MSK EXAM QUESTIONS WITH ALL
CORRECT ANSWERS
The daily requirement of calcium for an adult woman is
a. 2500mg
b. 600mg
c. 2000mg
d. 1200mg - Answer-D
Which of these is a risk factor for osteoporosis
a-Age
b-Obesity
c-Smoking
d-Family history
e-All of the above - Answer-E
When counseling an older patient about ways to prevent fractures, which information
will the nurse include?
a. Tacking down scatter rugs in the home is recommended.
b. Occasional weight-bearing exercise will improve muscle and bone strength.
c. Most falls happen outside the home.
d. Buying shoes that provide good support and are comfortable to wear is
recommended. - Answer-D
Which information obtained during the nurse's assessment of the patient's nutritional-
metabolic pattern may indicate the risk for musculoskeletal problems?
a. The patient is 5 ft 2 in and weighs 180 lb.
b. The patient prefers whole milk to nonfat milk.
c. The patient dislikes fruits and vegetables.
d. The patient takes a multivitamin daily. - Answer-A
When assessing the musculoskeletal system, the nurse's initial action will usually be to
a. have the patient move the extremities against resistance.
b. feel for the presence of crepitus during joint movement.
c. observe the patient's body build and muscle configuration.
,d. check active and passive range of motion for the extremities. - Answer-C
During a routine health check-up visit a patient states, "I've been experiencing severe
pain and stiffness in my joints lately." As the nurse, you will ask the patient what
questions to assess for other possible signs and symptoms of rheumatoid arthritis?
Select-all-that-apply:*
A. "Does the pain and stiffness tend to be the worst before bedtime?"
B. "Are you experiencing fatigue and fever as well?"
C. "Is your pain and stiffness symmetrical on the body?"
D. "Is your pain and stiffness aggravated by extreme temperature changes?" - Answer-
BC
True or False: Rheumatoid arthritis tends to affect women more than men and people
who are over the age of 60.*
True
False - Answer-False
Identify the correct sequence in how rheumatoid arthritis develops:*
A. Development of pannus, synovitis, ankylosis
B. Anklyosis, development of pannus, synovitis
C. Synovitis, development of pannus, anklyosis
D. Synovitis, anklyosis, development of pannus - Answer-C
A 58 year old female is experiencing a flare-up with rheumatoid arthritis. While assisting
the patient with her morning routine, the patient verbalizes a pain rating of 7 on 1-10
scale in the right and left wrist along with severe stiffness. You note the wrist joints to be
red, warm, and swollen. What nonpharmalogical nursing interventions can you provide
to this patient to help alleviate pain and stiffness? Select-all-that-apply:*
A. Exercise the affected joints
B. Assist the patient with a warm shower or bath
C. Perform deep massage therapy to the wrist joints
D. Assist the patient with applying wrist splints - Answer-BD
You are providing education to a patient, who was recently diagnosed with rheumatoid
arthritis, about physical exercise. Which statement made by the patient is correct?*
A. "It is best I try to incorporate a moderate level of high impact exercises weekly into
my routine, such as running and aerobics."
B. "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a
weekly regime of range of motion exercises along with walking and riding a stationary
bike."
, C. "It is important I perform range of motion exercises during joint flare-ups and
incorporate low-impact exercises into my daily routine."
D. "Physical exercise should be limited to only range of motion exercises to prevent
further joint damage." - Answer-B
Disease-modifying antirheumatic drugs (DMARDS) are used to treat rheumatoid
arthritis. Select-all-the drugs below that are DMARDS:*
A. Dexamethasone (Decadron)
B. Hydroxychloroquine (Plaquenil)
C. Teriparatide (Forteo)
D. Calcitonin
E. Leflunomide (Arava)
F. Methotrexate (Trexall) - Answer-BEF
A patient with rheumatoid arthritis is experiencing sudden vision changes. Which
medication found in the patient's medication list can cause retinal damage?*
A. Hydroxychloroquine (Plaquenil)
B. Lefluomide (Arava)
C. Sulfasalazine (Azulfidine)
D. Methylprednisolone (Medrol) - Answer-A
You're providing care to a patient with severe rheumatoid arthritis. While performing the
head-to-toe nursing assessment, you note the patient's overall skin color to be pale and
the patient looks exhausted. You ask the patient how she is feeling, and she says "I'm
so tired. I can't even get out of this bed without getting short of breath." Which finding on
the patient's morning lab work may confirm a complication that can be experienced with
rheumatoid arthritis?*
A. Potassium 3.2 mEq/L
B. Hemoglobin 7 g/dL
C. Sodium 135 mEq/L
D. WBC count 6,500 - Answer-B
A physician suspects a patient may have rheumatoid arthritis due to the patient's
presenting symptoms. What diagnostic testing can be ordered to help a physician
diagnose rheumatoid arthritis? Select all that apply:*
A. Rheumatoid factor
B. Uric acid level
C. Erythrocyte sedimentation
D. Dexa-Scan
E. X-ray imaging - Answer-ACE
CORRECT ANSWERS
The daily requirement of calcium for an adult woman is
a. 2500mg
b. 600mg
c. 2000mg
d. 1200mg - Answer-D
Which of these is a risk factor for osteoporosis
a-Age
b-Obesity
c-Smoking
d-Family history
e-All of the above - Answer-E
When counseling an older patient about ways to prevent fractures, which information
will the nurse include?
