Conceptual Actual Emended Exam Questions
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1. Which of the following is a hallmark symptom of osteoarthritis?
a) Morning stiffness lasting more than 1 hour
b) Symmetric joint involvement
c) Crepitus and joint pain with movement
d) Red, warm, and swollen joints
Answer: c) Crepitus and joint pain with movement
2. Rheumatoid arthritis primarily affects:
a) Weight-bearing joints only
b) Synovial joints and is symmetric
c) Cartilage exclusively
d) Long bone diaphyses
Answer: b) Synovial joints and is symmetric
3. A patient with gout should avoid which of the following foods?
a) Low-fat yogurt
b) Purine-rich red meats
c) Whole grains
d) Leafy green vegetables
Answer: b) Purine-rich red meats
, 4. Which test confirms the presence of rheumatoid factor (RF) in rheumatoid
arthritis?
a) ESR and CRP only
b) Synovial fluid analysis
c) Rheumatoid factor (RF) blood test
d) DEXA scan
Answer: c) Rheumatoid factor (RF) blood test
5. The primary nursing goal for a patient with ankylosing spondylitis is to:
a) Increase dietary calcium intake
b) Encourage spine mobility and posture exercises
c) Restrict physical activity
d) Apply heat only to the extremities
Answer: b) Encourage spine mobility and posture exercises
2. Bone Health (Osteoporosis, Osteomalacia, Bone Cancer)
6. Which lifestyle factor most significantly increases the risk for osteoporosis?
a) Daily walking
b) High calcium intake
c) Smoking and sedentary lifestyle
d) Vitamin D supplementation
Answer: c) Smoking and sedentary lifestyle
7. Osteomalacia is primarily caused by:
a) Excessive calcium intake
b) Vitamin D deficiency
c) Overuse of corticosteroids
d) Hyperparathyroidism
, Answer: b) Vitamin D deficiency
8. What is the recommended first-line treatment for postmenopausal
osteoporosis?
a) Bisphosphonates
b) Opioids
c) High-protein diet
d) NSAIDs
Answer: a) Bisphosphonates
9. A nurse is caring for a patient with bone metastasis and severe pain. What is
the priority intervention?
a) Encourage high-protein diet
b) Administer prescribed analgesics
c) Restrict physical activity
d) Provide calcium supplements
Answer: b) Administer prescribed analgesics
10.Which laboratory result would you expect in a patient with osteomalacia?
a) Elevated calcium
b) Low phosphorus
c) Low vitamin D levels
d) High hemoglobin
Answer: c) Low vitamin D levels
3. Arthroscopy, Imaging, and Diagnostic Procedures
11.Before arthroscopy, the nurse’s most important action is to:
a) Check coagulation profile