NSG 403 Musculoskeletal NCLEX Questions and Answers 2023

NSG 403 Musculoskeletal NCLEX Questions and Answers 2023. A nurse is caring for a client who is receiving Cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasm. Which of the following medical condition is contraindicated with the use of the medication? A. Diabetes Mellitus. B. Angle-closure glaucoma. C. Emphysema. D. Urinary tract infection. 4. A client is receiving Methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. Which of the following is not true regarding with the use of the medication? A. The parenteral form causes hypotension and bradycardia when given rapidly. B. The medicine can cause the urine to turn into brown, black or green. C. The use of a cold or allergy medicine will lessen the side effects of the medication. D. The parenteral form is contraindicated in clients with liver damage. 5. Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to? A. Take the medication on an empty stomach. B. To limit the use of vitamin C. C. A rash is a normal side effect of the medication. D. The effect of the medication will happen immediately. 6. A client is prescribed Colchicine. After taking three doses, the client complaints of nausea, vomiting, and loose bowel stools. Which of the following should the client do? A. Skip the next dose, and take the another dose. B. Withhold the medication and the physician is notified. C. Continue taking the medication as these symptoms will go away. D. Cut in half the next dosage. 7. Colchicine is prescribed for a client with gout. The nurse reviews the client’s record, knowing that this medication would be used in caution in which of the following medical condition? A. Behcet disease. B. Aplastic Anemia. C. Amyloidosis. D. Familial Mediterranean fever (FMF). 8. A client taking probenecid is complaining of gout pain. Which of the following medication should the nurse expect to be administered? A. Acetaminophen (Tylenol). B. Aspirin (Ecotrin). C. Orphenadrine (Norflex). D. Tizanidine (Zanaflex). 9. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdosage of the medication? A. Flushing. B. Dizziness. C. Joint pain. D. Metallic taste. 10. Gold salt toxicity can be reversed using which medication? A. Acetaminophen. B. Dimercaprol. C. Calcium salts. D. Hydroxycobalamin. 11. Adalimumab (Humira) is given to a client for the treatment of rheumatoid arthritis. Which of the following side effect is associated with the medication? A. Numbness. B. Diarrhea. C. Urinary retention. D. Weight gain. 12. A client receiving Azathioprine (Imuran) complains of hair loss. The nurse tells the client that? A. Hair loss is irreversible. B. Hair loss is uncommon. C. Hair loss is temporary. D. Hair loss is a sign of toxicity. 13. The client is about to start the treatment for juvenile rheumatoid arthritis. Before the administration of etanercept (Enbrel), it is important for the nurse to: A. Ask for an allergy to latex. B. Ask the client to postpone vacation trip abroad. C. Tell the client to not miss due vaccination while on treatment. D. To avoid people with a recent injection of etanercept. 14. A nurse is giving medicinal instructions to a female client receiving Leflunomide (Arava). Which of the following is an appropriate instruction with the use of the medication? A. To use an effective form of birth control while on the treatment. B. Breastfeeding does not have to be stopped during the treatment. C. To use cholestyramine to lessen the side effects. D. It may take 3-5 days to notice any improvement while taking leflunomide. 15. A client with rheumatoid arthritis is receiving Hydroxychloroquine (Plaquenil) in the recent months. The nurse tells the client to visit which of the following while on the treatment? A. Dentist. B. Ophthalmologist. C. Pulmonologist. D. Endocrinologist. 16. A client has just been prescribed with Methotrexate (Trexall) for the treatment of rheumatoid arthritis who did not respond to any other treatment. An important reminder for the client is to? A. Clay-colored stool is a normal response of the treatment. B. Pregnancy is not contraindicated with the use of the medication. C. Strict hand washing. D. Get a daily source of sunlight during the day. 17. A client who is taking Methotrexate (Trexall) ask the nurse on what is the appropriate activity while taking the medication. The nurse advise the client to play which activity? A. Basketball. B. Ice hockey. C. Football. D. Tennis. 18. The nurse is reviewing the client’s history who is about to take Methotrexate. Which of the following drugs can be safely administered together with methotrexate? A. Tetracycline. B. Folic Acid. C. Sulfamethoxazole. D. Phenytoin. 19. Alendronate (Fosamax) is given to a client with osteoporosis. The nurse advises the client to? A. Take the medication in the morning with meals. B. Take the medication 2 hours before bedtime. C. Take the medication with a glass of water after rising in the morning. D. Take the medication during lunch. 20. A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin) nasal spray. The nurse tells the client to do the following, except? A. Delivery system contains enough medication for at least 30 doses. Discard any unused solution after 30 doses. B. If you do not feel the spray while using it, repeat the dose on the other nostrils. C. Miacalcin is usually given as one spray per day into only one of your nostrils. D. Take extra vitamin D while you are using Miacalcin. 21. A health care professional is caring for a patient who is taking calcium supplement and reports flank pain. The health care professional should suspect the patient has which of the following? A. Renal calculi B. Pancreatitis C. Liver disease D. Hip fracture 22. A health care professional should recognize that depolarizing muscle relaxants, such as succinylcholine, require cautious use with patients who have which of the following? A. Hyperkalemia B. Myasthenia gravis C. Renal calculi D. Bowel obstruction E. Respiratory depression 23. A health care professional is caring for a patient who has myasthenia gravis and has been prescribed neostigmine to increase muscle strength. The health care professional should tell the patient to watch for which of the following as an indication of a serious adverse reaction to the drug? A. Constipation B. Bradycardia C. Edema D. Fever 24. A health care professional should tell a patient who is taking etanercept for rheumatoid arthritis to report which of the following? A. Skin rash B. Tinnitus C. Diarrhea D. Dysphagia 25. When counseling an older patient about ways to prevent fractures, which information will the nurse include? a. Tacking down scatter rugs in the home is recommended. b. Occasional weight-bearing exercise will improve muscle and bone strength. c. Most falls happen outside the home. d. Buying shoes that provide good support and are comfortable to wear is recommended. 26. A patient is seen at the urgent care center after falling on the right arm and shoulder. It will be most important for the nurse to determine a. whether there is bruising at the shoulder area. b. whether the right arm is shorter than the left. c. the amount of pain the patient is experiencing. d. how much range of motion (ROM) is present.