a. Tacking down scatter rugs in the home is recommended.
b. Occasional weight-bearing exercise will improve muscle and bone strength.
c. Most falls happen outside the home.
d. Buying shoes that provide good support and are comfortable to wear is
recommended. - Answer-D
Which information obtained during the nurse's assessment of the patient's nutritional-
metabolic pattern may indicate the risk for musculoskeletal problems?
a. The patient is 5 ft 2 in and weighs 180 lb.
b. The patient prefers whole milk to nonfat milk.
c. The patient dislikes fruits and vegetables.
d. The patient takes a multivitamin daily. - Answer-A
When assessing the musculoskeletal system, the nurse's initial action will usually be to
a. have the patient move the extremities against resistance.
b. feel for the presence of crepitus during joint movement.
c. observe the patient's body build and muscle configuration.
,d. check active and passive range of motion for the extremities. - Answer-C
During a routine health check-up visit a patient states, "I've been experiencing severe
pain and stiffness in my joints lately." As the nurse, you will ask the patient what
questions to assess for other possible signs and symptoms of rheumatoid arthritis?
Select-all-that-apply:*
A. "Does the pain and stiffness tend to be the worst before bedtime?"
B. "Are you experiencing fatigue and fever as well?"
C. "Is your pain and stiffness symmetrical on the body?"
D. "Is your pain and stiffness aggravated by extreme temperature changes?" - Answer-
BC
True or False: Rheumatoid arthritis tends to affect women more than men and people
who are over the age of 60.*
True
False - Answer-False
Identify the correct sequence in how rheumatoid arthritis develops:*
A. Development of pannus, synovitis, ankylosis
B. Anklyosis, development of pannus, synovitis
C. Synovitis, development of pannus, anklyosis
D. Synovitis, anklyosis, development of pannus - Answer-C
A 58 year old female is experiencing a flare-up with rheumatoid arthritis. While assisting
the patient with her morning routine, the patient verbalizes a pain rating of 7 on 1-10
scale in the right and left wrist along with severe stiffness. You note the wrist joints to be
red, warm, and swollen. What nonpharmalogical nursing interventions can you provide
to this patient to help alleviate pain and stiffness? Select-all-that-apply:*
A. Exercise the affected joints
B. Assist the patient with a warm shower or bath
C. Perform deep massage therapy to the wrist joints
D. Assist the patient with applying wrist splints - Answer-BD
You are providing education to a patient, who was recently diagnosed with rheumatoid
arthritis, about physical exercise. Which statement made by the patient is correct?*
A. "It is best I try to incorporate a moderate level of high impact exercises weekly into
my routine, such as running and aerobics."
B. "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a
weekly regime of range of motion exercises along with walking and riding a stationary
bike."
, C. "It is important I perform range of motion exercises during joint flare-ups and
incorporate low-impact exercises into my daily routine."
D. "Physical exercise should be limited to only range of motion exercises to prevent
further joint damage." - Answer-B
Disease-modifying antirheumatic drugs (DMARDS) are used to treat rheumatoid
arthritis. Select-all-the drugs below that are DMARDS:*
A. Dexamethasone (Decadron)
B. Hydroxychloroquine (Plaquenil)
C. Teriparatide (Forteo)
D. Calcitonin
E. Leflunomide (Arava)
F. Methotrexate (Trexall) - Answer-BEF
A patient with rheumatoid arthritis is experiencing sudden vision changes. Which
medication found in the patient's medication list can cause retinal damage?*
A. Hydroxychloroquine (Plaquenil)
B. Lefluomide (Arava)
C. Sulfasalazine (Azulfidine)
D. Methylprednisolone (Medrol) - Answer-A
You're providing care to a patient with severe rheumatoid arthritis. While performing the
head-to-toe nursing assessment, you note the patient's overall skin color to be pale and
the patient looks exhausted. You ask the patient how she is feeling, and she says "I'm
so tired. I can't even get out of this bed without getting short of breath." Which finding on
the patient's morning lab work may confirm a complication that can be experienced with
rheumatoid arthritis?*
A. Potassium 3.2 mEq/L
B. Hemoglobin 7 g/dL
C. Sodium 135 mEq/L
D. WBC count 6,500 - Answer-B
A physician suspects a patient may have rheumatoid arthritis due to the patient's
presenting symptoms. What diagnostic testing can be ordered to help a physician
diagnose rheumatoid arthritis? Select all that apply:*
A. Rheumatoid factor
B. Uric acid level
C. Erythrocyte sedimentation
D. Dexa-Scan
E. X-ray imaging - Answer-ACE
