NUR 529 EXAM 4 REVIEW 2025/2026
An adult female client visits with her health care provider about pain in her hand. She describes
it as an audible grinding and cracking sound, especially in her thumb. "I had to buy an automatic
jar opener...I just can't grasp and open a jar...it just hurts too badly." The health care provider
suspects the client has a degenerative form of joint disease that is often evidenced by: -
CORRECT ANSWER -Osteoarthritis
A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the
Olympic swimming team. As a health care provider, which of the following should be
implemented to prevent premature osteoporosis? - CORRECT ANSWER -Calcium/Vitamin D
supplements
A 77-year-old woman has been admitted to the geriatric medical unit of the hospital for the
treatment of pneumonia. The nurse providing care for the client notes the presence of nasal
calcitonin, vitamin D, and calcium chloride on the client's medication administration record. The
nurse should conclude that this client likely has a history of:
Osteoporosis - CORRECT ANSWER -Osteoporosis
Which of the following measures should a public health nurse recommend to middle-aged
women to reduce their chances of developing osteoporosis later in life? - CORRECT ANSWER -
Calcium supplementation and regular physical activity
Which of the following statements about bone mass and the elderly is accurate? - CORRECT
ANSWER -Bone resorption and formation are no longer perfectly coupled, and bone mass is
lost.
While discussing hormonal control of bone formation, one should note that which hormone
lowers blood calcium levels and decreases bone resorption? - CORRECT ANSWER -Calcitonin
, A client with a history of osteoarthritis in his hip, which he refers to as "bad hip," is also
complaining of knee pain. The physiological principle behind this would include the fact that:
AllWjointsWofWanWextremityWareWinnervatedWbyWtheWsameWperipheralWnervesWasWtheyWtravelWdown
WtheWlimb.W-WCORRECTWANSWERW-
AllWjointsWofWanWextremityWareWinnervatedWbyWtheWsameWperipheralWnervesWasWtheyWtravelWdown
WtheWlimb.
HowWareWtheWoxygenationWneedsWofWtheWarticulatingWareasWinWaWsynovialWjointWmet?W-
WCORRECTWANSWERW-OxygenWisWprovidedWtoWtheWarticulatingWareasWindirectlyWbyWsynovialWfluid.
AW5-year-
oldWgirlWhasWbeenWpresentedWforWcareWbyWherWfatherWdueWtoWherWrecentWdevelopmentWofWmacul
esWonWherWtrunk,Wextremities,WandWmucousWmembranes.WTheWchildWisWmildlyWfebrile,WbutWherWpr
imaryWsymptomWisWextremeWpruritus.WWhatWdisorderWofWtheWskinWshouldWtheWclinicianWwhoWisWa
ssessingWtheWchildWfirstWsuspect?W-WCORRECTWANSWERW-Varicella
WhichWofWtheWfollowingWdisordersWofWtheWskinWisWmostWlikelyWtoWrespondWtoWtreatmentWwithWsys
temicWantibiotics?W-WCORRECTWANSWERW-AcneWvulgaris
WhatWprocessWaccountsWforWtheWdamagingWeffectsWofWtheWsun'sWradiationW-
WCORRECTWANSWERW-DamageWtoWepidermalWcellWDNAWandWfreeWradicalWproduction
AW44-year-
oldWmanWhasWbeenWbroughtWtoWtheWemergencyWdepartmentWwithWsevereWelectricalWburnsWresult
ingWfromWaWworkplaceWaccident.WTheWmostWimmediateWthreatWtoWthisWclient'sWsurvivalWatWthisWti
meWis:W-WCORRECTWANSWERW-HemodynamicWinstability
Dry,WitchyWplaquesWonWherWelbowsWandWkneesWhaveWpromptedWaW23-year-
oldWwomanWtoWseekWcare.WTheWclinicianWhasWsubsequentlyWdiagnosedWtheWclientWwithWpsoriasis,
WaWdisorderWthatWresultsWfrom:W-WCORRECTWANSWERW-IncreasedWepidermalWcellWturnover
