NURS 3110 - The Musculoskeletal System Test&ESI Comprehensive B,
Comprehensive Exam A, 2025 exit v 2 ACCOMBINATION EXAMINATION 2025 -
2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED 100% GRADED A+
NURS 3110 - The Musculoskeletal System Test
A nurse should identify that a client who has diabetes mellitus and is taking
etanercept is at an increased risk for which of the following adverse effects?
A. Kidney toxicity
B. Infection
C. Gout
D. Deep-vein thrombosis
B. Infection
A nurse is teaching about self-administering methotrexate to a client who has
rheumatoid arthritis. Which of the following statements should the nurse
make?
A. "Use a nonsteroidal anti-inflammatory drug to reduce toxicity."
B. "If you miss a dose, go ahead and take it with the next scheduled dose."
C. "Drink a minimum of 2 liters of water per day to promote the drug's
excretion."
D. "Take it in the morning to prevent insomnia."
C. "Drink a minimum of 2 liters of water per day to promote the drug's excretion."
A nurse is teaching a client who is taking etanercept for rheumatoid arthritis.
The nurse should instruct the client to monitor for which of the following
indications of an adverse reaction to this drug?
A. Skin rash
B. Tinnitus
C. Diarrhea
D. Dysphagia
A. Skin rash
A nurse is caring for a client who has a prescription for methotrexate. Which of
the following drugs would likely be prescribed in conjunction during the initial
treatment for rheumatoid arthritis?
A. Aspirin
B. Salicylates
C. Sulfonylureas
D. Ibuprofen
D. Ibuprofen
A nurse is teaching a client who has a new prescription for etanercept. Which
of the following statements should the nurse make?
A. "You will inject this medication once a week in your thigh muscle."
B. "You should report signs of infection to your provider immediately."
,C. "You will need to avoid taking ibuprofen while on this medication."
D. "You will need to receive a MMR vaccine 1 month after starting the
medication."
B. "You should report signs of infection to your provider immediately."
A nurse is teaching a client about methotrexate therapy for rheumatoid
arthritis. Which of the following information should the nurse include? (Select
all that apply.)
A. Avoid being near people who are sick with a communicable illness
B. Periodic laboratory tests are required
C. The drug's effects are immediate
D. Report bruising or petechiae
E. Avoid drinking alcohol
A. Avoid being near people who are sick with a communicable illness
B. Periodic laboratory tests are required
D. Report bruising or petechiae
E. Avoid drinking alcohol
A nurse is caring for a client who was diagnosed with postmenopausal
osteoporosis. Which of the following actions should the nurse take prior to
administering calcitonin-salmon to the client for the first time?
A. Check the client's urine for sedimentation
B. Assess the client's liver function
C. Use skin testing to check the client for allergies
D. Evaluate the client's breath sounds
C. Use skin testing to check the client for allergies
A nurse is teaching a client who has a prescription for prednisone and takes
1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which
of the following information should the nurse include? (Select all that apply.)
A. Take the calcium tablets with food
B. Drink 240 mL (8 oz) of water with the calcium tablets
C. Chew calcium tablets before swallowing them
D. Take the drugs 1 hr apart
E. Divide the daily dosage of calcium into three 500-mg doses
B. Drink 240 mL (8 oz) of water with the calcium tablets
C. Chew calcium tablets before swallowing them
D. Take the drugs 1 hr apart
E. Divide the daily dosage of calcium into three 500-mg doses
A nurse is caring for a client who has a prescription for etanercept. The nurse
should identify that etanercept treats rheumatoid arthritis by which of the
following actions?
A. Inactivation of tumor necrosis factor
B. Inhibition of osteoclast activity
C. Decreasing the reuptake of serotonin
D. Interference with the production of lymphocytes
A. Inactivation of tumor necrosis factor
A nurse should instruct a client who is taking alendronate to monitor for which
of the following adverse effects? (Select all that apply.)
,A. Jaw pain
B. Drowsiness
C. Blurred vision
D. Tinnitus
E. Muscle pain
A. Jaw pain
C. Blurred vision
E. Muscle pain
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat
osteoporosis. Which of the following information should the nurse include?
(Select all that apply.)
A. Report rash or itching
B. Deliver two sprays to each nostril
C. Prime the pump before the first dose
D. Report nasal irritation
E. Hold the pump horizontally
A. Report rash or itching
C. Prime the pump before the first dose
D. Report nasal irritation
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis.
The nurse should monitor the client for which of the following indications of a
serious adverse reaction to the drug?
A. Excessive salivation
B. Increased thirst
C. Blood in the urine
D. Shortness of breath
D. Shortness of breath
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis.
