ATI MEDSURG 2 MUSCULOSKELETAL EXAM 2025 |
ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM
Which medication directly inhibits osteoclasts thereby reducing bone loss
and increasing BMD?
a) Calcitonin (Miacalcin)
b) Vitamin D
c) Raloxifene (Evista)
d) Teriparatide (Forteo) ---------CORRECT ANSWER-----------------
Calcitonin (Miacalcin)
Explanation:
Miacalcin directly inhibits osteoclasts, thereby reducing bone loss
and increased BMD. Evista reduces the risk of osteoporosis by
preserving BMD without estrogenic effects on the uterus. Forteo has
been recently approved by the FDA for the treatment of osteoporosis.
A nurse is caring for a female client following a motor vehicle accident
resulting in paraplegia. The client is ready for discharge to home with her
husband, who states, "I'm scared to carry her because I'm afraid I'll either
hurt my back or drop her." A nurse identifies a need for discharge teaching
of the husband in regard to:
a) nutritional changes for the client with paraplegia.
b) ergonomic principles and body mechanics.
c) the importance of monitoring urinary elimination.
d) signs and symptoms of chronic back pain that he should report to his
physician. ---------CORRECT ANSWER-----------------ergonomic principles
and body mechanics.
Explanation:
The husband's statement indicates a need for teaching in regard to
client mobility and transfer techniques. Although urinary elimination,
,nutrition, and pain are components of care for clients with paraplegia,
education about ergonomic principles and body mechanics is most
appropriate at this time based on the husband's statement.
The nurse notes that the patient's left great toe deviates laterally. This
finding would be recognized as which of the following?
a) Pes cavus
b) Hammertoe
c) Flatfoot
d) Hallux valgus ---------CORRECT ANSWER-----------------Hallux valgus
Explanation:
Hallux valgus is commonly referred to as a bunion. Hammertoes are
usually pulled upward. Pes cavus refers to a foot with an abnormally
high arch and a fixed equinus deformity of the forefoot. In flatfoot, the
patient demonstrates a diminished longitudinal arch of the foot.
Which of the following was formerly called a bunion?
a) Ganglion
b) Plantar fasciitis
c) Morton's neuroma
d) Hallux valgus ---------CORRECT ANSWER-----------------Hallux valgus
Explanation:
Hallux valgus (commonly called a bunion) is a deformity in which the
great toe deviates laterally. Plantar fasciitis, an inflammation of the
foot-supporting fascia, present as an acute onset of heel pain
experienced with the first steps in the morning. Morton's neuroma is a
swelling of the third (lateral) branch of the median plantar nerve. A
ganglion, a collection of gelatinous material near the tendon sheaths
and joints, appears as a round, firm compressible cystic swelling,
usually on the dorsum of the wrist
,A nurse is caring for a client who's experiencing septic arthritis. This client
has a history of immunosuppressive therapy and his immune system is
currently depressed. Which assignment is the most appropriate for the
nurse caring for this client?
a) The nurse caring for this client is also caring for four other
immunosuppressed clients on the medical floor.
b) The nurse caring for this client is also caring for four clients receiving
chemotherapy for cancer treatment on the oncology floor.
c) The nurse is caring for this client on the intensive care unit.
d) The nurse caring for this client is also caring for two other
immunosuppressed clients on the medical intensive care unit. ---------
CORRECT ANSWER-----------------The nurse is caring for this client on the
intensive care unit.
Explanation:
This client is critically ill; his diagnosis and immunosuppression
place him at a high risk for infection. The most appropriate place for
this client is in an intensive care unit, where the nurse can focus
exclusively on his health promotion. This client shouldn't be on the
oncology floor. This client requires close monitoring. The nurse
caring for this client shouldn't also be caring for other clients who
may require frequent interventions
The client diagnosed with osteosarcoma is scheduled for a surgical
amputation. Which nursing diagnosis would be a priority for this client
compared with other surgical clients?
a) Impaired physical mobility
b) Risk for infection
c) Inadequate nutrition
d) Disturbed body image ---------CORRECT ANSWER-----------------
Disturbed body image
Explanation:
Amputation of a body part can result in disturbances in body image.
, Which of the following aspects should a nurse include in the teaching plan
for a patient with osteomalacia?
a) Include the supplements of calcium, phosphorus, and vitamin D
b) Avoid any activity or exercise
c) Avoid dairy products
d) Avoid green leafy vegetables ---------CORRECT ANSWER-----------------
Include the supplements of calcium, phosphorus, and vitamin D
Explanation:
The nurse should encourage the patients with osteomalacia to
include the supplements of calcium, phosphorus, and vitamin D;
adequate nutrition; exposure to sunlight; and progressive exercise
and ambulation. Patients need not avoid dairy products, leafy
vegetables or mild exercise.
Which is a deformity in which the great toe deviates laterally?
a) Plantar fasciitis
b) Hammertoe
c) Pes cavus
d) Hallux valgus ---------CORRECT ANSWER-----------------Hallux valgus
Explanation:
Hallux valgus is a deformity in which the great toe deviates laterally. A
hammertoe is a flexion deformity of the interphalangeal joint, which
may involve several toes. Pes cavus refers to a foot with an
abnormally high arch and a fixed equines deformity of the forefoot.
Plantar fasciitis is an inflammation of the foot-supporting fascia.
A client with Paget's disease comes to the hospital and complains of
difficulty urinating. The emergency department physician consults urology.
What should the nurse suspect is the most likely cause of the client's
urination problem?
