Health & illness II Exam 3 ((Musculoskeletal, Hematology) Questions
With Complete Solutions
(SATA) A nurse is preparing to administer medications for a client
experiencing an acute gout attack. Which of the following are
appropriate choices?
A) NSAIDs
B) Colchicine (Colcrys)
C) Steroids
D) Allopurinol (Zyloprim) Correct Answers ✅ Correct Answers: A)
NSAIDs, B) Colchicine (Colcrys), C) Steroids
🔎 Rationale:
• A, B, C) Correct—NSAIDs, colchicine, and corticosteroids are used
to control inflammation during acute gout attacks.
• D) Incorrect—Allopurinol (Zyloprim) is used for chronic gout
prevention, not acute flare-ups.
(SATA) A nurse is reviewing medications that can trigger an acute
attack of gout in a client with primary gout. Which of the following
medications should be avoided?
A) Diuretics
B) Acetaminophen
C) Calcium supplements
D) Aspirin
E) Insulin Correct Answers ✅ Correct Answers: A) Diuretics, D)
Aspirin
🔎 Rationale:
• A, D) Correct—Aspirin and diuretics can increase uric acid levels,
making them common triggers for acute gout attacks.
, • B, C, E) Incorrect—Acetaminophen (B) is not associated with gout
flares, calcium supplements (C) do not contribute to uric acid buildup,
and insulin (E) is used to manage diabetes, not gout.
(SATA) The nurse is reviewing the mechanism of action of febuxostat
(Uloric) and allopurinol (Zyloprim). How do these medications work?
A) Decrease uric acid production
B) Reduce joint inflammation
C) Block the conversion of purines into uric acid
D) Increase kidney excretion of uric acid Correct Answers ✅
Correct Answers: A) Decrease uric acid production, C) Block the
conversion of purines into uric acid
🔎 Rationale:
• A, C) Correct—Both medications decrease uric acid production by
inhibiting xanthine oxidase, which converts purines into uric acid.
• B, D) Incorrect—They do not directly reduce inflammation (B) or
increase kidney excretion (D); probenecid does that instead.
(SATA) Which lifestyle modifications can help prevent gout attacks?
A) Drink plenty of fluids, especially water
B) Consider eating cherries or drinking cherry juice
C) Avoid high-purine foods like organ meats, shellfish, and oily fish
D) Increase intake of dairy products to neutralize uric acid Correct
Answers ✅ Correct Answers: A) Drink plenty of fluids, especially
water, B) Consider eating cherries or drinking cherry juice, C) Avoid
high-purine foods like organ meats, shellfish, and oily fish
🔎 Rationale:
, • A, B, C) Correct—Hydration (A) helps flush excess uric acid,
cherries (B) contain compounds that may reduce uric acid, and
avoiding purine-rich foods (C) lowers uric acid production.
• D) Incorrect—Dairy does not significantly affect uric acid levels in a
way that prevents gout.
(SATA) Which measures should be taken to prevent recurrent gout
attacks?
A) Avoid alcohol
B) Avoid all forms of aspirin and medications containing it
C) Avoid diuretics unless medically necessary
D) Engage in high-intensity physical exercise to promote metabolism
Correct Answers ✅ Correct Answers: A) Avoid alcohol, B) Avoid all
forms of aspirin and medications containing it, C) Avoid diuretics
unless medically necessary
🔎 Rationale:
• A, B, C) Correct—Alcohol (A) impairs uric acid metabolism, aspirin
(B) can increase uric acid levels, and diuretics (C) reduce uric acid
excretion by the kidneys.
• D) Incorrect—High-intensity exercise can cause dehydration,
potentially increasing the risk of a gout attack.
(SATA) Which of the following are considered connective tissue
disorders?
A) Gout
B) Osteoarthritis
C) Rheumatoid arthritis
D) Multiple sclerosis
E) Parkinson's disease Correct Answers ✅ Correct Answers: A)
Gout, B) Osteoarthritis, C) Rheumatoid arthritis
, 🔎 Rationale:
• A, B, C) Correct—These are connective tissue disorders affecting
joints, causing inflammation and degeneration.
• D, E) Incorrect—Multiple sclerosis (D) is a neurological disorder
affecting the nervous system, and Parkinson's disease (E) is a
movement disorder due to dopamine deficiency.
(SATA) Which of the following medications are considered uricosuric
agents used to prevent gout attacks?
A) Febuxostat (Uloric)
B) Allopurinol (Zyloprim)
C) Probenecid (Benemid)
D) Colchicine (Colcrys) Correct Answers ✅ Correct Answers: A)
Febuxostat (Uloric), B) Allopurinol (Zyloprim), C) Probenecid
(Benemid)
🔎 Rationale:
• A, B, C) Correct—Febuxostat, allopurinol, and probenecid are
uricosuric medications that help prevent gout by lowering uric acid
levels.
• D) Incorrect—Colchicine is used for acute gout attacks, not
prevention.
A client asks why the nurse recommends heat for their osteoarthritis
pain. What is the best explanation?
A) Heat reduces inflammation in acutely inflamed joints
B) Heat helps relieve stiffness and improves mobility
C) Heat therapy prevents muscle cramps
D) Heat therapy strengthens bones Correct Answers ✅ Correct
Answer: B) Heat helps relieve stiffness and improves mobility
With Complete Solutions
(SATA) A nurse is preparing to administer medications for a client
experiencing an acute gout attack. Which of the following are
appropriate choices?
