PHARMACOLOGY MED2044 WEEK 2 ATI
QUESTIONS MUSCULOSKELETAL
SYSTEM
1. Which of the following information in the client’s history causes the health care provider
to suspect the client has osteoporosis? SATA
Menopause
Long term corticosteroid
use Loss of height
2. The health care provider explains to the client that there may be a drug interaction between
the glucocorticoid and the calcium supplement. Which of the following may occur?
The glucocorticoid may cause reduced absorption of the calcium supplement
3. The health care provider instructs the client about the importance of taking the prescribed
1,500mg/day dosage of calcium carbonate(Tums). Which of the following instructions should
the health care provider recommend?
Set up a simple reminder system
4. The health care provider prescribes alendronate(Fosamax) to reduce bone resorption and
instructs the client to monitor for which of the following indications of a serious adverse effect
of this drug?
Dysphagia
5. When instructing the client about alendronate, which of the following information should
the health care provider include? SATA
Take the drug on an empty stomach
Sit upright for 30 minutes following dosage
Take with a full glass of water.
1. A client is about to start therapy with methotrexate for rheumatoid arthritis. Knowing the
adverse effects of methotrexate, you advise the client to watch for which of the
following? Sore throat
2. A primary care provider prescribes etanercept to treat a client’s rheumatoid arthritis. Prior
to beginning the treatment, the client requires testing for which of the following?
Tuberculosis
3. A client who is menopausal is taking a calcium supplement to prevent osteoporosis. You
instruct the client to watch for which of the following indications of hypercalcemia?
Nausea
4. A client is about to start taking raloxifene to treat osteoporosis. You advise the client to watch
for which of the following adverse effects?
Hot flashes
5. A nurse is caring for a client taking etanercept. Which of the following adverse effect is
most important to mention when educating this client?
Injection site reaction can occur.
6. Which of the following drugs are effective in disease prevention as well as treatment
of osteoporosis? SATA
Raloxifene
Alendronate
7. A primary care provider prescribes calcitonin salmon for a post-menopausal client. Knowing
the adverse effect of calcitonin, you instruct the client to
, Increase calcium and vitamin D intake
8. Prior to starting elandronate, the nurse should assess which of the following in the client? SATA
Ability to swallow
Baseline vision
9. A client who has rheumatoid arthritis is taking methotrexate. Which of the following
reduces toxicity from this drug?
Folic acid.
10. A nurse is caring for a client who has a prescription for etanercept. The nurse should identify
that etanercept treats rheumatoid arthritis by which of the following actions?
Inactivation of tumor necrosis factor
11. A nurse should instruct a client who is taking alendronate to monitor for which of the
following adverse effect? SATA
Jaw pain
Blurred vision
Muscle pain
12. A nurse is planning care for a client who has a new prescription for methotrexate. The
nurse should plan to monitor the client for which of the following adverse effects?
Bone marrow depression
13. A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis.
The nurse should identify that which of the following is an adverse effect of this medication?
Thrombocytopenia
14. A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at
an increased risk for which of the following adverse effect?
Infection
15. A nurse is teaching a client about raloxifene. Which of the following information should
the nurse include? SATA
Increase physical activity by taking walks
Use a contraceptive if there is any possibility of pregnancy
Increase intake of calcium and vitamin D
16. Alendronate is contraindicated for administration to clients who have which of the
following conditions?
Inability to sit upright
17. A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis.
Which of the following information should the nurse include? SATA
Report rash of itching
Prime the pump before the first
dose Report nasal irritation
18. A nurse is teaching about self-administering methotrexate to a client who has
rheumatoid arthritis. Which of the following statements should the nurse take?
Drink a minimum of 2-3 liters of water per day to promote the drug’s excreation.
19. Which of the following is a therapeutic action of raloxifene?
Mimics the effects of estrogen on bone tissue
20. A nurse is teaching a client about adverse effect of etanercept. Which of the
following statements by the client indicated understanding of the teaching?
I will need to get my blood drawn periodically while on this medication.
