ATI MUSCULOSKELETAL LATEST 2025 EXAM WITH WELL ANALYSED AND
DETAILED CORRECT QUESTIONS AND ANSWERS
A nurse is preparing to administer auranofin (Ridaura) for a client who has
rheumatoid arthritis. Thenurse should monitor the client for which of the
following adverse effects of this medication? (Select all that apply.)
A. Insomnia
B. Stomatitis
C. Visual changes
D. Bruising
E. Pruritus - CORRECT ANSWER-B Stomatitis
D Bruising
E Pruritus
A nurse is evaluating teaching for a client who has rheumatoid arthritis and is
beginning a prescriptionfor methotrexate (Rheumatrex). Which of the following
statements by the client indicates understanding of the teaching?
A. "I will be sure to return to the clinic at least once a year to have my blood
drawn while I'm taking methotrexate."
B. "I will take this medication on an empty stomach."
,C. "I'll let the doctor know if I develop sores in my mouth while taking this
medication."
D. "I should stop taking oral contraceptives while I'm taking methotrexate." -
CORRECT ANSWER-"I'll let the doctor know if I develop sores in my mouth
while taking this medication." (C)
A nurse is providing teaching to a client who is taking raloxifene (Evista) to
prevent postmenopausal
osteoporosis. The nurse should advise the client that which of the following are
adverse effects of this
medication? (Select all that apply.)
A. Hot flashes
B. Lump in breast
C. Swelling or redness in calf
D. Shortness of breath
E. Difficulty swallowing - CORRECT ANSWER-A, C, D. (Hot flashes, calf
redness/swelling, SOB.)
A client who has osteoporosis has a new prescription for alendronate
(Fosamax). Which of the following
instructions should the nurse provide for the client? (Select all that apply.)
A. Take medication in the morning before eating.
B. Chew tablets to increase bioavailability.
C. Drink a full glass of water with each tablet.
D. Take Fosamax with an antacid if heartburn occurs.
,E. Avoid lying down after taking this medication. - CORRECT ANSWER-A, C, E.
(Meds before eating, glass of water, avoid lying down.)
A nurse is caring for a client who has a new prescription for calcitonin-salmon
for osteoporosis. Which of the following tests should the nurse tell the client to
expect before beginning this medication?
A. Skin test for allergy to the medication
B. ECG to rule out cardiac dysrhythmias
C. Mantoux test to rule out exposure to tuberculosis
D. Liver function tests to assess risk for medication toxicity - CORRECT
ANSWER-
A nurse is caring for a young adult client whose serum calcium is 8.8 mg/dL.
Which of the following medications should the nurse anticipate administering
to this client?
A. Calcitonin-salmon (Miacalcin)
B. Calcium carbonate (Tums)
C. Zoledronic (Reclast)
D. Ibandronate (Boniva) - CORRECT ANSWER-B. Calcium carbonate (Tums)
A nurse is providing instruction to a client who has a new prescription for
calcitonin-salmon (Miacalcin) for postmenopausal osteoporosis. Which of the
following should the nurse teach the client regarding self‑administration of this
medication?
A. Swallow tablets on an empty stomach with plenty of water.
B. Watch for skin rash and redness when applying calcitonin-salmon topically.
, C. Mix the liquid medication with juice and take it after meals.
D. Alternate nostrils each time calcitonin-salmon is inhaled. - CORRECT
ANSWER-D. (Alternate nostrils each time calcitonin-salmon is inhaled.)
An obese client with degenerative joint disease is being managed with aspirin
therapy. The nurse determines that additional teaching is needed when which
client statement is made?
a "I use heat sometimes to help reduce my pain and stiffness."
b "I frequently examine my stools for bleeding."
c "I take my aspirin when I have extreme pain or stiffness."
d "I started an exercise program to lose weight." - CORRECT ANSWER-
ANSWER C
Rationale: Aspirin therapy is continuous and is effective only if therapeutic
blood levels are reached. It is not taken intermittently. The other statements
are appropriate self-care measures when taking aspirin for osteoarthritis.
Non-pharmacological pain management for a client with osteoarthritis include:
(Select all that apply.)
a X-rays
b Moderate activity plan
c NSAIDs
d Application of moist heat
e Ice pack to the most painful area - CORRECT ANSWER-ANSWER B AND D
Rationale: Heat, not ice, can be applied to the area, and moist heat is most
effective at reducing pain and inflammation. A common approach to physical
therapy includes paraffin wax treatments, where the client inserts the painful
joint into warm liquid paraffin, which holds in the heat for an extended period
DETAILED CORRECT QUESTIONS AND ANSWERS
A nurse is preparing to administer auranofin (Ridaura) for a client who has
rheumatoid arthritis. Thenurse should monitor the client for which of the
following adverse effects of this medication? (Select all that apply.)