Th nurse should instruct the client to monitor for which of the following
indications of an adverse reaction to this drug?
A. Loss of hair
B. Numbness of the fingertips
C. Calf pain
D. Blisters on mucous membranes
C. Calf pain
A nurse is teaching a client who has a prescription for calcium citrate about
manifestations of hypercalcemia. Which of the following manifestations
should the nurse include in the teaching?
A. Muscle twitching
B. Laryngospasm
C. Paresthesia
D. Vomiting
D. Vomiting
A nurse is planning care for a client who has a new prescription for
methotrexate. The nurse should plan to monitor the client for which of the
, following adverse effects?
A. Bone marrow depression
B. Thrombocythemia
C. Double vision
D. Constipation
A. Bone marrow depression
A nurse is caring for a client who is taking alendronate to treat
postmenopausal osteoporosis. The nurse should explain to the client that
alendronate increases bone mass by which of the following actions?
A. Decreases activity of osteoclasts
B. Increases calcium excretion
C. Promotes intestinal absorption of calcium and phosphorus
D. Reduces action of osteoblasts
A. Decreases activity of osteoclasts
Alendronate is contraindicated for administration to clients who have which of
the following conditions?
A. Heart failure
B. Fish protein allergy
C. Inability to sit upright
D. Tuberculosis
C. Inability to sit upright
Which of the following is a therapeutic action of raloxifene?
A. Blocks the effects of estrogen on endometrial tissue
B. Mimics the effects of estrogen on bone tissue
C. Stimulates secretion of parathyroid hormone
D. Stimulates menstruation
B. Mimics the effects of estrogen on bone tissue
A nurse is teaching a client about raloxifene. Which of the following
information should the nurse include? (Select all that apply.)
A. Perform a breast self-examination twice per month
B. Increase physical activity by taking walks
C. Use a contraceptive if there is any possibility of pregnancy
D. Take the drug on an empty stomach
E. Increase intake of calcium and vitamin D
B. Increase physical activity by taking walks
C. Use a contraceptive if there is any possibility of pregnancy
E. Increase intake of calcium and vitamin D
A nurse is teaching a client about methotrexate. The nurse should inform the
client to monitor for which of the following as an adverse effect of this drug?
A. Muscle pain
B. Peripheral edema
C. Black, tarry stools
D. Redness in the calf
C. Black, tarry stools
Comprehensive Exam A, 2025 exit v 2 ACCOMBINATION EXAMINATION 2025 -
2026 QUESTIONS WITH CORRECT ANSWERS VERIFIED 100% GRADED A+
NURS 3110 - The Musculoskeletal System Test
A nurse should identify that a client who has diabetes mellitus and is taking
etanercept is at an increased risk for which of the following adverse effects?
A. Kidney toxicity
B. Infection
C. Gout
D. Deep-vein thrombosis
B. Infection
A nurse is teaching about self-administering methotrexate to a client who has
rheumatoid arthritis. Which of the following statements should the nurse
make?
A. "Use a nonsteroidal anti-inflammatory drug to reduce toxicity."
B. "If you miss a dose, go ahead and take it with the next scheduled dose."
C. "Drink a minimum of 2 liters of water per day to promote the drug's
excretion."
D. "Take it in the morning to prevent insomnia."
C. "Drink a minimum of 2 liters of water per day to promote the drug's excretion."
A nurse is teaching a client who is taking etanercept for rheumatoid arthritis.
The nurse should instruct the client to monitor for which of the following
indications of an adverse reaction to this drug?
A. Skin rash
B. Tinnitus
C. Diarrhea
D. Dysphagia
A. Skin rash
A nurse is caring for a client who has a prescription for methotrexate. Which of
the following drugs would likely be prescribed in conjunction during the initial
treatment for rheumatoid arthritis?
A. Aspirin
B. Salicylates
C. Sulfonylureas
D. Ibuprofen
D. Ibuprofen
A nurse is teaching a client who has a new prescription for etanercept. Which
of the following statements should the nurse make?
A. "You will inject this medication once a week in your thigh muscle."
B. "You should report signs of infection to your provider immediately."
,C. "You will need to avoid taking ibuprofen while on this medication."
D. "You will need to receive a MMR vaccine 1 month after starting the
medication."
B. "You should report signs of infection to your provider immediately."
A nurse is teaching a client about methotrexate therapy for rheumatoid
arthritis. Which of the following information should the nurse include? (Select
all that apply.)
