Musculoskeletal and Medication Practice Test

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• Which timing instruction is correct for taking alendronate?
• Which analgesic should be avoided in children due to risk of Reye syndrome?
• What is the typical adult dose of ibuprofen for rheumatoid arthritis?
• Hydroxychloroquine is classified as which type of drug in the treatment of rheumatoid arthritis?
• How should a cane be positioned for a client with right-sided weakness?
• Which sign indicates a potential infection under a cast?
• Which medication is administered intravenously to a patient with multiple sclerosis for spasticity?
• Which action worsens low back pain with radicular symptoms when bending or lifting?
• A client on baclofen reports ongoing weakness and fatigue after starting therapy. How should the nurse respond?
• Raloxifene belongs to which class of osteoporosis medications?
• A client receiving baclofen for muscle spasm reports drowsiness. This finding indicates what?
• When reinforcing instructions to a client taking allopurinol, which instruction is indicated?
• Which laboratory test would identify an adverse effect of dantrolene sodium?
• Which statement best describes baclofen therapy?
• Parkinson disease is characterized by which of the following cardinal signs?
• What are the three overlapping stages of fracture healing?
• Which outcome would indicate improvement in joint function after DMARD therapy?
• Which medication is a gold compound used to treat rheumatoid arthritis?
• Besides joint inflammation, which early systemic sign might be seen in rheumatoid arthritis?
• Which symptom should be reported promptly by a patient on high-dose aspirin therapy?
• Intra-articular corticosteroid injections provide relief for which conditions?
• Denosumab dosing schedule for osteoporosis treatment?
• A client with osteoarthritis is prescribed diclofenac sodium. The LPN should verify the prescription with the RN if which other medication is listed?
• Which joint type is exemplified by the hips and shoulders?
• What daily dose of acetylsalicylic acid is typical for rheumatoid arthritis?
• During an intravenous dose of methocarbamol for a client with multiple sclerosis, which adverse effect should the nurse monitor?
• A patient with a spasticity problem would discontinue dantrolene after no relief for how long?
• A client has Buck's extension traction applied to the right leg. The nurse should plan which intervention to prevent complications of the device?
• Which of the following best describes the role of weight-bearing exercises in osteoporosis prevention?
• Which drug reduces uric acid production and is used as a urate-lowering therapy?
• The nurse monitors for early signs of fat embolism in a client with a long bone fracture. Which criterion indicates early nervous system involvement?
• To determine effectiveness of leflunomide, which question would you ask?
• Cyclobenzaprine should be avoided in patients with which condition?
• A client prescribed cyclobenzaprine hydrochloride for muscle spasms has an admission history of which condition that would prompt questioning the prescription?
• Which client statement indicates a need for further teaching about carisoprodol?
• Abrupt withdrawal of intrathecal baclofen is associated with which of the following adverse effects?
• Discharge instructions for a client receiving baclofen should include which instruction?
• Which of the following is an example of a vitamin D status indicator?
• A comprehensive musculoskeletal rehab plan typically includes which key component?
• Which drug is a central acting skeletal muscle relaxant that might be prescribed for multiple sclerosis–related spasticity?
• A client taking colchicine for gout shows improvement if which symptom decreases?
• The nurse should withhold cyclobenzaprine if the client is concurrently taking which medication?
• Which symptom indicates possible toxicity from auranofin?
• Which medication is used to manage chronic tophaceous gout?
• A client receiving baclofen should be taught to do which?
• Which osteoporosis medication is a sclerostin inhibitor used to increase bone formation, placed here to test alternative phrasing?
• Which radiographic feature is not typical of osteoarthritis?
• Tendinopathy commonly manifests as pain with repetitive use at a specific tendon; example?
• Which of the following pairs are classic radiographic features of osteoarthritis?
• Which statement is true about osteoarthritis pathology?
• Which muscle fiber type is optimized for endurance and fatigue resistance?
• Colchicine acts by inhibiting polymerization of which cellular structure to reduce neutrophil activity in gout?
• What is the primary pathological process in osteoarthritis?
