ATI: MUSCULOSKELETAL PRACTICE QUIZ EXAM
COMPLETE QUESTIONS AND ANSWERS 2024.
A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part
of her treatment. Which of the following outcomes of this intervention should the nurse
document as a goal for this client?
-Reduced joint stress
Rheumatoid arthritis in an autoimmune disease in which the cartilage and bone of the joints
are destroyed resulting in increased pain and limited range of motion. The nurse should
instruct the client that rest reduces stress on the joints and can be an effective intervention for
relieving pain associated with rheumatoid arthritis.
A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin
650mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to
evaluate the effectiveness of this medication?
-Erythrocyte sedimentation rate (ESR)
Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in detecting and
monitoring tissue inflammation in clients with RA. As the disease improves the ESR
decreases. A nurse is teaching a client how to follow a low purine diet as prescribed by the
provider for the management of gout. Which of the following statements indicates the client
understands the teaching?
-“I should avoid eating liver and other organ meats.”
The nurse should encourage the client who has gout to avoid organ meats, such as liver, due to
high levels of purine.
A nurse is teaching a client who has a new diagnosis of gout about managing the disorder.
Which of the following instructions should the nurse include in the teaching?
-Eat less liver, sardines, and shrimp
Gout results from urate crystals in joint spaces. Potential causes include hyperuricemia due to
an overproduction of uric acid and a decreased ability of the kidney to excrete excess uric acid.
Uric acid is a product of purine metabolism. The client should reduce the amount of liver,
sardines, and shrimp in his diet, as these substances are high in purines.
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following
factors should the nurse include in the teaching? SATA
-Aging
Aging is a risk factor for osteoarthritis, as the joints bear the load of the body’s weight over
time.
-Obesity
Obesity is a risk factor for osteoarthritis, as it increases the load of the body’s weight over time.
-Smoking
Smoking is a risk factor for osteoarthritis, as smoking predisposes people to the loss of
cartilage in the knees.
A nurse in a clinic is assessing a client. Which of the following findings should the nurse
identify as a risk factor for osteoporosis?
-Smokes 1 pack of cigarettes per day
, The nurse should identify active or passive smoking as a risk factor for osteoporosis. The nurse
should identify that high alcohol intake of 3 or more drinks a day is a risk factor for
osteoporosis. A nurse is caring for a client who is postoperative following a total hip
arthroplasty. The nurse assists the client into a supine position. Which of the following is
appropriate to prevent dislocation of the hip?
-Place a wedge pillow between the legs
The nurse places a wedge pillow or other abduction device between the legs to prevent
adduction which can lead to possible dislocation.
A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for
managing the disease. Which of the following activities should the nurse include in the
teaching?
-Press water from a sponge rather than wringing it.
The nurse should instruct the client to modify fine motor activities, such as wringing out a
sponge, by using larger joints or body surfaces, such as the palm of the hand, to substitute for
smaller ones.
A nurse is caring for a client who is 3 days postoperative following an above the knee
amputation. Which of the following actions should the nurse take?
-Have the client lie prone several times per day.
The nurse should encourage the client to lie prone for 20 to 30 min every 3 to 4 hr to help
prevent hip flexion contractures.
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity.
The nurse should plan preoperative teaching based on the possibility of which of the following
amputation procedures?
-“Your pain will gradually become less severe”
Phantom leg pain usually diminishes over time, and often is intermittent in response to a
trigger. A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal
for this client is to use proper body mechanics at all times. Which of the following findings
indicates that the client is meeting this goal?
-The client faces the direction of movement when sliding an object across the floor.
Sliding an object across the floor rather than lifting it prevents strain on the lower back
muscles. Facing the direction of movement prevents twisting his back. To enlarge his base of
support when pushing an object, the client should move his front foot forward.
A nurse is providing teaching for a client who is preparing for a below the knee amputation.
Which of the following statements is true regarding the postoperative replacement of a
prosthesis?
-“You will do special exercises in advance of getting your prosthesis”
The physical therapist will teach muscle strengthening exercises to prepare the client for
prosthesis use. Most clients are fitted for their prosthesis after the residual limb has healed.
A nurse is teaching with a client about taking high doses of oral glucocorticoids for an
extended period of time to treat rheumatoid arthritis. Which of the following instructions
should the nurse include in the teaching?
-“Monitor for compression fractures of the back and neck”
COMPLETE QUESTIONS AND ANSWERS 2024.
