NUR 254 Musculoskeletal-Adult,
Exam Questions and Accurate
Detailed Answers
The nurse knows that if a patient has an overproduction of osteoclasts, the patient will likely have:
SATA
1. dense bones
2. weak bones
3. low serum calcium levels
4. high serum calcium levels
5. increased RBCs - Answer: 2, 4
A patient's labs come back with low levels of calcitriol. The nurse suspects that this patient will have
difficulty absorbing which of the following?
1. vitamin D
2. calcium
3. vitamin C
4. calcitonin - Answer: 2
A client has uncontrolled hyperthyroidism and comes to the doctor for a bone density scan. The
nurse would expect this client's bones to be:
1. average density
2. less dense
3. more dense - Answer: 2
A client has annual bloodwork drawn and her calcium levels are 7.4. Which hormone would the
nurse expect to be increasing in the client's blood as a result of this calcium level?
1. calcitonin
2. PTH
3. cortisol
4. calcitriol - Answer: 2
, The doctor has recommended isometric exercises for a patient. The nurse would encourage which of
the following activities? SATA
1. swimming
2. planks
3. weight training
4. wall sits
5. crunches - Answer: 2, 4
The nurse's patient is having an arthroscopy to check for joint disease. Which interventions are most
important following the procedure?
1. monitoring urine output
2. BUN/Cr
3. RBC count
4. assessing for iodine allergy
5. alerting the physician immediately if a clicking sound is present - Answer: 1, 2
Which patient is most at risk for decreased bone density?
1. 45 year old female who gets regular periods
2. 74 year old male who takes vitamin D supplements
3. 30 year old female who just finished a month of steroid treatment
4. 60 year old female who had her last period 18 months ago - Answer: 4
A patient is having a bone scan test tomorrow. Which statement by the patient shows the need for
further education?
1. I should remove all of my jewelry and any metal from my clothing
2. I should not take my calcium supplement tomorrow
3. I can have my regular breakfast of 2 scrambled eggs and a black coffee tomorrow morning
4. If I have heartburn after dinner tonight, it is ok to take some tums - Answer: 4
Four patients are scheduled for bone density scans tomorrow. Which one of the following will not be
able to receive their scan?
Exam Questions and Accurate
Detailed Answers
The nurse knows that if a patient has an overproduction of osteoclasts, the patient will likely have:
SATA
1. dense bones
2. weak bones
3. low serum calcium levels
4. high serum calcium levels
5. increased RBCs - Answer: 2, 4
A patient's labs come back with low levels of calcitriol. The nurse suspects that this patient will have
difficulty absorbing which of the following?
1. vitamin D
2. calcium
3. vitamin C
4. calcitonin - Answer: 2
A client has uncontrolled hyperthyroidism and comes to the doctor for a bone density scan. The
nurse would expect this client's bones to be:
1. average density
2. less dense
3. more dense - Answer: 2
A client has annual bloodwork drawn and her calcium levels are 7.4. Which hormone would the
nurse expect to be increasing in the client's blood as a result of this calcium level?
1. calcitonin
2. PTH
3. cortisol
4. calcitriol - Answer: 2
, The doctor has recommended isometric exercises for a patient. The nurse would encourage which of
the following activities? SATA
1. swimming
2. planks
3. weight training
4. wall sits
5. crunches - Answer: 2, 4
The nurse's patient is having an arthroscopy to check for joint disease. Which interventions are most
important following the procedure?
1. monitoring urine output
2. BUN/Cr
3. RBC count
4. assessing for iodine allergy
5. alerting the physician immediately if a clicking sound is present - Answer: 1, 2
Which patient is most at risk for decreased bone density?
1. 45 year old female who gets regular periods
2. 74 year old male who takes vitamin D supplements
3. 30 year old female who just finished a month of steroid treatment
4. 60 year old female who had her last period 18 months ago - Answer: 4
A patient is having a bone scan test tomorrow. Which statement by the patient shows the need for
further education?
1. I should remove all of my jewelry and any metal from my clothing
2. I should not take my calcium supplement tomorrow
3. I can have my regular breakfast of 2 scrambled eggs and a black coffee tomorrow morning
4. If I have heartburn after dinner tonight, it is ok to take some tums - Answer: 4
Four patients are scheduled for bone density scans tomorrow. Which one of the following will not be
able to receive their scan?