The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly
understands the pathophysiology of the disease?
Regardless of the actual etiology, Parkinson disease is caused by depletion of dopamine and excess of acetylcholine.”
The pathophysiology of the disease is caused by the deterioration of the myelin sheath of the basal ganglia.”
Excess dopamine and deficient acetylcholine are the cause of Parkinson disease.”
When there is decreased dopamine uptake at receptors in brain cells, Parkinson disease results.”
2. The nurse is assessing a patient with Parkinson disease. Which statement likely characterizes this patient’s tremors?
A. Tremors occur constantly.
B. Tremors decrease with voluntary movement.
C. Tremors are absent when the body is at rest.
D. Tremors are characterized by tonic/clonic muscle activity.
3. Which problem statement/nursing diagnosis is most appropriate for a person with Parkinson disease?
A. Risk for falls related to unsteady gait.
B. Ineffective airway clearance related to drooling.
C. Risk for impaired skin integrity related to tremor.
D. Nutrition: less than body requirements related to nausea.
To enhance more erect posture in the patient with Parkinson disease, the nurse should encourage the patient to practice which
activity?
A. Imagine stepping over an object.
B. Sleep in the prone position.
C. Walk with a marching step.
D. Limit exercise to increase joint mobility
The caregiver of a patient with Parkinson disease is concerned with the patient’s recent weight loss. The home health nurse should
suggest which modification to help the caregiver enhance the patient’s nutrition?
A. Provide six mini-meals throughout the day.
B. Be sure to increase milk and cheese daily in the diet.
C. Limit fluid intake in order to increase the appetite.
D. Prepare larger meals of fibrous foods.
6. Which type of multiple sclerosis (MS) is the most common?
A. Secondary progressive
B. Primary progressive
C. Relapsing-remitting
D. Relapsing-progressive
7. Which factor(s) is/are most likely a potential cause(s) of multiple sclerosis (MS)?
A. Environmental factors and genetic predisposition
B. Allergic response to antiviral medications
C. Hypersensitivity reaction attacking the myelin
D. Bacterial infection of the myelin
8. The home health nurse is caring for a patient with multiple sclerosis (MS) who complains of severe fatigue. What activity should
the nurse suggest to diminish the effects of fatigue?
A. Relaxing in a warm bath
B. Performing deep-breathing exercises
C. Scheduling rest periods during the day
D. Including daily-dose multivitamins
9. Which factors predominantly determine probable diagnosis of multiple sclerosis (MS)?
A. Blood tests revealing identifiable MS markers
B. Lumbar puncture results revealing inflammatory response
C. Muscle biopsies revealing characteristic lesions
D. Signs and symptoms assessed and reported by the patient
10. Which drug therapy is indicated for an acute severe attack of multiple sclerosis (MS)?
A. Intravenous (IV) methylprednisolone
B. Intramuscular injections of interferon beta-1b
C. Massive doses of antibiotics
D. Muscle relaxants and opioids
. The home health nurse is planning an exercise program for a patient with multiple sclerosis (MS). Which exercise would be most
beneficial for this patient?
A. Swimming
B. Progressive walking
C. Weight training
D. Isometric exercises
The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which information is most
important for the nurse to include?
A. Ability to move the upper limbs may be affected.
B. Cognitive and mental capacities will most likely remain intact throughout the disease progression
C. Breathing should not be affected by the disease.
D. Ability to swallow will remain intact.
13. The home care nurse is visiting a patient in the late stages of amyotrophic lateral sclerosis (ALS). Which example indicates that the
patient accepts the grief associated with the condition and prognosis?
A. The patient cries about his incapacity.
B. The patient makes jokes about this approaching death.
C. The patient talks with his family about his desires for his funeral.
D. The patient begins to sleep for longer periods of time during the day.
Signs and symptoms of Guillain-Barré syndrome (GBS) usually appear within how many days after a viral infection?
A. 2 to 3 days
B. 7 days
C. 2 to 4 weeks
D. 30 days
The nurse is caring for a patient with Huntington disease. The patient asks if his disease will affect future children. Which reply is
most appropriate?
A. “Huntington disease does not have a genetic component.”
B. “Male children would have Huntington disease and female children would be carriers.”
C. “Huntington disease is caused by an autoimmune response.”
D. “The genetic nature of the disease means that 50% of your children will inherit it.”
16. The nurse is assessing a patient with suspected myasthenia gravis. The nurse is aware that which assessment finding supports this
diagnosis?