A. Insomnia
B. Stomatitis
C. Visual changes
D. Bruising
E. Pruritus - CORRECT ANSWER-B Stomatitis
D Bruising
E Pruritus
A nurse is evaluating teaching for a client who has rheumatoid arthritis and is
beginning a prescriptionfor methotrexate (Rheumatrex). Which of the following
statements by the client indicates understanding of the teaching?
A. "I will be sure to return to the clinic at least once a year to have my blood
drawn while I'm taking methotrexate."
B. "I will take this medication on an empty stomach."
,C. "I'll let the doctor know if I develop sores in my mouth while taking this
medication."
D. "I should stop taking oral contraceptives while I'm taking methotrexate." -
CORRECT ANSWER-"I'll let the doctor know if I develop sores in my mouth
while taking this medication." (C)
A nurse is providing teaching to a client who is taking raloxifene (Evista) to
prevent postmenopausal
osteoporosis. The nurse should advise the client that which of the following are
adverse effects of this
medication? (Select all that apply.)
A. Hot flashes
B. Lump in breast
C. Swelling or redness in calf
D. Shortness of breath
E. Difficulty swallowing - CORRECT ANSWER-A, C, D. (Hot flashes, calf
redness/swelling, SOB.)
A client who has osteoporosis has a new prescription for alendronate
(Fosamax). Which of the following
instructions should the nurse provide for the client? (Select all that apply.)
A. Take medication in the morning before eating.
B. Chew tablets to increase bioavailability.
C. Drink a full glass of water with each tablet.
D. Take Fosamax with an antacid if heartburn occurs.
,E. Avoid lying down after taking this medication. - CORRECT ANSWER-A, C, E.
(Meds before eating, glass of water, avoid lying down.)
A nurse is caring for a client who has a new prescription for calcitonin-salmon
for osteoporosis. Which of the following tests should the nurse tell the client to
expect before beginning this medication?
A. Skin test for allergy to the medication
B. ECG to rule out cardiac dysrhythmias
C. Mantoux test to rule out exposure to tuberculosis
D. Liver function tests to assess risk for medication toxicity - CORRECT
ANSWER-
A nurse is caring for a young adult client whose serum calcium is 8.8 mg/dL.
Which of the following medications should the nurse anticipate administering
to this client?
A. Calcitonin-salmon (Miacalcin)
B. Calcium carbonate (Tums)
C. Zoledronic (Reclast)
D. Ibandronate (Boniva) - CORRECT ANSWER-B. Calcium carbonate (Tums)
A nurse is providing instruction to a client who has a new prescription for
calcitonin-salmon (Miacalcin) for postmenopausal osteoporosis. Which of the
following should the nurse teach the client regarding self‑administration of this
medication?
A. Swallow tablets on an empty stomach with plenty of water.
B. Watch for skin rash and redness when applying calcitonin-salmon topically.
, C. Mix the liquid medication with juice and take it after meals.
D. Alternate nostrils each time calcitonin-salmon is inhaled. - CORRECT
ANSWER-D. (Alternate nostrils each time calcitonin-salmon is inhaled.)
An obese client with degenerative joint disease is being managed with aspirin
therapy. The nurse determines that additional teaching is needed when which
client statement is made?
a "I use heat sometimes to help reduce my pain and stiffness."
b "I frequently examine my stools for bleeding."
c "I take my aspirin when I have extreme pain or stiffness."
d "I started an exercise program to lose weight." - CORRECT ANSWER-
ANSWER C
Rationale: Aspirin therapy is continuous and is effective only if therapeutic
blood levels are reached. It is not taken intermittently. The other statements
are appropriate self-care measures when taking aspirin for osteoarthritis.
Non-pharmacological pain management for a client with osteoarthritis include:
(Select all that apply.)
a X-rays
b Moderate activity plan
c NSAIDs
d Application of moist heat
e Ice pack to the most painful area - CORRECT ANSWER-ANSWER B AND D
Rationale: Heat, not ice, can be applied to the area, and moist heat is most
effective at reducing pain and inflammation. A common approach to physical
therapy includes paraffin wax treatments, where the client inserts the painful
joint into warm liquid paraffin, which holds in the heat for an extended period