• Which measure should be included in teaching to prevent shoulder stiffness for a client with a left arm cast?
• Dantrolene is best described as what type of medication in clinical practice?
• Which condition would contraindicate alendronate therapy?
• A client who has undergone spinal fusion with hardware develops fever. Which finding would be most concerning for possible infection?
• Before starting hydroxychloroquine, which baseline assessment is recommended to monitor a potential serious adverse effect?
• A client with spinal cord injury on baclofen shows which sign indicating a side effect?
• Which pain assessment framework is commonly used for musculoskeletal pain characterization?
• In post-spinal fusion assessment, which finding would be most concerning for infection?
• Colchicine is contraindicated in which disorder?
• In a comatose client at risk for fat embolism due to a femur and pelvic fracture, which finding is an early sign?
• Before reduction of a fracture in the casting room, which item is least likely needed?
• A client is receiving diazepam for skeletal muscle relaxation; which side effect would the nurse monitor?
• A client with rheumatoid arthritis taking acetylsalicylic acid 5 g daily would demonstrate understanding by reporting which symptom?
• Which NSAID class is associated with lower GI risk but higher cardiovascular risk?
• What is a major risk associated with opioid analgesics in musculoskeletal pain management?
• To address skin irritation from cast edges, which action is appropriate?
• Which of the following is a side effect of diazepam in a client with multiple sclerosis?
• Which component of the musculoskeletal system transmits force from muscle to bone?
• In Buck's extension traction, which action is essential to prevent complications?
• What initial instruction should be reinforced for diflunisal when the patient has difficulty swallowing tablets?
• Which of the following is NOT a cardinal sign of Parkinson disease?
• When monitoring a client receiving etanercept, which data should be collected?
• Serum levels of which metabolite indicate sufficient vitamin D status?
• Subchondral sclerosis is a radiographic feature commonly seen in which condition?
• NSAIDs are contraindicated or used with caution in which common GI condition?
• Which osteoanabolic agent is a sclerostin inhibitor used to increase bone formation?
• When NSAIDs such as diclofenac are used with anticoagulants, what is the main safety concern?
• Probenecid increases uric acid excretion by inhibiting reabsorption in which part of the nephron?
• A client with multiple sclerosis who is taking baclofen demonstrates understanding of the medication when the client says they will watch for which symptom?
• Which risk increases when diclofenac is given with warfarin?
• During a three-point gait with a left leg cast, which sequence is correct?
• Allopurinol is prescribed for chronic tophaceous gout. The nurse explains that what condition can occur during the first few months of treatment?
• Besides pharmacotherapy, which two components are key to osteoporosis prevention?
• Which HLA-B27 associated axial inflammatory arthritis presents with inflammatory back pain and improves with exercise?
• Which laboratory tests are most important to monitor during etanercept therapy for rheumatoid arthritis?
• Which medication is used to treat spasticity in multiple sclerosis?
• Which additional infection screening may be considered before initiating TNF inhibitors if indicated?
• Calcific tendinopathy refers to calcification within which tissue?
• Which disorder should alert the nurse to contact the primary health care provider when a client is prescribed baclofen?
• Which of the following is NOT a recognized stage in the overlapping process of fracture healing?
• In the PQRST pain assessment framework, what does the 'T' stand for?
• A client taking baclofen identifies a side effect that requires further teaching. Which side effect is it?
• Methotrexate is best described as which type of agent?
• What is the first-line nonoperative management for a mild ankle sprain?
• In a patient taking dantrolene, a markedly elevated LDH would prompt which action?
• A client with rheumatoid arthritis who is started on hydroxychloroquine should be educated about the most serious adverse effect to monitor.
• Before initiating crutch-walking instructions, which data point is essential to collect?
• In a three-point gait, which describes the weight-bearing pattern?
• In open fractures, what is the immediate critical step in management?
• A patient with left below-knee amputation reports itching in the missing foot. How should the nurse interpret this statement?
• Which condition would contraindicate alendronate use aside from hypocalcemia?
