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Home Practice Exams NCLEX Exam NCLEX Practice Exam for Pharmacology: Musculoskeletal Medications
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client for the treatment of gout. And the (Imuran) complains of hair loss. The stu
Question 1 Explanation:
Instruct the client not to take larger
doses of Vitamin C while taking
allopurinol because kidney stones
may occur.
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3. 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?
A. Diabetes Mellitus.
We'd likeglaucoma.
B. Angle-closure to show you notifications for the latest news and updates.
C. Emphysema.
D. Urinary tract infection.
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4. A client is receiving Methocarbamol (Robaxin) as an adjunct to physical therapy for the relief
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of painful muscle discomfort. Which of the following is not true regarding with the use of the
medication?
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5. Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is
providing medication instructions. The nurse tells the client to?
6. A client is prescribed Colchicine. After taking three doses, the client complaints of nausea,
vomiting, and loose bowel stools. Which of the following should the client do?
7. Colchicine is prescribed for a client with gout. The nurse reviews the client’s record, knowing
that this medication would be used in caution in which of the following medical condition?
A. Behcet disease.
B. Aplastic Anemia.
C. Amyloidosis.
D. Familial Mediterranean fever (FMF).
8. A client taking probenecid is complaining of gout pain. Which of the following medication
should the nurse expect to be administered?
A. Acetaminophen (Tylenol).
B. Aspirin (Ecotrin).
C. Orphenadrine (Norflex).
D. Tizanidine (Zanaflex).
9. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the
following side effects indicates an overdosage of the medication?
A. Flushing.
B. Dizziness.
C. Joint pain.
D. Metallic taste.
10. Gold salt toxicity can be reversed using which medication?
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A. Acetaminophen.
B. Dimercaprol.
C. Calcium salts.
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D. Hydroxycobalamin.
11. Adalimumab (Humira) is given to a client for the treatment of rheumatoid arthritis. Which of
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the following side effect is associated with the medication?
13. The client is about to start the treatment for juvenile rheumatoid arthritis. Before the
administration of etanercept (Enbrel), it is important for the nurse to:
15. A client with rheumatoid arthritis is receiving Hydroxychloroquine (Plaquenil) in the recent
months. The nurse tells the client to visit which of the following while on the treatment?
A. Dentist.
B. Ophthalmologist.
C. Pulmonologist.
D. Endocrinologist.
16. A client has just been prescribed with Methotrexate (Trexall) for the treatment of rheumatoid
arthritis who did not respond to any other treatment. An important reminder for the client is to?
17. A client who is taking Methotrexate (Trexall) ask the nurse on what is the appropriate
activity while taking the medication. The nurse advise the client to play which activity?
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A. Basketball.
B. Ice hockey.
C. Football.
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D. Tennis.
18. The nurse is reviewing the client’s history who is about to take Methotrexate. Which of the
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following drugs can be safely administered together with methotrexate?
20. 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?
A. Delivery system contains enough medication for at least 30 doses. Discard any unused
solution after 30 doses.
B. If you do not feel the spray while using it, repeat the dose on the other nostrils.
C. Miacalcin is usually given as one spray per day into only one of your nostrils.
D. Take extra vitamin D while you are using Miacalcin.
1. Answer: C. Restrict alcohol intake. Baclofen is a skeletal muscle relaxant. The client should
be cautioned against the use of alcohol and other central nervous system depressants because
baclofen potentiates the depressant activity of these agents.
Option A: Limiting fluid intake is not necessary, but the client should be warned that urinary
retention occurs.
Option B: Constipation rather than diarrhea is a side effect.
Option D: Weakness is related to a CNS effect that is prevalent during the early phase of the
treatment and diminishes with continued medication use.
Liver damage is the most serious adverse effect of dantrolene. To reduce the risk of liver
damage, liver function test should be performed before and during the duration of the
treatment.
with patients with angle-closure glaucoma, urinary retention, and increased intraocular pressure.
4. Answer:We'd
C. The
likeuse of a cold
to show you or allergy medicine
notifications for the will lessen
latest newsthe
andside effects of the
updates.
medication.
Methocarbamol is a muscle relaxant. Medicines such as cold or allergy medicine, sedatives,
This narcotic pain cookies
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our website. seizures,
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anxiety add to the sleepiness caused by methocarbamol.
5. Answer: B. To limit the use of vitamin C.
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Instruct the client not to take larger doses of Vitamin C while taking allopurinol because kidney
TOOLSmay
stones & APPS
occur. BULLETS
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Option A: Allopurinol NOTES
is taken with a meal or
PRACTICE
with a milk.EXAMS MNEMONICS ARTICLES CARE PLANS
Option C: This is a sign of hypersensitivity so the physician should be notified immediately.
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Option BULLETS
D: A full therapeutic effect usually takes 1 week or longer.
If gastrointestinal symptoms occur (nausea, vomiting, diarrhea and abdominal pain), the
medication is withheld and the physician is notified.
Options A and D: Cutting in half and skipping the next dose will not give the assurance of
avoiding these symptoms.
Option C: These side effects are signs of overdosage that can be fatal.
Colchicine is contraindicated in patients with a known hypersensitivity to the drug, in those with
serious gastrointestinal, renal, hepatic, or cardiac disorders, and in those with blood dyscrasias
such as aplastic anemia.
Options A, C, and D all have joint pain as one of the symptoms, so the use of colchicine
helps in reducing the inflammation of the joint.
The concurrent use of antigout medications and aspirin causes an increase in the uric acid level
in the body; The client should be instructed to use acetaminophen (Tylenol) if prescribed rather
than aspirin.
Gold sodium thiomalate toxicity signs are pruritus, diarrhea, dermatitis, stomatitis, and metallic
taste.
Options A and B: Flushing and dizziness are the side effects that may occur soon after the
injection.
Option C: Increased joint pain may occur 1-2 days after the injection.
Option A is an analgesic/antipyretic.
Option C is the antidote for fluoride ingestion.
Option D is the antidote for cyanide poisoning.
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11. Answer: A. Numbness.
Adalimumab (Humira) has been associated with neurological side effects such as numbness,
tingling, dizziness, visual disturbances, and weakness in the legs).
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Options B, C, and D are not associated with the use of medication.
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14. Answer: A. To use an effective form of birth control while on the treatment.
Use an effective form of birth control to avoid pregnancy while taking leflunomide because of its
teratogenic effect.
Plaquenil can adversely affect the eyes such as retinal damage. Clients taking this medicine
should be seen by an ophthalmologist at least once a year.
Clients taking Methotrexate are more likely to get infections or may worsen any current
infections. Therefore, hand washing will help to prevent the spread of infection.
Option A is a sign of a liver toxicity and the physician should be notified of it.
Option B: Pregnancy is not allowed during the treatment.
Option D: Photosensitivity may happen during the treatment so the client is advised to wear
sunscreen or any protective gear against the sunlight.
Avoid contact sports or other situations where bruising or injury could occur because the
medication can lower the number of platelets, which are necessary for proper blood clotting.
Clients who take folic acid supplements lowered the risk of GI problems and mouth sores
brought about by the use of methotrexate.
Alendronate needs to be taken with a glass of water after rising in the morning in order to
prevent gastrointestinal effects.
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20. Answer: B. If you do not feel the spray while using it, repeat the dose on the other nostrils.
Miacalcin spray delivers a fine mist into the nose. Even if the client does not feel the spray while
HOME NURSING NOTES PRACTICE EXAMS MNEMONICS ARTICLES CARE PLANS
using it, the medication is still being absorbed by the nasal passages.
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