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2024 OSTEOPOROSIS NCLEX STYLE EXAM QUESTIONS
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2024 OSTEOPOROSIS NCLEX STYLE EXAM QUESTIONS
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2024 OSTEOPOROSIS NCLEXSTYLE EXAM QUESTIONS
1) The nurse is caring for a woman who is at 14 weeks' gestation with her
first child. The woman asks the nurse, "Am I at risk for osteoporosis since my
baby takes calcium from my body?" What response by the nurse is correct?
A) "You may lose small amounts of bone mass with each pregnancy, but if
you only have one child, the bone loss should not be significant enough to
cause osteoporosis."
B) "When bone mass is lost during pregnancy, it is very difficult to restore,
and you may be at increased risk for osteoporosis later in life. You should
take a calcium supplement to prevent this."
C) "If you eat a diet that is rich in calcium, any bone mass that is lost during
pregnancy and breastfeeding will be restored within several months of
weaning the child."
D) "The baby won't require enough calcium during development to affect
your bone mass or cause osteoporosis." - CORRECT ANSWERS-Answer: C
C) During pregnancy, the growing fetus requires calcium to develop the
skeleton. Calcium is also required for milk production. If the mother does not
eat a diet rich in calcium, the baby draws what it needs from the mother's
bones, causing a decrease in bone mass. Any bone mass that is lost during
pregnancy or breastfeeding is typically easily restored several months after
the infant is weaned from the breast. Studies indicate that the more times
women are pregnant, the greater the mother's bone density.
2) A nurse is conducting a health history on an older adult client. Which
assessment finding indicates the client is at risk for osteoporosis?
A) Having a body mass index (BMI) that indicates obesity
B) Using glucocorticoids for 10 years because of a chronic lung disorder
C) Eating three to five servings of shrimp and liver per week
D) Drinking three glasses of skim milk daily - CORRECT ANSWERS-Answer: B
Explanation: A) Long-time use of corticosteroids is a risk factor for
developing osteoporosis. Obesity is not a risk factor for osteoporosis. Skim
milk is a good source of calcium and vitamin D, which prevents or slows
osteoporosis. A diet rich in shellfish and organ meats is high in purine, which
may predispose the client to gout.
, 3) The nurse is planning care for a female adult client who is high-risk for
developing osteoporosis. Which interventions will decrease the client's risk of
developing this health problem? Select all that apply.
A) Increasing the intake of alcoholic beverages
B) Isometric exercise for at least 30 minutes three times per week
C) Weight-bearing exercises such as walking
D) Having a yearly dual-energy x-ray absorptiometry (DEXA) test
E) A diet with adequate amounts of calcium and vitamin D - CORRECT
ANSWERS-Answer: C, E
Explanation: A) Interventions that may decrease this client's risk of
developing osteoporosis include regular weight-bearing exercise, such as
walking, as this activity slows bone loss. Other intervention include
encouraging clients to consume adequate amounts of calcium and vitamin D
in their diets to prevent osteoporotic fracture. A DEXA test measures bone
density, but it does not decrease the client's risk for developing osteoporosis.
Measures to prevent or treat osteoporosis include limiting the intake of
beverages containing alcohol, caffeine, and phosphorus. Isometric exercises
are not effective against osteoporosis.
4) The nurse identifies the nursing diagnosis Imbalanced Nutrition: Less Than
Body Requirements as appropriate for a client with osteoporosis. Which
client statement indicated to the nurse that this nursing diagnosis was
appropriate?
A) "I like to remove all of the fat from the meat I eat."
B) "I am trying to eat a low-carb diet."
C) "I plan to start eating out less."
D) "I am allergic to dairy products." - CORRECT ANSWERS-Answer: D
Explanation: A) The client who is allergic to dairy products may not take in
much calcium, which increases the risk of osteoporosis, so focusing on diet
would be a priority for this client. The statements about removing fat, eating
a low-carb diet, and eating out less are healthy changes for many individuals
that help reduce calorie intake, but they would not address one of the root
causes of osteoporosis, deficient calcium intake.
5) A client who is at risk for developing osteoporosis asks what can be done
to decrease the risk of actually developing the disease. Which intervention
would be the most beneficial for this client?
A) Decreasing the amount of calcium in the client's diet
B) Providing the client with assisted range of motion exercising twice daily
C) Increasing regular weight-bearing activities
D) Protecting the client's bones with strict bedrest - CORRECT ANSWERS-
Answer: C
Explanation: A) A standard intervention for those attempting to prevent
osteoporosis is beginning an exercise plan that includes weight-bearing
activities. Strict bedrest, decreasing calcium intake, and assisted range of
motion exercises may make the osteoporosis worse.
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