movement practice exam

Which class of medications is not used to treat osteoporosis? Bisphosphonates Selective estrogen receptor modulators (SERMs) Vitamin D supplements Antimalarial drugs

Antimalarial drugs

A client is prescribed anakinra for rheumatoid arthritis. Which client education is most appropriate? 1. This medication may cause an orange discoloration of your urine and skin. 2. Injection site reactions typically lessen after the first month of therapy. 3. You should continue taking your infliximab to reduce episodes of inflammation. 4. This medication will help with generalized inflammation in the body, but not in the joints.

2. Injection site reactions typically lessen after the first month of therapy.

This substance covers the ends of bones within the synovial joint providing cushion to allow movement without friction and pain. Fibrous tissue Articular cartilage Tendon Synovial fluid

Articular cartilage

Which of the following is not an appropriate therapy for osteoarthritis? Weight control Topical capsaicin cream Bisphosphonates Intraarticular corticosteroids

Bisphosphonates

The nurse is teaching a client about a recent diagnosis of rheumatoid arthritis. Which statement made by the client is correct? I likely contracted this disease when traveling abroad last summer Cells within my body attack other cells leading to systemic inflammation often occurring first in my joints At first I may experience joint deformity and immobility causing difficulty moving my hands This disease only affects my joints and does not affect other organs in my body

Cells within my body attack other cells leading to systemic inflammation often occurring first in my joints

The nurse is educating a client about diet changes after recently being diagnosed with gout. Which statement made by the client indicates a need for further teaching? I am glad I still will get to enjoy my turkey sandwiches for lunch I will need to limit the amount of beer I drink while watching the Sunday game I should probably choose chicken instead of ground beef when I can Changing my diet is only about the particular foods I eat to reduce gout attacks, not about losing weight

Changing my diet is only about the particular foods I eat to reduce gout attacks, not about losing weight

The nurse is caring for a client being treated for fat embolus after multiple fractures. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolus? Clear mental capacity Minimal dyspnea Oxygen saturation of 85% Arterial oxygen level of 78 mm Hg

Clear mental capacity

The nurse is educating a client with systemic lupus erythematosus (SLE). The nurse knows that all of the following should be avoided to prevent disease flares except? Sun exposure Corticosteroids Emotional stress Hydralazine

Corticosteroids

Which medication is not used to treat pain associated with osteoarthritis? Oral tylenol Topical menthol Oral prednisone Topical NSAIDs Injected hyaluronic acid

Oral prednisone

Where are Heberden's nodes located? Distal interphalangeal joint (DIP) Proximal interphalangeal joint (PIP) Metacarpal phalangeal joint (MCP) Carpal tunnel phalangeal joint (CTP)

Distal interphalangeal joint (DIP)

A 68 year old client is being educated about risk factors for osteoporosis. Which is not considered a contributing factors for osteoporosis? Taking dexamethasone weekly for rheumatoid arthritis Taking anti-seizure medication daily Drinking 3 drinks of alcohol per week Having a BMI of 18.5

Drinking 3 drinks of alcohol per week

The nurse is suspecting compartment syndrome on a client with a leg fracture. Which action is not appropriate for the nurse to take? Notify the physician immediately for evaluation Loosen the ACE wrap as ordered to reduce pressure on the extremity Assess bilateral distal pulses to compare for equality and ensure circulation Elevate the extremity above the level of the heart to reduce swelling

Elevate the extremity above the level of the heart to reduce swelling

Which action should the nurse take to evaluate the effectiveness of Buck's traction for a client who has sustained a right femur fracture? Ensure that the 20 pounds are hanging freely off of the floor Ensure that the rope is within the groove of the pulley Ensure that the client's distal foot is neurovascularly intact Ensure that the client's pain and muscle spasms have improved

Ensure that the client's pain and muscle spasms have improved

A client is recently diagnosed with fibromyalgia. For which medication should the nurse clarify orders with the physician? Nortriptyline Etanercept Duloxetine Pregabalin

Etanercept

The nurse instructs the client with an above the knee amputation that the residual limb should not be routinely elevated because this position promotes Hip flexion contractures Clot formation at the incision Skin irritation and breakdown Increased risk of wound dehiscence

Hip flexion contractures

The nurse is teaching a client about alendronate. Which statement by the client indicates a need for further teaching? I will take my medication 30 minutes before eating anything I will make sure I get my eyes checked every 6 to 12 months I will take my medication with a full glass of water I will remain upright for at least 30 minutes after taking my medication

I will make sure I get my eyes checked every 6 to 12 months

The nurse is educating the client about prevention of venous thromboembolism. Which statement by the client requires further education? I will massage my legs every 2 hours I will wear my sequential compression devices while I am inactive I will take my anticoagulants as ordered I will make sure I am performing my leg exercises while I am on bedrest