A. Avoid being near people who are sick with a communicable illness
B. Periodic laboratory tests are required
C. The drug's effects are immediate
D. Report bruising or petechiae
E. Avoid drinking alcohol
A. Avoid being near people who are sick with a communicable illness
B. Periodic laboratory tests are required
D. Report bruising or petechiae
E. Avoid drinking alcohol
A nurse is caring for a client who was diagnosed with postmenopausal
osteoporosis. Which of the following actions should the nurse take prior to
administering calcitonin-salmon to the client for the first time?
A. Check the client's urine for sedimentation
B. Assess the client's liver function
C. Use skin testing to check the client for allergies
D. Evaluate the client's breath sounds
C. Use skin testing to check the client for allergies
A nurse is teaching a client who has a prescription for prednisone and takes
1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which
of the following information should the nurse include? (Select all that apply.)
A. Take the calcium tablets with food
B. Drink 240 mL (8 oz) of water with the calcium tablets
C. Chew calcium tablets before swallowing them
D. Take the drugs 1 hr apart
E. Divide the daily dosage of calcium into three 500-mg doses
B. Drink 240 mL (8 oz) of water with the calcium tablets
C. Chew calcium tablets before swallowing them
D. Take the drugs 1 hr apart
E. Divide the daily dosage of calcium into three 500-mg doses
A nurse is caring for a client who has a prescription for etanercept. The nurse
should identify that etanercept treats rheumatoid arthritis by which of the
following actions?
A. Inactivation of tumor necrosis factor
B. Inhibition of osteoclast activity
C. Decreasing the reuptake of serotonin
D. Interference with the production of lymphocytes
A. Inactivation of tumor necrosis factor
A nurse should instruct a client who is taking alendronate to monitor for which
of the following adverse effects? (Select all that apply.)
,A. Jaw pain
B. Drowsiness
C. Blurred vision
D. Tinnitus
E. Muscle pain
A. Jaw pain
C. Blurred vision
E. Muscle pain
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat
osteoporosis. Which of the following information should the nurse include?
(Select all that apply.)
A. Report rash or itching
B. Deliver two sprays to each nostril
C. Prime the pump before the first dose
D. Report nasal irritation
E. Hold the pump horizontally
A. Report rash or itching
C. Prime the pump before the first dose
D. Report nasal irritation
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis.
The nurse should monitor the client for which of the following indications of a
serious adverse reaction to the drug?
A. Excessive salivation
B. Increased thirst
C. Blood in the urine
D. Shortness of breath
D. Shortness of breath
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis.
Th nurse should instruct the client to monitor for which of the following
indications of an adverse reaction to this drug?
A. Loss of hair
B. Numbness of the fingertips
C. Calf pain
D. Blisters on mucous membranes
C. Calf pain
A nurse is teaching a client who has a prescription for calcium citrate about
manifestations of hypercalcemia. Which of the following manifestations
should the nurse include in the teaching?
A. Muscle twitching
B. Laryngospasm
C. Paresthesia
D. Vomiting
D. Vomiting
A nurse is planning care for a client who has a new prescription for
methotrexate. The nurse should plan to monitor the client for which of the
, following adverse effects?
A. Bone marrow depression
B. Thrombocythemia
C. Double vision
D. Constipation
A. Bone marrow depression
A nurse is caring for a client who is taking alendronate to treat
postmenopausal osteoporosis. The nurse should explain to the client that
alendronate increases bone mass by which of the following actions?
A. Decreases activity of osteoclasts
B. Increases calcium excretion
C. Promotes intestinal absorption of calcium and phosphorus
D. Reduces action of osteoblasts
A. Decreases activity of osteoclasts
Alendronate is contraindicated for administration to clients who have which of
the following conditions?
A. Heart failure
B. Fish protein allergy
C. Inability to sit upright
D. Tuberculosis
C. Inability to sit upright
Which of the following is a therapeutic action of raloxifene?
A. Blocks the effects of estrogen on endometrial tissue
B. Mimics the effects of estrogen on bone tissue
C. Stimulates secretion of parathyroid hormone
D. Stimulates menstruation
B. Mimics the effects of estrogen on bone tissue
A nurse is teaching a client about raloxifene. Which of the following
information should the nurse include? (Select all that apply.)
A. Perform a breast self-examination twice per month
B. Increase physical activity by taking walks
C. Use a contraceptive if there is any possibility of pregnancy
D. Take the drug on an empty stomach
E. Increase intake of calcium and vitamin D
B. Increase physical activity by taking walks
C. Use a contraceptive if there is any possibility of pregnancy
E. Increase intake of calcium and vitamin D
A nurse is teaching a client about methotrexate. The nurse should inform the
client to monitor for which of the following as an adverse effect of this drug?
A. Muscle pain
B. Peripheral edema
C. Black, tarry stools
D. Redness in the calf
C. Black, tarry stools
