Chapter 43: Musculoskeletal System Introduction
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. The physician orders antinuclear antibodies for a patient with suspected rheumatoid
arthritis: What information will the nurse provide to the patient in preparation for this
study?
a. Fast for 8 hours before test:
b. Refrain from exercise the day before test:
c. Do not take medications 24 hours before test:
d. Void prior to test:
ANS: A
Patients should be instructed to fast for 8 hours before antinuclear antibodies:
DIF: Cognitive Level: Application REF: p: 849 OBJ: 3
TOP: Antinuclear antibodies KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A patient is preparing for tomography as ordered to enhance visualization of tissue hidden
by bone: What assessment by the nurse should be immediately addressed?
a. History of recent urinary tract infection
b. Allergy to Sulfa
c. Reports of claustrophobia
d. Diagnosis of bipolar disorder
ANS: C
Tomography requires lying in a cylindric scanner: the nurse should assess for
claustrophobia and inform the radiologist:
DIF: Cognitive Level: Analysis REF: p: 850 OBJ: 3
TOP: Tomography KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. A nurse is collecting a health history from a patient with a connective tissue disease:
What is the most important inquiry by the nurse?
a. Family history of atherosclerosis
b. Last time the patient had his or her blood tested
c. History of a prior injury to a specific body part
d. Family history of a fracture
ANS: C
Previous injuries may be relevant to a patient’s current problem:
DIF: Cognitive Level: Comprehension REF: p: 847 OBJ: 2
TOP: Connective Tissue Disease Assessment
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. A nurse is educating an osteoporotic patient taking alendronate (Fosamax): Which
instruction should the nurse stress?
a. Take the drug after breakfast:
b. Avoid the use of supplemental vitamin D:
c. Decrease fluid intake:
d. Sit or stand for 30 minutes after administration:
ANS: D
After taking the drug Fosamax with 8 oz of fluid, the patient should sit or stand for 30
minutes so the drug will be evenly distributed: the drug is taken on an empty stomach:
DIF: Cognitive Level: Application REF: p: 856 OBJ: 4
TOP: Fosamax KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
5. Which diagnostic test result should the nurse expect for a patient with polymyositis?
a. Muscle biopsy positive for muscle degeneration
b. Positive antinuclear antibody (ANA) blood test result
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. The physician orders antinuclear antibodies for a patient with suspected rheumatoid
arthritis: What information will the nurse provide to the patient in preparation for this
study?
a. Fast for 8 hours before test:
b. Refrain from exercise the day before test:
c. Do not take medications 24 hours before test:
d. Void prior to test:
ANS: A
Patients should be instructed to fast for 8 hours before antinuclear antibodies:
DIF: Cognitive Level: Application REF: p: 849 OBJ: 3
TOP: Antinuclear antibodies KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. A patient is preparing for tomography as ordered to enhance visualization of tissue hidden
by bone: What assessment by the nurse should be immediately addressed?
a. History of recent urinary tract infection
b. Allergy to Sulfa
c. Reports of claustrophobia
d. Diagnosis of bipolar disorder
ANS: C
Tomography requires lying in a cylindric scanner: the nurse should assess for
claustrophobia and inform the radiologist:
DIF: Cognitive Level: Analysis REF: p: 850 OBJ: 3
TOP: Tomography KEY: Nursing Process Step: Implementation
, MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. A nurse is collecting a health history from a patient with a connective tissue disease:
What is the most important inquiry by the nurse?
a. Family history of atherosclerosis
b. Last time the patient had his or her blood tested
c. History of a prior injury to a specific body part
d. Family history of a fracture
ANS: C
Previous injuries may be relevant to a patient’s current problem:
DIF: Cognitive Level: Comprehension REF: p: 847 OBJ: 2
TOP: Connective Tissue Disease Assessment
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. A nurse is educating an osteoporotic patient taking alendronate (Fosamax): Which
instruction should the nurse stress?
a. Take the drug after breakfast:
b. Avoid the use of supplemental vitamin D:
c. Decrease fluid intake:
d. Sit or stand for 30 minutes after administration:
ANS: D
After taking the drug Fosamax with 8 oz of fluid, the patient should sit or stand for 30
minutes so the drug will be evenly distributed: the drug is taken on an empty stomach:
DIF: Cognitive Level: Application REF: p: 856 OBJ: 4
TOP: Fosamax KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
5. Which diagnostic test result should the nurse expect for a patient with polymyositis?
a. Muscle biopsy positive for muscle degeneration
b. Positive antinuclear antibody (ANA) blood test result