An adult female client visits with her health care provider about pain in her hand. She describes
it as an audible grinding and cracking sound, especially in her thumb. "I had to buy an automatic
jar opener...I just can't grasp and open a jar...it just hurts too badly." The health care provider
suspects the client has a degenerative form of joint disease that is often evidenced by: -
CORRECT ANSWER -Osteoarthritis
A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the
Olympic swimming team. As a health care provider, which of the following should be
implemented to prevent premature osteoporosis? - CORRECT ANSWER -Calcium/Vitamin D
supplements
A 77-year-old woman has been admitted to the geriatric medical unit of the hospital for the
treatment of pneumonia. The nurse providing care for the client notes the presence of nasal
calcitonin, vitamin D, and calcium chloride on the client's medication administration record. The
nurse should conclude that this client likely has a history of:
Osteoporosis - CORRECT ANSWER -Osteoporosis
Which of the following measures should a public health nurse recommend to middle-aged
women to reduce their chances of developing osteoporosis later in life? - CORRECT ANSWER -
Calcium supplementation and regular physical activity
Which of the following statements about bone mass and the elderly is accurate? - CORRECT
ANSWER -Bone resorption and formation are no longer perfectly coupled, and bone mass is
lost.
While discussing hormonal control of bone formation, one should note that which hormone
lowers blood calcium levels and decreases bone resorption? - CORRECT ANSWER -Calcitonin
, A client with a history of osteoarthritis in his hip, which he refers to as "bad hip," is also
complaining of knee pain. The physiological principle behind this would include the fact that:
AllWjointsWofWanWextremityWareWinnervatedWbyWtheWsameWperipheralWnervesWasWtheyWtravelWdown
WtheWlimb.W-WCORRECTWANSWERW-
AllWjointsWofWanWextremityWareWinnervatedWbyWtheWsameWperipheralWnervesWasWtheyWtravelWdown
WtheWlimb.
HowWareWtheWoxygenationWneedsWofWtheWarticulatingWareasWinWaWsynovialWjointWmet?W-
WCORRECTWANSWERW-OxygenWisWprovidedWtoWtheWarticulatingWareasWindirectlyWbyWsynovialWfluid.
AW5-year-
oldWgirlWhasWbeenWpresentedWforWcareWbyWherWfatherWdueWtoWherWrecentWdevelopmentWofWmacul
esWonWherWtrunk,Wextremities,WandWmucousWmembranes.WTheWchildWisWmildlyWfebrile,WbutWherWpr
imaryWsymptomWisWextremeWpruritus.WWhatWdisorderWofWtheWskinWshouldWtheWclinicianWwhoWisWa
ssessingWtheWchildWfirstWsuspect?W-WCORRECTWANSWERW-Varicella
WhichWofWtheWfollowingWdisordersWofWtheWskinWisWmostWlikelyWtoWrespondWtoWtreatmentWwithWsys
temicWantibiotics?W-WCORRECTWANSWERW-AcneWvulgaris
WhatWprocessWaccountsWforWtheWdamagingWeffectsWofWtheWsun'sWradiationW-
WCORRECTWANSWERW-DamageWtoWepidermalWcellWDNAWandWfreeWradicalWproduction
AW44-year-
oldWmanWhasWbeenWbroughtWtoWtheWemergencyWdepartmentWwithWsevereWelectricalWburnsWresult
ingWfromWaWworkplaceWaccident.WTheWmostWimmediateWthreatWtoWthisWclient'sWsurvivalWatWthisWti
meWis:W-WCORRECTWANSWERW-HemodynamicWinstability
Dry,WitchyWplaquesWonWherWelbowsWandWkneesWhaveWpromptedWaW23-year-
oldWwomanWtoWseekWcare.WTheWclinicianWhasWsubsequentlyWdiagnosedWtheWclientWwithWpsoriasis,
WaWdisorderWthatWresultsWfrom:W-WCORRECTWANSWERW-IncreasedWepidermalWcellWturnover