• Before starting TNF inhibitors for inflammatory arthritis, which infection screening is essential?
• Which autoimmune arthritis typically presents with symmetric joint swelling and prolonged morning stiffness?
• Which statement demonstrates understanding of carisoprodol dosing interactions?
• Which joint allows rotation around a single axis, as seen in the forearm?
• A client taking large doses of acetylsalicylic acid for rheumatoid arthritis should report which signs or symptoms of ototoxicity?
• Which comment shows a need for further teaching about bisphosphonate administration?
• If a patient on hydroxychloroquine reports vision changes, the nurse should advise them to do what?
• A client with a cast reports skin irritation at the edges. What intervention should the nurse plan?
• Which finding would indicate an acceptable response to DMARD therapy?
• Discharge instructions for a client receiving baclofen should include which guidance?
• Which imaging modality is most sensitive for detecting soft tissue injuries such as rotator cuff tears?
• Which laboratory value is most relevant to monitor in a patient receiving dantrolene?
• Which option describes a recommended gout management practice?
• Cyclobenzaprine is prescribed for muscle spasms. Which disorder would indicate the nurse should contact the primary health care provider before administration?
• A client with a left arm fracture reports severe, diffuse pain unrelieved by analgesics. What should the nurse do?
• Two weeks after starting auranofin, which finding would most suggest toxicity?
• A client is taking cyclobenzaprine for muscle spasms in the cervical spine and reports drowsiness, dizziness, and dry mouth. These signs are best described as which of the following?
• Aspirin intoxication is suspected; which symptom would indicate this?
• For a patient on etanercept therapy for rheumatoid arthritis, which lab values should be monitored regularly?
• Regular alcohol consumption with acetaminophen increases risk of liver injury; what is the maximum daily acetaminophen dose to limit risk?
• A client is receiving diazepam and experiences side effects; which data would indicate this?
• Cyclobenzaprine is prescribed for muscle spasms in which region?
• Which medication works by acting directly on skeletal muscle to relieve spasticity?
• An acute episode of bursitis is best managed by avoiding which measure that is least likely to help until the episode resolves?
• Which of the following is a best practice for gout management?
• The patient is documented as wearing which type of cast for immobilization?
• What is the maintenance dosing frequency of oral dantrolene for spasticity?
• Transcutaneous electrical nerve stimulation (TENS) is used for relief of chronic pain. Which statement about TENS is true?
• Which data indicate a favorable resolution of a fat embolism following multiple fractures?
• What elbow flexion angle is recommended when using a cane?
• A client with a closed fracture has just had a cast applied and reports intense pain unrelieved by elevation, ice, and analgesia. Which condition best explains the pain?
• What is the maintenance dosing frequency of oral dantrolene for spasticity?
• Why should calcium supplements be spaced away from tetracycline and levothyroxine?
• Which HLA type is commonly associated with ankylosing spondylitis?
• Which of the following is an early pulmonary sign of fat embolism?
• An older client with rheumatoid arthritis is prescribed acetaminophen 3000-4000 mg daily. Which laboratory test should be monitored?
• Allopurinol reduces uric acid production by inhibiting which enzyme?
• Before reduction of a fracture in the casting room, which statement is least likely needed?
• The crystals that accumulate in joints during gout are composed of what substance?
• Which type of synovial joint allows movement in multiple planes and includes the ball-and-socket joint?
• Which agent is a uricosuric drug used to increase uric acid excretion?
• Which condition presents with inflammatory back pain that improves with exercise?
• Which statement is true about intrathecal baclofen therapy for severe spasticity?
• Which of the following is an early systemic sign of rheumatoid arthritis?
• A client with multiple sclerosis is treated with baclofen. What outcome indicates a favorable therapeutic response?
• What is the maximum recommended daily dose of acetaminophen for a healthy adult?
• Name two common adverse effects of NSAIDs.
• Which of the following is not part of the initial management for a mild ankle sprain?
• After witnessing a vehicle strike a pedestrian at a low speed, what is the nurse's priority action?
• For acute traumatic muscle spasms, which nonpharmacologic measure is commonly prescribed?