A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part
of her treatment. Which of the following outcomes of this intervention should the nurse
document as a goal for this client?
-Reduced joint stress
Rheumatoid arthritis in an autoimmune disease in which the cartilage and bone of the joints
are destroyed resulting in increased pain and limited range of motion. The nurse should
instruct the client that rest reduces stress on the joints and can be an effective intervention for
relieving pain associated with rheumatoid arthritis.
A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin
650mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to
evaluate the effectiveness of this medication?
-Erythrocyte sedimentation rate (ESR)
Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in detecting and
monitoring tissue inflammation in clients with RA. As the disease improves the ESR
decreases. A nurse is teaching a client how to follow a low purine diet as prescribed by the
provider for the management of gout. Which of the following statements indicates the client
understands the teaching?
-“I should avoid eating liver and other organ meats.”
The nurse should encourage the client who has gout to avoid organ meats, such as liver, due to
high levels of purine.
A nurse is teaching a client who has a new diagnosis of gout about managing the disorder.
Which of the following instructions should the nurse include in the teaching?
-Eat less liver, sardines, and shrimp
Gout results from urate crystals in joint spaces. Potential causes include hyperuricemia due to
an overproduction of uric acid and a decreased ability of the kidney to excrete excess uric acid.
Uric acid is a product of purine metabolism. The client should reduce the amount of liver,
sardines, and shrimp in his diet, as these substances are high in purines.
A nurse is teaching a client about risk factors for osteoarthritis. Which of the following
factors should the nurse include in the teaching? SATA
-Aging
Aging is a risk factor for osteoarthritis, as the joints bear the load of the body’s weight over
time.
-Obesity
Obesity is a risk factor for osteoarthritis, as it increases the load of the body’s weight over time.
-Smoking
Smoking is a risk factor for osteoarthritis, as smoking predisposes people to the loss of
cartilage in the knees.
A nurse in a clinic is assessing a client. Which of the following findings should the nurse
identify as a risk factor for osteoporosis?
-Smokes 1 pack of cigarettes per day
, The nurse should identify active or passive smoking as a risk factor for osteoporosis. The nurse
should identify that high alcohol intake of 3 or more drinks a day is a risk factor for
osteoporosis. A nurse is caring for a client who is postoperative following a total hip
arthroplasty. The nurse assists the client into a supine position. Which of the following is
appropriate to prevent dislocation of the hip?
-Place a wedge pillow between the legs
The nurse places a wedge pillow or other abduction device between the legs to prevent
adduction which can lead to possible dislocation.
A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for
managing the disease. Which of the following activities should the nurse include in the
teaching?
-Press water from a sponge rather than wringing it.
The nurse should instruct the client to modify fine motor activities, such as wringing out a
sponge, by using larger joints or body surfaces, such as the palm of the hand, to substitute for
smaller ones.
A nurse is caring for a client who is 3 days postoperative following an above the knee
amputation. Which of the following actions should the nurse take?
-Have the client lie prone several times per day.
The nurse should encourage the client to lie prone for 20 to 30 min every 3 to 4 hr to help
prevent hip flexion contractures.
A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity.
The nurse should plan preoperative teaching based on the possibility of which of the following
amputation procedures?
-“Your pain will gradually become less severe”
Phantom leg pain usually diminishes over time, and often is intermittent in response to a
trigger. A nurse is assessing a client at a follow-up clinic visit for acute low back pain. A goal
for this client is to use proper body mechanics at all times. Which of the following findings
indicates that the client is meeting this goal?
-The client faces the direction of movement when sliding an object across the floor.
Sliding an object across the floor rather than lifting it prevents strain on the lower back
muscles. Facing the direction of movement prevents twisting his back. To enlarge his base of
support when pushing an object, the client should move his front foot forward.
A nurse is providing teaching for a client who is preparing for a below the knee amputation.
Which of the following statements is true regarding the postoperative replacement of a
prosthesis?
-“You will do special exercises in advance of getting your prosthesis”
The physical therapist will teach muscle strengthening exercises to prepare the client for
prosthesis use. Most clients are fitted for their prosthesis after the residual limb has healed.
A nurse is teaching with a client about taking high doses of oral glucocorticoids for an
extended period of time to treat rheumatoid arthritis. Which of the following instructions
should the nurse include in the teaching?
-“Monitor for compression fractures of the back and neck”
