1.

The patient who has completed radiation therapy treatments for a form of cancer is at high
risk for developing:
A. Osteomalacia
B. Osteosarcoma
C. Paget's disease of the bone
D. Osteochondroma

Rationale: Patients who have received radiation for other forms of cancer are at high risk for
developing osteosarcoma. Osteomalacia is caused by a vitamin D deficiency. Paget's disease is a
metabolic disorder of bone remodeling. Osteochondroma is a benign bone tumor that has its
onset in childhood

2. An expected outcome of an older patient with acute osteomyelitis is:

A. Pain
B. Fatigue
C. Low-grade fever
D. Elevated leukocyte count

Rationale: Common presenting symptoms of osteomyelitis are pain, fever, edema, elevated
leukocyte count, fatigue, and general malaise. However, older adults may not have an extreme
temperature elevation because of lower core body temperature and compromised immune
system that occur with normal aging.

3. A patient is admitted for an MRI, a CT scan, and a myelogram. Which of the following
medication orders should be questioned for the patient who is to have a myelogram?
A. Ampicillin 250mg PO q6H
B. Motrin 400mg PO q4h PRN for headache
C. Seconal 50mg HS PRN sleep
D. Darvon 65mg PO q4h for pain

Rationale: Seconal is a barbiturate, and CNS depressants and stimulants, as well as

phenothiazines, should not be given for 48 hours prior to a mylegram because they decrease
the sizure threshold. Ampicillin is an antibiotic, Motrin is an NSAID, and Darvon is an analgesic,
so they can all be given, making answers A,B, and D wrong.

4. Which findings indicates a need for further assessment of the patient scheduled for a
magnetic resonance imaging (MRI)?
A. The patient is an insulin- dependent diabetic
B. The patient refuses a corner bed
C. The patient is allergic to shellfish
D. The patient has a history of asthma

Rationale: An MRI requires the patient to be confined in a small enclosure for a period of time.
The patient's refusal to accept the corner bed could indicate claustrophobia, so the patient
needs further assessment. An MRI is not contraindicated for patients with diabetes or asthma;
therefore, answers A and D are incorrect. Answer C is incorrect because no contrast medium is
used.