• Which medication is delivered intrathecally for spinal cord injury–related spasticity?
• A nurse is reviewing a medication record and notes glaucoma. Which action regarding cyclobenzaprine should be taken?
• During a three-point gait, touch-down weight bearing on the affected leg means what?
• Which type of cane is used if the client only needs minimal support for an affected leg?
• What condition results from prolonged immobilization leading to loss of muscle mass and strength?
• Which form of calcium supplement is generally better absorbed and often recommended for older adults?
• Which statement demonstrates safe administration of a bisphosphonate?
• A client with rheumatoid arthritis is starting etanercept. Which data should the nurse collect?
• In Paget's disease, when serum calcium levels are lowered, which hormone increases to release calcium into the blood?
• A client is receiving baclofen for muscle spasms. Which symptom is a side effect?
• Where should the top of the cane be positioned?
• Which red flag in adult back pain requires urgent evaluation?
• In suspected septic arthritis, what is the most urgent initial diagnostic step?
• Which class of medications is considered first-line therapy to reduce fracture risk in osteoporosis?
• Which joint infection is a medical emergency requiring prompt aspiration and antibiotics?
• Which medications should be spaced apart by 30-60 minutes due to absorption interactions with bisphosphonates?
• In pediatric dosing, what is essential when giving analgesics?
• In rheumatoid arthritis, which feature is most characteristic?
• Meloxicam has which of the following actions?
• Which nonpharmacologic measure is commonly prescribed to accompany therapy for painful muscle spasms due to traumatic injury?
• Which osteoporosis medication is administered by subcutaneous injection every six months?
• For a client with a below-knee amputation, which teaching point is essential for stump care?
• Nutritional therapy for osteoporosis; which comment indicates need for further teaching?
• For a patient taking indomethacin for gout, which assessment should the nurse expect the primary health care provider to order?
• Before teaching a client to use crutches, which data should the nurse collect as a priority?
• Which food should be avoided while taking colchicine for gout?
• Which instrument is used to measure a patient’s active and passive range of motion?
• Which statement about cane use is correct?
• Diazepam, a centrally acting skeletal muscle relaxant, can cause which side effect?
• Dantrolene sodium is prescribed for a client with flexor spasms. What is the therapeutic action of this medication?
• Which stump-care teaching point is essential after a below-knee amputation?
• Which statement best explains compartment syndrome?
• Methotrexate, commonly used as first-line therapy in rheumatoid arthritis, belongs to which class and mechanism?
• Which option represents a hip spica cast?
• Which medication is commonly administered intrathecally to treat severe spasticity due to spinal cord injury?
• Carisoprodol is prescribed for which purpose?
• Prior to initiating immunosuppressive therapy for inflammatory arthritis, which vaccines should be updated?
• Alendronate is prescribed for osteoporosis. Which instruction should the nurse reinforce?
• Colchicine use requires caution in which condition due to contraindication?
• In osteoporosis management, which two interventions are most important for reducing fracture risk?
• A client taking dantrolene sodium has a laboratory result of LDH 600 units/L. The LPN should recommend notifying the primary health care provider.
• Disuse atrophy is best described as which of the following?
• To prevent shoulder stiffness in a client with a left arm cast, which suggestion should be included in teaching?
• Which laboratory result would indicate a stable hematologic status for a client on DMARDs?
• Which action would help maintain hip precautions for a client with a posterior approach ORIF?
• Which uricosuric agent increases renal excretion of uric acid by inhibiting proximal tubule reabsorption?
• What is a key nonpharmacologic strategy to reduce fracture risk in older adults with osteoporosis?
• Which class of medications, including raloxifene, reduces vertebral fracture risk in osteoporosis but carries risk of venous thromboembolism?
• Name two systemic adverse effects of long-term corticosteroid therapy.
• For an acute gout attack, which drug class is used first-line?
• Which pair are two major risk factors for osteoporosis in postmenopausal women?
• RICE regimen stands for which four components?
• Before initiating biologic DMARDs, which infection screening is recommended?