Answer☑C
Feedback: During nursing care, the affected extremities must be supported and handled gently. External
supports (splints) may be used for additional protection. Prescribed weight-bearing restrictions must be
followed. Assistive devices should be used to strengthen the unaffected extremities.
Quiz_________________?
3
, A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What
hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?
A) Estrogen
B) Parathyroid hormone (PTH)
C) Calcitonin
D) Progesterone -
Answer☑C
Feedback: Calcitonin inhibits bone resorption and promotes bone formation, estrogen inhibits bone
breakdown, and parathyroid increases bone resorption. Estrogen, which inhibits bone breakdown,
decreases with aging. Parathyroid hormone (PTH) increases with aging, increasing bone turnover and
resorption. Progesterone is the major naturally occurring human progestogen and plays a role in the
female menstrual cycle.
Quiz_________________?
A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is
most suggestive of this diagnosis?
A) High chloride, calcium, and magnesium
B) High parathyroid and calcitonin levels
C) Low serum calcium and magnesium levels
D) Low serum calcium and low phosphorus level -
Answer☑D
Feedback: Laboratory studies will reveal a low serum calcium and low phosphorus level
Quiz_________________?
A nurse is caring for a patient who is 12 hours postoperative following foot surgery. The nurse assesses
the presence of edema in the foot. What nursing measure will the nurse implement to control the
edema?
A) Elevate the foot on several pillows.
B) Apply warm compresses intermittently to the surgical area.
4
/ 2026 Update) Adult Health
Nursing Guide | Q & A | 100%
Correct with RATIONALES | A
Grade (Verified Answers)- GCU
Terms in this set (79)
Quiz_________________?
A nurse is caring for an adult patient diagnosed with a back strain. What health education should the
nurse provide to this patient?
A) Avoid lifting more than one-third of body weight without assistance.
B) Focus on using back muscles efficiently when lifting heavy objects.
C) Lift objects while holding the object a safe distance from the body.
D) Tighten the abdominal muscles and lock the knees when lifting of an object -
Answer☑A
Feedback: The nurse will instruct the patient on the safe and correct way to lift objects using the strong
quadriceps muscles of the thighs, with minimal use of the weak back muscles. To prevent recurrence of
acute low back pain, the nurse may instruct the patient to avoid lifting more than one-third of his weight
without help. The patient should be informed to place the feet a hip-width apart to provide a wide base
of support, the person should bend the knees, tighten the abdominal muscles, and lift the object close to
the body with a smooth motion, avoiding twisting and jerking.
Quiz_________________?
A nurse is discussing conservative management of tendonitis with a patient. Which of the following may
be an effective approach to managing tendonitis?
A) Weight reduction
1
,B) Use of oral opioid analgesics
C) Intermittent application of ice and heat
D) Passive range of motion exercises -
Answer☑C
Feedback: Conservative management of tendonitis includes rest of the extremity, intermittent ice and
heat to the joint, and NSAIDs. Weight reduction may prevent future injuries but will not relieve existing
tendonitis. Range-of-motion exercises may exacerbate pain. Opioids would not be considered a
conservative treatment measure
Quiz_________________?
A nurse is providing an educational class to a group of older adults at a community senior center. In an
effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume
the recommended adequate intake of what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D -
Answer☑D, E
Feedback: A diet rich in calcium and vitamin D protects against skeletal demineralization. Intake of
vitamin B12and potassium does not directly influence the risk for osteoporosis. Calcitonin is not
considered to be a dietary nutrient
Quiz_________________?
A nurse is providing a class on osteoporosis at the local seniors center. Which of the following
statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a persons level of activity.
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the osteoporosis -
Answer☑D
2
,Feedback: When corticosteroid therapy is discontinued, the progression of osteoporosis is halted, but
restoration of lost bone mass does not occur. Osteoporosis is not a disease of the elderly because its
onset occurs earlier in life, when bone mass peaks and then begins to decline. A persons level of physical
activity is a modifiable factor that influences peak bone mass. Lack of activity increases the risk for the
development of osteoporosis. Primary osteoporosis occurs in women after menopause.
Quiz_________________?
A nurse is teaching a patient with osteomalacia about the role of diet. What would be the best choice
for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes -
Answer☑A
Feedback: The best meal option is the one that contains the highest dietary sources of calcium and
vitamin D. The best selection among those listed is cereal with milk, and eggs, as these foods contain
calcium and vitamin D in a higher quantity over the other menu options.
Quiz_________________?
A nurse is caring for a patient with a bone tumor. The nurse is providing education to help the patient
reduce the risk for pathologic fractures. What should the nurse teach the patient?
A) Strive to achieve maximum weight-bearing capabilities.
B) Gradually strengthen the affected muscles through weight training.
C) Support the affected extremity with external supports such as splints.
D) Limit reliance on assistive devices in order to build strength. -
Answer☑C
Feedback: During nursing care, the affected extremities must be supported and handled gently. External
supports (splints) may be used for additional protection. Prescribed weight-bearing restrictions must be
followed. Assistive devices should be used to strengthen the unaffected extremities.
Quiz_________________?
3
, A nurse is reviewing the pathophysiology that may underlie a patients decreased bone density. What
hormone should the nurse identify as inhibiting bone resorption and promoting bone formation?
A) Estrogen
B) Parathyroid hormone (PTH)
C) Calcitonin
D) Progesterone -
Answer☑C
Feedback: Calcitonin inhibits bone resorption and promotes bone formation, estrogen inhibits bone
breakdown, and parathyroid increases bone resorption. Estrogen, which inhibits bone breakdown,
decreases with aging. Parathyroid hormone (PTH) increases with aging, increasing bone turnover and
resorption. Progesterone is the major naturally occurring human progestogen and plays a role in the
female menstrual cycle.
Quiz_________________?
A patient is undergoing diagnostic testing for osteomalacia. Which of the following laboratory results is
most suggestive of this diagnosis?
A) High chloride, calcium, and magnesium
B) High parathyroid and calcitonin levels
C) Low serum calcium and magnesium levels
D) Low serum calcium and low phosphorus level -
Answer☑D
Feedback: Laboratory studies will reveal a low serum calcium and low phosphorus level
Quiz_________________?
A nurse is caring for a patient who is 12 hours postoperative following foot surgery. The nurse assesses
the presence of edema in the foot. What nursing measure will the nurse implement to control the
edema?
A) Elevate the foot on several pillows.
B) Apply warm compresses intermittently to the surgical area.
4