21. A nurse is caring for a client who has a new prescription etanercept. Which of the
following actions should the nurse take?
Administer a tuberculin skin test prior to starting the medication
, 22. A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse
should monitor the client for which of the following indications of a serious adverse reaction
to the drug?
Shortness of breath
23. A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of
the following information should the nurse include? SATA
Avoid being near people who are sick with a communicable illness
Periodic laboratory test are required
Report bruising or
petechiae Avoid drinking
alcohol
24. A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of
the following actions should the nurse take prior to administering calcitonin-salmon to the
client for the first time?
Use skin testing to check the client for allergies
25. A nurse is teaching a client about methotrexate. The nurse should inform the client to
monitor for which of the following as an adverse effect of this drug?
Black, tarry stools
26. A nurse is caring for a client who is taking alendronate to treat postmenopausal
osteoporosis. The nurse should explain to the client that alendronate increases bone mass
by which of the following actions?
Decreases activity of osteoclasts
27. A nurse is teaching a client who has a prescription for calcium citrate about manifestations of
hypercalcemia. Which of the following manifestations should the nurse include in the
teaching? Vomiting
28. A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of
the following statements by the client indicates understanding of the teaching?
I will take a birth control pill every day
29. A nurse is teaching a client who has a prescription for prednisone and takes 1,500mg/day of
calcium to reduce the risk of osteoporosis. Which of the following information should the
nurse include? SATA
Drink 240mL (8oz) of water with the calcium tablets
Chew calcium talbets before swallowing them
Divide the daily dosage of calcium into three 500-mg does
Take the drugs 1 hr apart
30. A nurse is teaching a client who has a new prescription for etanercept. Which of the
following statements should the nurse take?
You should report signs of infection to your provider immediately
31. A nurse is caring for a client who has a prescription for methotrexate. Which of the
following drugs would likely be prescribed in conjunction during the initial treatment for
rheumatoid arthritis?
Ibuprofen
32. A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should
instruct the client to monitor for which of the following indications of an adverse reaction to
this drug?
Skin rash
QUESTIONS MUSCULOSKELETAL
SYSTEM
1. Which of the following information in the client’s history causes the health care provider
to suspect the client has osteoporosis? SATA
Menopause
Long term corticosteroid
use Loss of height
2. The health care provider explains to the client that there may be a drug interaction between
the glucocorticoid and the calcium supplement. Which of the following may occur?
The glucocorticoid may cause reduced absorption of the calcium supplement
3. The health care provider instructs the client about the importance of taking the prescribed
1,500mg/day dosage of calcium carbonate(Tums). Which of the following instructions should
the health care provider recommend?
Set up a simple reminder system
4. The health care provider prescribes alendronate(Fosamax) to reduce bone resorption and
instructs the client to monitor for which of the following indications of a serious adverse effect
of this drug?
Dysphagia
5. When instructing the client about alendronate, which of the following information should
the health care provider include? SATA
Take the drug on an empty stomach
Sit upright for 30 minutes following dosage
Take with a full glass of water.
1. A client is about to start therapy with methotrexate for rheumatoid arthritis. Knowing the
adverse effects of methotrexate, you advise the client to watch for which of the
following? Sore throat
2. A primary care provider prescribes etanercept to treat a client’s rheumatoid arthritis. Prior
to beginning the treatment, the client requires testing for which of the following?
Tuberculosis
3. A client who is menopausal is taking a calcium supplement to prevent osteoporosis. You
instruct the client to watch for which of the following indications of hypercalcemia?
Nausea
4. A client is about to start taking raloxifene to treat osteoporosis. You advise the client to watch
for which of the following adverse effects?
Hot flashes
5. A nurse is caring for a client taking etanercept. Which of the following adverse effect is
most important to mention when educating this client?
Injection site reaction can occur.
