Asynchronous Clinical 212 Gero (MSK) NCLEX Questions ANSWERS
11/24/21 Fall 2021
1. A nurse is educating a patient with gout about lifestyle modifications that can help control the
signs and symptoms of the disease. What recommendation should the nurse make?
A. Daily use of corticosteroids
B. Limiting exposure to sunlight
C. Limiting use of aspirin
D. Smoking cessation
2. A nurse is providing care for a patient who has just been diagnosed as being in the early stage
of rheumatoid arthritis. The nurse should anticipate the administration of which of the
following?
A. Hydromorphone (Dilaudid)
B. Allopurinol (Zyloprim)
C. Solumedrol
D. Methotrexate (Rheumatrex)
3. Which of the following patients should the nurse recognize as being at the highest risk for the
development of osteomyelitis?
A. A middle-age adult who takes prednisone daily for rheumatoid arthritis
B. A 40-year-old female patient with a Stage VI pressure ulcer to the right hip
C. A 21-year-old febrile football player with whom had repair of an open fracture 72 hours prior
D. A 70-year-old quadriplegic with a stage II pressure ulcer to the sacral area
4. A nurse is caring for a 78-year-old patient with a history of osteoarthritis (OA). When planning
the patient's care, what goal should the nurse include?
A. The patient will express satisfaction with her ability to perform ADLs.
B. The patient will recover from OA within 6 months.
C. The patient will adhere to the prescribed plan of care.
D. The patient will deny signs or symptoms of OA.
5. A patient is undergoing diagnostic testing to determine the etiology of recent joint pain. The
patient asks the nurse about the difference between osteoarthritis (OA) and rheumatoid arthritis
(RA). What is the best response by the nurse?
A. “OA is a considered a non-inflammatory joint disease. RA is characterized by inflamed,
swollen joints.”
B. “OA and RA are very similar. OA affects the smaller joints such as the fingers, and RA affects
the larger, weight-bearing joints like the knees.”
C). “OA originates with an infection. RA is a result of your body's cells attacking one another.”
D). “OA is associated with impaired immune function; RA is a consequence of physical
damage.”
, 6. The results of a nurse's musculoskeletal examination shows increased thoracic curvature of
the patient's spine. The nurse should recognize the presence of what health problem?
A. Kyphosis
B. Scoliosis
C. Lordosis
D. Osteoporosis
7. A patient is diagnosed with Paget's disease after complaining of bone pain, difficulty walking
and muscle spasms. All the following are considered “non-surgical treatments “except?
A. Calcitonin
B. Selected Bisphosphonates
C. NSAID’s
D. Selective Estrogen Receptor Modulators
8. A 40-year-old woman was diagnosed with Raynaud's phenomenon several years ago, and has
sought care because of a progressive worsening of her symptoms. The patient also states that she
was recently diagnosed with Pancreatitis. The nurse should expect to see what other health
problem in the patients’ medical history?
A. Rheumatoid arthritis (RA)
B. Fibromyalgia (FM)
C. Giant cell arteritis (GCA)
D. Systemic Lupus Erythematosus (SLE)
9. True or False
While a nurse is taking a health history on a patient with Musculoskeletal dysfunction, the
primary focus of the nurses’ assessment should focus on how the dysfunction effects ADL’s ?
True
10. The following is described as:
A metabolic disorder of bone remodeling or turnover. It is also described as the process by which
osteoclasts break down bone and release the minerals, resulting in a transfer of calcium from
bone fluid to the blood.
A. Sarcomeres Disease
B. Paget’s Disease
C. Rheumatoid arthritis
D. Gouty Arthritis
11. True or False
High risk populations for Osteomalacia include: Elderly, Premature infants, Strict macrobiotic
vegetarians & Multiparous women who have breastfed?
True
11/24/21 Fall 2021
1. A nurse is educating a patient with gout about lifestyle modifications that can help control the
signs and symptoms of the disease. What recommendation should the nurse make?
A. Daily use of corticosteroids
B. Limiting exposure to sunlight
C. Limiting use of aspirin
D. Smoking cessation
2. A nurse is providing care for a patient who has just been diagnosed as being in the early stage
of rheumatoid arthritis. The nurse should anticipate the administration of which of the
following?
A. Hydromorphone (Dilaudid)
B. Allopurinol (Zyloprim)
C. Solumedrol
D. Methotrexate (Rheumatrex)
3. Which of the following patients should the nurse recognize as being at the highest risk for the
development of osteomyelitis?
A. A middle-age adult who takes prednisone daily for rheumatoid arthritis
B. A 40-year-old female patient with a Stage VI pressure ulcer to the right hip
C. A 21-year-old febrile football player with whom had repair of an open fracture 72 hours prior
D. A 70-year-old quadriplegic with a stage II pressure ulcer to the sacral area
4. A nurse is caring for a 78-year-old patient with a history of osteoarthritis (OA). When planning
the patient's care, what goal should the nurse include?
A. The patient will express satisfaction with her ability to perform ADLs.
B. The patient will recover from OA within 6 months.
C. The patient will adhere to the prescribed plan of care.
D. The patient will deny signs or symptoms of OA.
5. A patient is undergoing diagnostic testing to determine the etiology of recent joint pain. The
patient asks the nurse about the difference between osteoarthritis (OA) and rheumatoid arthritis
(RA). What is the best response by the nurse?
A. “OA is a considered a non-inflammatory joint disease. RA is characterized by inflamed,
swollen joints.”
B. “OA and RA are very similar. OA affects the smaller joints such as the fingers, and RA affects
the larger, weight-bearing joints like the knees.”
C). “OA originates with an infection. RA is a result of your body's cells attacking one another.”
D). “OA is associated with impaired immune function; RA is a consequence of physical
damage.”
, 6. The results of a nurse's musculoskeletal examination shows increased thoracic curvature of
the patient's spine. The nurse should recognize the presence of what health problem?
A. Kyphosis
B. Scoliosis
C. Lordosis
D. Osteoporosis
7. A patient is diagnosed with Paget's disease after complaining of bone pain, difficulty walking
and muscle spasms. All the following are considered “non-surgical treatments “except?
A. Calcitonin
B. Selected Bisphosphonates
C. NSAID’s
D. Selective Estrogen Receptor Modulators
8. A 40-year-old woman was diagnosed with Raynaud's phenomenon several years ago, and has
sought care because of a progressive worsening of her symptoms. The patient also states that she
was recently diagnosed with Pancreatitis. The nurse should expect to see what other health
problem in the patients’ medical history?
A. Rheumatoid arthritis (RA)
B. Fibromyalgia (FM)
C. Giant cell arteritis (GCA)
D. Systemic Lupus Erythematosus (SLE)
9. True or False
While a nurse is taking a health history on a patient with Musculoskeletal dysfunction, the
primary focus of the nurses’ assessment should focus on how the dysfunction effects ADL’s ?
True
10. The following is described as:
A metabolic disorder of bone remodeling or turnover. It is also described as the process by which
osteoclasts break down bone and release the minerals, resulting in a transfer of calcium from
bone fluid to the blood.
A. Sarcomeres Disease
B. Paget’s Disease
C. Rheumatoid arthritis
D. Gouty Arthritis
11. True or False
High risk populations for Osteomalacia include: Elderly, Premature infants, Strict macrobiotic
vegetarians & Multiparous women who have breastfed?
True