I will massage my legs every 2 hours

A client is admitted to the hospital for acute osteomyelitis. The nurse would question which order? Prepare for OR for surgical debridement of soft tissue abscess and dead bone Levofloxacin 500 mg PO, QD, x 21 days Maintain negative pressure wound therapy at 125 mm Hg. Record output and notify physician for output > 120 mL/4 hours. C-reactive protein (CRP)

Levofloxacin 500 mg PO, QD, x 21 days

What is defined as an exaggerated anterior curvature of the lumbar spine? Lordosis Kyphosis Lateral L scoliosis Dowager's hump

Lordosis

A client has skeletal traction for a hip fracture. Which of the following nursing assessments would not be appropriate? Neurovascular checks proximal to the skeletal traction Foot movement evaluation Pin site inspection Skin checks to the affected extremity

Neurovascular checks proximal to the skeletal traction

The nurse is discharging a client with a new cast on his leg. Which statement by the client indicates further teaching is needed? I will apply ice over the fractured area for the first 24 hours I will not bear weight on my cast unless instructed to do so by the physician I will elevate my leg above the level of my heart for the next two days Occasional burning and tingling under my cast is expected

Occasional burning and tingling under my cast is expected

Which bone cancer is the most common primary benign bone tumor? Osteosarcoma Ewing's sarcoma Osteochondroma Osteoclastoma

Osteochondroma

Which disease is described as a condition in which the bones have deteriorated resulting in low density and a T-score of -2.4? Osteoarthritis Osteoporosis Osteopenia Osteomalacia

Osteopenia

Which of these symptoms is not considered an early clinical manifestation of rheumatoid arthritis? Pericarditis Low grade fever Inflammation of joints Weight loss around 2 - 3 pounds

Pericarditis

Which of the following is not considered as possible treatment for rheumatoid arthritis (RA) symptoms? Methotrexate Celecoxib Dexamethasone Probenecid

Probenecid

The nurse is educating a client on gout medication. Which statement made by the client indicates a need for further teaching? I will take my allopurinol everyday even when I am not having symptoms I will need to drink plenty of water to help my kidneys while taking my probenecid Taking my colchicine will help reduce the uric acid from building up in my body Taking my "as needed" diuretic may lead to a gout attack

Taking my colchicine will help reduce the uric acid from building up in my body

Which is not a side effect of opioid analgesics? Nausea Respiratory depression Hypotension Pupil dilation

Pupil dilation

A client has come into the ER with a fractured pelvis, several ribs, and a femur. They are preparing to go to surgery. The patient is restless and having trouble getting comfortable. Which action by the nurse is least appropriate? Reposition the client until they are comfortable Apply ice to fracture sites Assess the client's oxygen and pulse Administer IV dilaudid as needed

Reposition the client until they are comfortable

Which joint surgery is used as a prophylactic measure and as a palliative treatment for clients with rheumatoid arthritis (RA)?​ Osteotomy​ Arthrodesis​ Synovectomy​ Debridement​

Synovectomy

The nurse is assessing a client that fractured their hand 7 months ago. Which assessment is not contributing to delayed union? A history of hypothyroidism Taking famotidine daily Diabetes A hematocrit of 25%

Taking famotidine daily

The nurse is taking care of a client that has a linear fracture of the femur. Which statement made by the client is correct? The break is straight across the bone The break is at an angle down the bone The break is incomplete running parallel with the length of the bone The break is one in which the bone is driven into another bone fragment

The break is incomplete running parallel with the length of the bone

The practitioner prescribes no weight bearing on a leg that has been casted because of a fracture of the femur. How should the nurse determine the appropriate length of the crutches for this child? The crutches should reach 2 inches (5 centimeters) below the axillae The tips of the crutches should rest 9 inches outside the feet The elbows should be extended when the crutches are held at the crossbar There should be a snug fit under the axillae when the child walks​

The crutches should reach 2 inches (5 centimeters) below the axillae

A client has sustained a fall at home and is presenting to the emergency room. Which findings support that the client has fractured the hip? The hip is internally rotated, shortened, and adducted The hip is internally rotated, shortened, and abducted The hip is externally rotated, shortened, and adducted The hip is externally rotated, shortened, and abducted

The hip is externally rotated, shortened, and abducted

A client who has a long leg cast for a fractured bone is to be discharged from the ER. When discussing pain management, when does the nurse advise the client to take the prescribed as-needed oxycodone?​ Just as a last resort​ Before going to sleep​ As the pain becomes intense​ When the discomfort begins​

When the discomfort begins​

The nurse is caring for a client with suspected rheumatoid arthritis. Which diagnostic study does not help to confirm this diagnosis? Rheumatoid factor (RF) Erythrocyte sedimentation rate (ESR) Anti-CCP X-ray

X-ray