Grade A+ Musculoskeletal NCLEX style questions and answers 2025
Vitamin D
Osteomalacia causes softening of the bone due to the decrease
in vitamin D in the body. The patient with osteomalacia should
include vitamin D in the diet because it promotes the absorption
of calcium and phosphorus from the small intestine. The bone
accounts for 99% of the calcium and 90% of the phosphorus in
the body.
What does the nurse teach a patient with osteomalacia (aka
Ricketts) to include in the daily diet?
Osteomyelitis
The diabetic patient with a foot ulcer is at high risk for osteomyelitis
or bone infection. Diabetes also slows down the healing process.
As a person ages, the cartilages at the synovial joints lose their
elasticity and become compressible which leads to osteoarthritis.
Joint dislocations and joint traumas also lead to osteoarthritis. Os-
teoporosis may occur due to age-related bone loss, or decreased
intake of calcium and vitamin D. Osteomalacia or softening of the
A diabetic patient is admitted to the health care facility with a bone is caused by the deficiency of vitamin D in the body.
foot ulcer. The nurse teaches wound care to the patient and the
caregiver to prevent the risk for which condition?
Levofloxacin
A diabetic older adult patient who had arthroscopic surgery on
the right knee the previous day has a red, swollen, and painful
right knee. The nurse anticipates that the health care provider will The patient's symptoms indicate a possible right knee infection, so
the first action will be to start antibiotic therapy, especially because
request which medication?
the patient is diabetic and is at greater risk for infection.
Muscle biopsy
Muscle biopsy is done for the diagnosis of atrophy or inflammation
(such as muscular dystrophy or polymyositis).
Which procedure does the nurse anticipate for the patient with
suspected muscular dystrophy?
The nurse sees several clients with osteoporosis. For which client
would Fosamax not be a good option?
a. Client with diabetes who has a serum creatinine of 0.8 mg/dL
b. Client who recently fell and has vertebral compression fractures
c. Hypertensive client who takes calcium channel blockers
, Grade A+ Musculoskeletal NCLEX style questions and answers 2025
ANS: D
Clients on bisphosphonates must be able to sit upright for 30 to 60
minutes after taking them. The client who cannot tolerate sitting up
is not a good candidate for this class of drug. Poor renal function
also makes clients bad candidates for this drug, but the client
with a creatinine of 0.8 mg/dL is within normal range. Diabetes
and hypertension are not related unless the client also has renal
disease. The client who recently fell and sustained fractures is
a good candidate for this drug if the fractures are related to
osteoporosis.
Correct Answer: 2
A 50-year-old female patient is concerned that she will develop Rationale Assessment of bone mass is the primary measure-
osteoporosis because both her maternal aunts have been diag- ment for osteoporosis. The bone mineral density test, or DEXA
nosed with the disorder. The nurse would suggest which interven- test, uses a technique that measures any skeletal site and then
tion? compares bone density values with other values in a reference
population of the same age, race, and gender.
1. Prophylactic nonsteroidal anti-inflammatory medication
2. A DEXA test
3. Prescription for risedronate (Actonel)
4. Increase daily intake of calcium
Osteoporosis
According to the World Health Organization, a patient with a bone
mineral density T-score of less than -2.5 should be reported as
having
The nurse is instructing a patient on foods high in calcium. The
nurse knows the teaching was effective when the patient chooses Kale, Salmon and Milk are foods high in calcium,
which foods for a meal?
Select all that apply. Chicken is high in protein
Bananas are high in potassium
1. Chicken
2. Kale
3. Bananas
4. Salmon
5. Low-fat milk
The nurse is planning care for a patient who had an
above-the-knee amputation 2 days ago. Which position should the
nurse include in this patient's plan of care?
1. Sims' position as tolerated
Vitamin D
Osteomalacia causes softening of the bone due to the decrease
in vitamin D in the body. The patient with osteomalacia should
include vitamin D in the diet because it promotes the absorption
of calcium and phosphorus from the small intestine. The bone
accounts for 99% of the calcium and 90% of the phosphorus in
the body.
What does the nurse teach a patient with osteomalacia (aka
Ricketts) to include in the daily diet?
Osteomyelitis
The diabetic patient with a foot ulcer is at high risk for osteomyelitis
or bone infection. Diabetes also slows down the healing process.
As a person ages, the cartilages at the synovial joints lose their
elasticity and become compressible which leads to osteoarthritis.
Joint dislocations and joint traumas also lead to osteoarthritis. Os-
teoporosis may occur due to age-related bone loss, or decreased
intake of calcium and vitamin D. Osteomalacia or softening of the
A diabetic patient is admitted to the health care facility with a bone is caused by the deficiency of vitamin D in the body.
foot ulcer. The nurse teaches wound care to the patient and the
caregiver to prevent the risk for which condition?
Levofloxacin
A diabetic older adult patient who had arthroscopic surgery on
the right knee the previous day has a red, swollen, and painful
right knee. The nurse anticipates that the health care provider will The patient's symptoms indicate a possible right knee infection, so
the first action will be to start antibiotic therapy, especially because
request which medication?
the patient is diabetic and is at greater risk for infection.
Muscle biopsy
Muscle biopsy is done for the diagnosis of atrophy or inflammation
(such as muscular dystrophy or polymyositis).
Which procedure does the nurse anticipate for the patient with
suspected muscular dystrophy?
The nurse sees several clients with osteoporosis. For which client
would Fosamax not be a good option?
a. Client with diabetes who has a serum creatinine of 0.8 mg/dL
b. Client who recently fell and has vertebral compression fractures
c. Hypertensive client who takes calcium channel blockers
, Grade A+ Musculoskeletal NCLEX style questions and answers 2025
ANS: D
Clients on bisphosphonates must be able to sit upright for 30 to 60
minutes after taking them. The client who cannot tolerate sitting up
is not a good candidate for this class of drug. Poor renal function
also makes clients bad candidates for this drug, but the client
with a creatinine of 0.8 mg/dL is within normal range. Diabetes
and hypertension are not related unless the client also has renal
disease. The client who recently fell and sustained fractures is
a good candidate for this drug if the fractures are related to
osteoporosis.
Correct Answer: 2
A 50-year-old female patient is concerned that she will develop Rationale Assessment of bone mass is the primary measure-
osteoporosis because both her maternal aunts have been diag- ment for osteoporosis. The bone mineral density test, or DEXA
nosed with the disorder. The nurse would suggest which interven- test, uses a technique that measures any skeletal site and then
tion? compares bone density values with other values in a reference
population of the same age, race, and gender.
1. Prophylactic nonsteroidal anti-inflammatory medication
2. A DEXA test
3. Prescription for risedronate (Actonel)
4. Increase daily intake of calcium
Osteoporosis
According to the World Health Organization, a patient with a bone
mineral density T-score of less than -2.5 should be reported as
having
The nurse is instructing a patient on foods high in calcium. The
nurse knows the teaching was effective when the patient chooses Kale, Salmon and Milk are foods high in calcium,
which foods for a meal?
Select all that apply. Chicken is high in protein
Bananas are high in potassium
1. Chicken
2. Kale
3. Bananas
4. Salmon
5. Low-fat milk
The nurse is planning care for a patient who had an
above-the-knee amputation 2 days ago. Which position should the
nurse include in this patient's plan of care?
1. Sims' position as tolerated
