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ENDOCRINE - SKELETAL MUSCLE EXAM QUESTIONS
2024/2025 GUIDE
1-A patient is seen at the urgent care center after falling on the right arm and shoulder. It will be most important for the nurse to determine 1-whether there is bruising at the shoulder area.2-whether the right arm is shorter than the left.3-The amount of pain the patient is experiencing.4-how much range of motion (ROM) is present.
2-A checkout clerk in a grocery store has muscle and tendon tears that have become inflamed, causing pain and weakness in the left hand and elbow. The nurse identifies these symptoms as related to 1-muscle spasms.2-meniscus injury.3-repetitive strain injury.4-Carpal tunnel syndrome.
3-A patient arrives in the emergency department with ankle swelling and severe pain after twisting the ankle playing soccer. All of the following orders are written by the health care provider. Which one will the nurse act on first?1-Administer naproxen (Naprosyn) 500 mg PO.2-Wrap the ankle and apply an ice pack.3- Give acetaminophen with codeine (Tylenol #3).4- Take the patient to the radiology department for x-rays .4-Following x-rays of an injured wrist, the patient is informed that it is badly sprained. In teaching the patient to care for the injury, the nurse tells the patient to 1- apply a heating pad to reduce muscle spasms 2- Wear an elastic compression bandage continuously.3-Use pillows to keep the arm elevated above the heart.4-Gently exercise the joint to prevent muscle shortening
5-A patient with a comminuted fracture of the right femur has Buck's traction in place while waiting for surgery. To assess for pressure areas on the patient's back and sacral area and to provide skin care, the nurse should 1-have the patient lift the buttocks by bending and pushing with the left leg.2-turn the patient partially to each side with the assistance of another nurse 3-place a pillow between the patient's legs and turn gently to each side.4- loosen the traction and have the patient turn onto the unaffected side. 1 / 4
2 6-A patient in the emergency department is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for 1-Conscious sedation.2-A knee immobilizer.3-Gentle knee flexion.4- Cast application.
7-Following a motor-vehicle accident, a patient arrives in the emergency department with massive right lower-leg swelling. Which action will the nurse take first?1- Elevate the leg on pillows.2- Apply a compression bandage.3-Place ice packs on the lower leg.4-Check leg pulses and sensation.
8-A nurse is caring for a client who is receiving Cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasm. Which of the following medical condition is contraindicated with the use of the medication?1- Diabetes Mellitus 2- Angle-closure glaucoma 3-Emphysema 4- Urinary Tract Infection
9-Gold salt toxicity can be reversed using which medication?1-Acetaminophen.2- Dimercaprol 3-Calcium Salts 4- Hydroxocobalamin.
- A client has just been prescribed with Methotrexate for the treatment of rheumatoid arthritis
who did not respond to any other treatment. An important reminder for the client is to?1- Clay-colored stool is a normal response of the treatment.2- Pregnancy is not contraindicated with the use of the medication.3- Strict handwashing 4- Get a daily source of sunlight during the day.
11-A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin) nasal spray. The nurse tells the client to do the following, except?1- Delivery system contains enough medication for at least 30 doses. Discard any unused solution after 30 doses.2- If you do not feel the spray while using it, repeat the dose on the other nostrils 3-Miacalcin is usually given as one spray per day into only one of your nostrils.4-Take extra vitamin D while you are using Miacalcin. 2 / 4
3 12-Which of the following is a contraindication to the administration of growth hormone?1- The height of the child is under 4 feet.2- The child’s age is between 5 and 6.3- The epiphyseal shaft is open.4- The epiphyseal shaft is closed.
13-A patient has been taking growth hormones for a quite sometime now. As a recipient of the
agent, she should be aware that a side effect of growth hormone is:
1- Hyperthyroidism 2- Soft tissue hypertrophy 3- Dwarfism 4-Increase tumor growth
14- Which of the following drugs will decrease the effects of vasopressin?1- Lthium (Lithane) 2- Digoxin 3- Penicillin 4- Azithromycin (Zithromax)
15- A major side effect of insulin use that can be life threatening is:
1-Hyperglycemia 2-Stomach upset 3-Hypoglycemia 4- Tremors
16- Which of the following is a contraindication for use of oxytocin to induce labor?1-Missed abortion 2- Placenta Previa 3- Hyperbilirubinemia 4-Pregnancy past due
17-Patient is a mother who is receiving oxytocin therapy. The nurse must continuously evaluate: 1-Membrane integrity 2- Uterine contractions 3-Cervical dilations 4-Cervical effacement
18-A client is being seen for follow-up care after surgery for a fracture in which an external fixation device was placed. What is the most important part of the assessment?1- Assure that traction weights hang freely 2- Ensure that nothing touches the outside of the fixation device 3-Clean and thoroughly dry the skin under the traction 4-Monitor the pin sites for signs of infection 3 / 4
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19- A 68-year-old client suffers from rheumatoid arthritis in the joints of her arms, legs, and hands. The doctor has prescribed oral corticosteroid treatment for the client’s condition. Which information should the nurse include about how this medication works to treat arthritis?1- Corticosteroids stimulate opioid receptors to increase pain control 2- Corticosteroids prevent the body from releasing the stress hormone cortisol 3- Corticosteroids decrease prostaglandin levels that affect inflammation 4-Corticosteroids counteract many neurotransmitters secreted by the brain
- What risk factors identified by the nurse would put a client at risk for developing
osteoporosis?1-Menopause, stress, sedentary lifestyle, and smoking.2-Age, history of falls, and diet deficient in protein.3-Diet deficient carbohydrates, smoking, and excessive alcohol intake.4- Inadequate sunlight exposure, obesity, and depression.
- A nurse is participating in a health screening fair for osteoporosis. The nurse determines that
which of the following clients is at greatest risk of developing osteoporosis?1-A 64 years old woman who smokes and is sedentary.2-A 70 years old man who has asthma and drinks a six pack of beer each night.3-A 25 years old Asian athlete who eats a healthy diets.4-A 42 years old Caucasian woman who walks three times a week.
- Which of the following statements best describes the pathophysiology underlying
osteoporosis? The disease process is related to:
1-Increased amounts of estrogen in postmenopausal women.2-Decrease in osteoblasts and increase in osteoclasts.3-Decrease in blood supply to the bone resulting in bony necrosis.4- Invasion of a pathogen leading to osteolysis of bone.
23. The first indication of bone loss in clients with osteoporosis is:
1-Crepitus with joint movement.2-Symmetrical joint deformities.3-Loss of height.4-Pathological fracture.
- Which assessment finding most likely indicates that a client has osteoporosis?
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1-Swollen joints.2-Discomfort when sitting.3-Spinal deformity.4-Diminished energy level.