6. Which of the following drugs are effective in disease prevention as well as treatment
of osteoporosis? SATA
Raloxifene
Alendronate
7. A primary care provider prescribes calcitonin salmon for a post-menopausal client. Knowing
the adverse effect of calcitonin, you instruct the client to
, Increase calcium and vitamin D intake
8. Prior to starting elandronate, the nurse should assess which of the following in the client? SATA
Ability to swallow
Baseline vision
9. A client who has rheumatoid arthritis is taking methotrexate. Which of the following
reduces toxicity from this drug?
Folic acid.
10. A nurse is caring for a client who has a prescription for etanercept. The nurse should identify
that etanercept treats rheumatoid arthritis by which of the following actions?
Inactivation of tumor necrosis factor
11. A nurse should instruct a client who is taking alendronate to monitor for which of the
following adverse effect? SATA
Jaw pain
Blurred vision
Muscle pain
12. A nurse is planning care for a client who has a new prescription for methotrexate. The
nurse should plan to monitor the client for which of the following adverse effects?
Bone marrow depression
13. A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis.
The nurse should identify that which of the following is an adverse effect of this medication?
Thrombocytopenia
14. A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at
an increased risk for which of the following adverse effect?
Infection
15. A nurse is teaching a client about raloxifene. Which of the following information should
the nurse include? SATA
Increase physical activity by taking walks
Use a contraceptive if there is any possibility of pregnancy
Increase intake of calcium and vitamin D
16. Alendronate is contraindicated for administration to clients who have which of the
following conditions?
Inability to sit upright
17. A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis.
Which of the following information should the nurse include? SATA
Report rash of itching
Prime the pump before the first
dose Report nasal irritation
18. A nurse is teaching about self-administering methotrexate to a client who has
rheumatoid arthritis. Which of the following statements should the nurse take?
Drink a minimum of 2-3 liters of water per day to promote the drug’s excreation.
19. Which of the following is a therapeutic action of raloxifene?
Mimics the effects of estrogen on bone tissue
20. A nurse is teaching a client about adverse effect of etanercept. Which of the
following statements by the client indicated understanding of the teaching?
I will need to get my blood drawn periodically while on this medication.
21. A nurse is caring for a client who has a new prescription etanercept. Which of the
following actions should the nurse take?
Administer a tuberculin skin test prior to starting the medication
, 22. A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse
should monitor the client for which of the following indications of a serious adverse reaction
to the drug?
Shortness of breath
23. A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of
the following information should the nurse include? SATA
Avoid being near people who are sick with a communicable illness
Periodic laboratory test are required
Report bruising or
petechiae Avoid drinking
alcohol
24. A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of
the following actions should the nurse take prior to administering calcitonin-salmon to the
client for the first time?
Use skin testing to check the client for allergies
25. A nurse is teaching a client about methotrexate. The nurse should inform the client to
monitor for which of the following as an adverse effect of this drug?
Black, tarry stools
26. A nurse is caring for a client who is taking alendronate to treat postmenopausal
osteoporosis. The nurse should explain to the client that alendronate increases bone mass
by which of the following actions?
Decreases activity of osteoclasts
27. A nurse is teaching a client who has a prescription for calcium citrate about manifestations of
hypercalcemia. Which of the following manifestations should the nurse include in the
teaching? Vomiting
28. A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of
the following statements by the client indicates understanding of the teaching?
I will take a birth control pill every day
29. A nurse is teaching a client who has a prescription for prednisone and takes 1,500mg/day of
calcium to reduce the risk of osteoporosis. Which of the following information should the
nurse include? SATA
Drink 240mL (8oz) of water with the calcium tablets
Chew calcium talbets before swallowing them
Divide the daily dosage of calcium into three 500-mg does
Take the drugs 1 hr apart
30. A nurse is teaching a client who has a new prescription for etanercept. Which of the
following statements should the nurse take?
You should report signs of infection to your provider immediately
31. A nurse is caring for a client who has a prescription for methotrexate. Which of the
following drugs would likely be prescribed in conjunction during the initial treatment for
rheumatoid arthritis?
Ibuprofen
32. A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should
instruct the client to monitor for which of the following indications of an adverse reaction to
this drug?
Skin rash