A) NSAIDs
B) Colchicine (Colcrys)
C) Steroids
D) Allopurinol (Zyloprim) Correct Answers ✅ Correct Answers: A)
NSAIDs, B) Colchicine (Colcrys), C) Steroids
🔎 Rationale:
• A, B, C) Correct—NSAIDs, colchicine, and corticosteroids are used
to control inflammation during acute gout attacks.
• D) Incorrect—Allopurinol (Zyloprim) is used for chronic gout
prevention, not acute flare-ups.
(SATA) A nurse is reviewing medications that can trigger an acute
attack of gout in a client with primary gout. Which of the following
medications should be avoided?
A) Diuretics
B) Acetaminophen
C) Calcium supplements
D) Aspirin
E) Insulin Correct Answers ✅ Correct Answers: A) Diuretics, D)
Aspirin
🔎 Rationale:
• A, D) Correct—Aspirin and diuretics can increase uric acid levels,
making them common triggers for acute gout attacks.
, • B, C, E) Incorrect—Acetaminophen (B) is not associated with gout
flares, calcium supplements (C) do not contribute to uric acid buildup,
and insulin (E) is used to manage diabetes, not gout.
(SATA) The nurse is reviewing the mechanism of action of febuxostat
(Uloric) and allopurinol (Zyloprim). How do these medications work?
A) Decrease uric acid production
B) Reduce joint inflammation
C) Block the conversion of purines into uric acid
D) Increase kidney excretion of uric acid Correct Answers ✅
Correct Answers: A) Decrease uric acid production, C) Block the
conversion of purines into uric acid
🔎 Rationale:
• A, C) Correct—Both medications decrease uric acid production by
inhibiting xanthine oxidase, which converts purines into uric acid.
• B, D) Incorrect—They do not directly reduce inflammation (B) or
increase kidney excretion (D); probenecid does that instead.
(SATA) Which lifestyle modifications can help prevent gout attacks?
A) Drink plenty of fluids, especially water
B) Consider eating cherries or drinking cherry juice
C) Avoid high-purine foods like organ meats, shellfish, and oily fish
D) Increase intake of dairy products to neutralize uric acid Correct
Answers ✅ Correct Answers: A) Drink plenty of fluids, especially
water, B) Consider eating cherries or drinking cherry juice, C) Avoid
high-purine foods like organ meats, shellfish, and oily fish
🔎 Rationale:
, • A, B, C) Correct—Hydration (A) helps flush excess uric acid,
cherries (B) contain compounds that may reduce uric acid, and
avoiding purine-rich foods (C) lowers uric acid production.
• D) Incorrect—Dairy does not significantly affect uric acid levels in a
way that prevents gout.
(SATA) Which measures should be taken to prevent recurrent gout
attacks?
A) Avoid alcohol
B) Avoid all forms of aspirin and medications containing it
C) Avoid diuretics unless medically necessary
D) Engage in high-intensity physical exercise to promote metabolism
Correct Answers ✅ Correct Answers: A) Avoid alcohol, B) Avoid all
forms of aspirin and medications containing it, C) Avoid diuretics
unless medically necessary
🔎 Rationale:
• A, B, C) Correct—Alcohol (A) impairs uric acid metabolism, aspirin
(B) can increase uric acid levels, and diuretics (C) reduce uric acid
excretion by the kidneys.
• D) Incorrect—High-intensity exercise can cause dehydration,
potentially increasing the risk of a gout attack.
(SATA) Which of the following are considered connective tissue
disorders?
A) Gout
B) Osteoarthritis
C) Rheumatoid arthritis
D) Multiple sclerosis
E) Parkinson's disease Correct Answers ✅ Correct Answers: A)
Gout, B) Osteoarthritis, C) Rheumatoid arthritis
, 🔎 Rationale:
• A, B, C) Correct—These are connective tissue disorders affecting
joints, causing inflammation and degeneration.
• D, E) Incorrect—Multiple sclerosis (D) is a neurological disorder
affecting the nervous system, and Parkinson's disease (E) is a
movement disorder due to dopamine deficiency.
(SATA) Which of the following medications are considered uricosuric
agents used to prevent gout attacks?
A) Febuxostat (Uloric)
B) Allopurinol (Zyloprim)
C) Probenecid (Benemid)
D) Colchicine (Colcrys) Correct Answers ✅ Correct Answers: A)
Febuxostat (Uloric), B) Allopurinol (Zyloprim), C) Probenecid
(Benemid)
🔎 Rationale:
• A, B, C) Correct—Febuxostat, allopurinol, and probenecid are
uricosuric medications that help prevent gout by lowering uric acid
levels.
• D) Incorrect—Colchicine is used for acute gout attacks, not
prevention.
A client asks why the nurse recommends heat for their osteoarthritis
pain. What is the best explanation?
A) Heat reduces inflammation in acutely inflamed joints
B) Heat helps relieve stiffness and improves mobility
C) Heat therapy prevents muscle cramps
D) Heat therapy strengthens bones Correct Answers ✅ Correct
Answer: B) Heat helps relieve stiffness and improves mobility