ALL QUESTIONS AND CORRECT ANSWERS |
ALREADY GRADED A+ | VERIFIED ANSWERS |
LATEST EXAM
Which medication directly inhibits osteoclasts thereby reducing bone loss
and increasing BMD?
a) Calcitonin (Miacalcin)
b) Vitamin D
c) Raloxifene (Evista)
d) Teriparatide (Forteo) ---------CORRECT ANSWER-----------------
Calcitonin (Miacalcin)
Explanation:
Miacalcin directly inhibits osteoclasts, thereby reducing bone loss
and increased BMD. Evista reduces the risk of osteoporosis by
preserving BMD without estrogenic effects on the uterus. Forteo has
been recently approved by the FDA for the treatment of osteoporosis.
A nurse is caring for a female client following a motor vehicle accident
resulting in paraplegia. The client is ready for discharge to home with her
husband, who states, "I'm scared to carry her because I'm afraid I'll either
hurt my back or drop her." A nurse identifies a need for discharge teaching
of the husband in regard to:
a) nutritional changes for the client with paraplegia.
b) ergonomic principles and body mechanics.
c) the importance of monitoring urinary elimination.
d) signs and symptoms of chronic back pain that he should report to his
physician. ---------CORRECT ANSWER-----------------ergonomic principles
and body mechanics.
Explanation:
The husband's statement indicates a need for teaching in regard to
client mobility and transfer techniques. Although urinary elimination,
,nutrition, and pain are components of care for clients with paraplegia,
education about ergonomic principles and body mechanics is most
appropriate at this time based on the husband's statement.
The nurse notes that the patient's left great toe deviates laterally. This
finding would be recognized as which of the following?
a) Pes cavus
b) Hammertoe
c) Flatfoot
d) Hallux valgus ---------CORRECT ANSWER-----------------Hallux valgus
Explanation:
Hallux valgus is commonly referred to as a bunion. Hammertoes are
usually pulled upward. Pes cavus refers to a foot with an abnormally
high arch and a fixed equinus deformity of the forefoot. In flatfoot, the
patient demonstrates a diminished longitudinal arch of the foot.
Which of the following was formerly called a bunion?
a) Ganglion
b) Plantar fasciitis
c) Morton's neuroma
d) Hallux valgus ---------CORRECT ANSWER-----------------Hallux valgus
Explanation:
Hallux valgus (commonly called a bunion) is a deformity in which the
great toe deviates laterally. Plantar fasciitis, an inflammation of the
foot-supporting fascia, present as an acute onset of heel pain
experienced with the first steps in the morning. Morton's neuroma is a
swelling of the third (lateral) branch of the median plantar nerve. A
ganglion, a collection of gelatinous material near the tendon sheaths
and joints, appears as a round, firm compressible cystic swelling,
usually on the dorsum of the wrist
,A nurse is caring for a client who's experiencing septic arthritis. This client
has a history of immunosuppressive therapy and his immune system is
currently depressed. Which assignment is the most appropriate for the
nurse caring for this client?
a) The nurse caring for this client is also caring for four other
immunosuppressed clients on the medical floor.
b) The nurse caring for this client is also caring for four clients receiving
chemotherapy for cancer treatment on the oncology floor.
c) The nurse is caring for this client on the intensive care unit.
d) The nurse caring for this client is also caring for two other
immunosuppressed clients on the medical intensive care unit. ---------
CORRECT ANSWER-----------------The nurse is caring for this client on the
intensive care unit.
Explanation:
This client is critically ill; his diagnosis and immunosuppression
place him at a high risk for infection. The most appropriate place for
this client is in an intensive care unit, where the nurse can focus
exclusively on his health promotion. This client shouldn't be on the
oncology floor. This client requires close monitoring. The nurse
caring for this client shouldn't also be caring for other clients who
may require frequent interventions
The client diagnosed with osteosarcoma is scheduled for a surgical
amputation. Which nursing diagnosis would be a priority for this client
compared with other surgical clients?
a) Impaired physical mobility
b) Risk for infection
c) Inadequate nutrition
d) Disturbed body image ---------CORRECT ANSWER-----------------
Disturbed body image
Explanation:
Amputation of a body part can result in disturbances in body image.
, Which of the following aspects should a nurse include in the teaching plan
for a patient with osteomalacia?
a) Include the supplements of calcium, phosphorus, and vitamin D
b) Avoid any activity or exercise
c) Avoid dairy products
d) Avoid green leafy vegetables ---------CORRECT ANSWER-----------------
Include the supplements of calcium, phosphorus, and vitamin D
Explanation:
The nurse should encourage the patients with osteomalacia to
include the supplements of calcium, phosphorus, and vitamin D;
adequate nutrition; exposure to sunlight; and progressive exercise
and ambulation. Patients need not avoid dairy products, leafy
vegetables or mild exercise.
Which is a deformity in which the great toe deviates laterally?
a) Plantar fasciitis
b) Hammertoe
c) Pes cavus
d) Hallux valgus ---------CORRECT ANSWER-----------------Hallux valgus
Explanation:
Hallux valgus is a deformity in which the great toe deviates laterally. A
hammertoe is a flexion deformity of the interphalangeal joint, which
may involve several toes. Pes cavus refers to a foot with an
abnormally high arch and a fixed equines deformity of the forefoot.
Plantar fasciitis is an inflammation of the foot-supporting fascia.
A client with Paget's disease comes to the hospital and complains of
difficulty urinating. The emergency department physician consults urology.
What should the nurse suspect is the most likely cause of the client's
urination problem?
