Musculoskeletal Final Exam -ATI Pharm
Made Easy 4.0 Questions with
Rationales 2026/2026 Study Guide.
a nurse is teaching about self-administering methotrexate to a client who has rheumatoid
arthritis. which of the following statements should the nurse make? - Answer drink 2-3 liters
of water per day to promote the drug's excretion.
Methotrexate can cause kidney damage. Adequate hydration optimizes drug excretion and
helps prevent kidney damage. Clients can also take sodium bicarbonate tablets to increase urine
alkalinity and reduce the drug precipitation that can lead to kidney damage.
a nurse is teaching a client about raloxifene. which of the following information should the
nurse include? - Answer increase physical activity by taking walks
use a contraceptive if there is any possibility of pregnancy
increase intake of calcium and vitamin D
Clients should avoid long periods of inactivity to prevent deep vein thrombosis. Walking and
other weight-bearing exercises can help increase bone density. This drug is teratogenic and
Women who are pregnant, breastfeeding, or might become pregnant should not take this
stress. Contraceptive should be used. An increased intake of calcium and vitamin D helps
improve the effectiveness and increases bone mass.
a nurse is caring for a client who has a new prescription for etanercept. which of the following
actions should the nurse take? - Answer administer a Tuberculin skin test prior to starting the
medication.
Etanercept is contraindicated for clients with hx of exposure to TB.
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the
following statements by the client indicates understanding of the teaching? - Answer i will take
a birth control pill everyday
Methotrexate is teratogenic to a fetus and is contraindicated during pregnancy. Therefore, a
client of childbearing age should use birth control while on this medication.
, a nurse is teaching a client who has a new prescription for etancercept. which of the following
statements should the nurse make? - Answer you should report signs of infection to your
provider immediately.
The client is more susceptible to infections when taking DMARD II medications such as
etanercept. The client should report symptoms of infection, such as fever, cough, malaise,
Weight loss, and dyspnea immediately to prevent further complications.
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the
following information should the nurse include? - Answer -avoid being near people who are
sick with a communicable illness.
-periodic laboratory tests are required.
-report bruising or petechiae
-avoid drinking alcohol
Methotrexate causes bone marrow suppression, which increases the risk for infection. Clients
should avoid large crowds and people who are sick. Periodic lab tests help the provider monitor
for kidney and liver damage. Monitor for jaundice and abdominal pain because this can indicate
liver damage. The side effect of thrombocytopenia can cause bruising or petechiae, these
should be reported. Alcohol ingestion can increase the risk of liver damage.
a nurse is teaching client about raloxifene therapy to prevent osteoporosis. the nurse should
instruct the client to monitor for which of the following indications of an adverse reaction to
this drug? - Answer calf pain
Raloxifene can increase the risk of deep vein thrombosis, which can lead to a pulmonary
embolism or cerebrovascular accident. Client should avoid Long periods of inactivity and Report
any pain, redness, or swelling in the calf.
a nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. which
of the following information should the nurse include? - Answer report rash or itching
prime the pump before the first dose
report nasal irritation
The client should stop taking the drug and seek medical attention if swelling or rash develops.
Once in one nostril each day. Alternate nostrils. Prime pump before first use to ensure proper
dosage. Report nasal bleeding or irritation.
a nurse is teaching a client about adverse effects of etanercept. which of the following
statements by the client indicates understanding of the teaching? - Answer I will need to get
my blood drawn periodically while on this medication.
Made Easy 4.0 Questions with
Rationales 2026/2026 Study Guide.
a nurse is teaching about self-administering methotrexate to a client who has rheumatoid
arthritis. which of the following statements should the nurse make? - Answer drink 2-3 liters
of water per day to promote the drug's excretion.
Methotrexate can cause kidney damage. Adequate hydration optimizes drug excretion and
helps prevent kidney damage. Clients can also take sodium bicarbonate tablets to increase urine
alkalinity and reduce the drug precipitation that can lead to kidney damage.
a nurse is teaching a client about raloxifene. which of the following information should the
nurse include? - Answer increase physical activity by taking walks
use a contraceptive if there is any possibility of pregnancy
increase intake of calcium and vitamin D
Clients should avoid long periods of inactivity to prevent deep vein thrombosis. Walking and
other weight-bearing exercises can help increase bone density. This drug is teratogenic and
Women who are pregnant, breastfeeding, or might become pregnant should not take this
stress. Contraceptive should be used. An increased intake of calcium and vitamin D helps
improve the effectiveness and increases bone mass.
a nurse is caring for a client who has a new prescription for etanercept. which of the following
actions should the nurse take? - Answer administer a Tuberculin skin test prior to starting the
medication.
Etanercept is contraindicated for clients with hx of exposure to TB.
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the
following statements by the client indicates understanding of the teaching? - Answer i will take
a birth control pill everyday
Methotrexate is teratogenic to a fetus and is contraindicated during pregnancy. Therefore, a
client of childbearing age should use birth control while on this medication.
, a nurse is teaching a client who has a new prescription for etancercept. which of the following
statements should the nurse make? - Answer you should report signs of infection to your
provider immediately.
The client is more susceptible to infections when taking DMARD II medications such as
etanercept. The client should report symptoms of infection, such as fever, cough, malaise,
Weight loss, and dyspnea immediately to prevent further complications.
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the
following information should the nurse include? - Answer -avoid being near people who are
sick with a communicable illness.
-periodic laboratory tests are required.
-report bruising or petechiae
-avoid drinking alcohol
Methotrexate causes bone marrow suppression, which increases the risk for infection. Clients
should avoid large crowds and people who are sick. Periodic lab tests help the provider monitor
for kidney and liver damage. Monitor for jaundice and abdominal pain because this can indicate
liver damage. The side effect of thrombocytopenia can cause bruising or petechiae, these
should be reported. Alcohol ingestion can increase the risk of liver damage.
a nurse is teaching client about raloxifene therapy to prevent osteoporosis. the nurse should
instruct the client to monitor for which of the following indications of an adverse reaction to
this drug? - Answer calf pain
Raloxifene can increase the risk of deep vein thrombosis, which can lead to a pulmonary
embolism or cerebrovascular accident. Client should avoid Long periods of inactivity and Report
any pain, redness, or swelling in the calf.
a nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. which
of the following information should the nurse include? - Answer report rash or itching
prime the pump before the first dose
report nasal irritation
The client should stop taking the drug and seek medical attention if swelling or rash develops.
Once in one nostril each day. Alternate nostrils. Prime pump before first use to ensure proper
dosage. Report nasal bleeding or irritation.
a nurse is teaching a client about adverse effects of etanercept. which of the following
statements by the client indicates understanding of the teaching? - Answer I will need to get
my blood drawn periodically while on this medication.
