ATI Musculoskeletal Exam 2025 | Complete
Questions and Correct Answers | Already
Graded A+ | Verified Answers | Just Released
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 of time and can be very
comforting. Joints tend to stiffen and become more painful during periods of inactivity,
so a moderate activity plan can help to prevent this. NSAIDs may be administered, but
this is pharmacological treatment, not non-pharmacological treatment. X-rays may be
performed for diagnosis, but do not treat the pain.
The nurse collects data from a client with suspected osteoarthritis and confirms which
manifestations of osteoarthritis?
a Elevated sedimentation rate
b Dull, aching pain in the joints
c Elevated white blood cell count
d Positive rheumatoid factor - CORRECT ANSWER-ANSWER B
The nurse is teaching a client about osteoarthritis and the risk factors for developing the
disease. The nurse includes what information about primary osteoarthritis risks?
a Age
b Trauma
c Endocrine disorders
d Joint instability - CORRECT ANSWER-ANSWER A
Rationale: Age is a risk factor for developing primary osteoarthritis. Trauma, endocrine
disorders, and joint instability are risks for developing secondary osteoarthritis
The nurse selects the nursing diagnosis of self-care deficit for a client with osteoarthritis
based on what observation?
a The client drove to the office.
b The client's hair is combed.
Questions and Correct Answers | Already
Graded A+ | Verified Answers | Just Released
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 of time and can be very
comforting. Joints tend to stiffen and become more painful during periods of inactivity,
so a moderate activity plan can help to prevent this. NSAIDs may be administered, but
this is pharmacological treatment, not non-pharmacological treatment. X-rays may be
performed for diagnosis, but do not treat the pain.
The nurse collects data from a client with suspected osteoarthritis and confirms which
manifestations of osteoarthritis?
a Elevated sedimentation rate
b Dull, aching pain in the joints
c Elevated white blood cell count
d Positive rheumatoid factor - CORRECT ANSWER-ANSWER B
The nurse is teaching a client about osteoarthritis and the risk factors for developing the
disease. The nurse includes what information about primary osteoarthritis risks?
a Age
b Trauma
c Endocrine disorders
d Joint instability - CORRECT ANSWER-ANSWER A
Rationale: Age is a risk factor for developing primary osteoarthritis. Trauma, endocrine
disorders, and joint instability are risks for developing secondary osteoarthritis
The nurse selects the nursing diagnosis of self-care deficit for a client with osteoarthritis
based on what observation?
a The client drove to the office.
b The client's hair is combed.