A. Ptosis
B. Hand tremors during voluntary movement
C. Dizziness with sudden head movement
D. Postural hypotension
17. The nurse is caring for a patient with myasthenia gravis. The patient asks the nurse if she can return to her normal job as a data
entry specialist. Which symptom would most affect the patient’s ability to perform her job?
A. Ptosis
C. Dysphagia
B. Diplopia
D. Aphasia
18. The nurse is planning care for a patient with Parkinson disease. Which problem statement/nursing diagnosis is most appropriate for
the patient experiencing bradykinesia?
A. Risk for falls
B. Impaired swallowing
C. Acute confusion
D. Risk for suicide
. The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended
weight?
A. 50%
B. 70%
C. 90%
D. 100%
2. The nurse calculates the body mass index (BMI) of a man who is 6 feet tall and weighs 150 pounds. Which value is correct?
A. 21.0
B. 25.0
C. 43.1
D. 66.3
3. The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as which type of bariatric surgery?
A. Restrictive
B. Malabsorptive
C. Restrictive/malabsorptive
D. Obstructive
. The nurse is discussing bariatric surgery complications with a patient. Which statement indicates that the patient accurately
understands the nurse’s teaching about common procedural side effects?
A. “I understand that gastric ulcers frequently occur in patients who have bariatric surgery.”
B. “Gallstones are a common occurrence in patients who have bariatric surgery.”
C. “I know an umbilical hernia might happen after I have bariatric surgery.”
D. “Unfortunately, I may experience gastritis after having bariatric surgery.”
5. The nurse is caring for a patient with suspected dysphagia. Which action is most appropriate for the nurse to take?
A. Encourage incentive spirometry use.
B. Instruct the patient to take practice swallows before the meal.
C. Encourage patient attempts to communicate, and pay attention to nonverbal cues.
D. Encourage the patient to keep a food diary.
6. A patient with a gastrostomy tube gets a bolus feeding of 200 mL every 4 h. Before giving the bolus, the nurse aspirates a residual
of 100 mL. Which action is most appropriate?
A. Give the 200 mL feeding.
B. Record the residual and give 100 mL of the feeding.
C. Document the residual and hold the feeding.
D. Position the patient in high Fowler position and give the feeding.
7. Which causative agent is the primary cause of Barrett esophagus?
A. Gastroesophageal reflux disease (GERD)
B. Eating hot, spicy foods
C. Anorexia nervosa
D. Esophageal polyps
. The nurse is educating a patient with Barrett esophagus. Which statement indicates that the patient requires a need for further
instruction?
A. “I should eat smaller meals and avoid foods that cause reflux.”
B. “I can still have a small glass of wine with dinner.”
C. “I should consider switching to smokeless tobacco.”
D. “I should stay upright after eating.”
. The nurse is caring for a patient who is postoperative after esophageal resection. Shortly after the nurse starts a feeding, the patient
suddenly becomes dyspneic and complains of substernal pain. What should the nurse do first?
A. Stop the feeding.
B. Ambulate the patient.
C. Notify the charge nurse.
D. Reassure the patient.
10. The nurse is educating a patient with a hiatal hernia. Which statement indicates that the patient understands the nurse’s teaching?
A. “I should avoid tea and chocolate.”
B. “I should wear an abdominal binder for added support.
C. “I should sleep flat on a single pillow.”
D. “I should not eat within an hour of going to bed.”
The nurse is educating a patient who has gastroesophageal reflux disease (GERD) about dietary modification. Which information is
most important for the nurse to include in the teaching plan?
A. Avoid highly seasoned or spiced foods.
B. Drink ginger ale or lemon lime soda rather than cola.
C. Use a straw to drink all fluids.
D. Eating three meals spaced evenly apart.
The nurse is preparing a teaching plan for a patient with gastroesophageal reflux disease (GERD) who has been prescribed
multi-drug therapy for treatment. Which information is most important for the nurse to obtain?
A. “Can you identify triggers for your reflux?”
B. “Can you commit to changing your diet?”
C. “Do you understand how each type of medication works?”
D. “Do you think you can afford these prescriptions?”
13. The nurse is aware that patients who have chronic gastritis from renal failure may present with which first sign of this disorder?
A. An increase in the white blood cell count
B. Sudden massive hemorrhage
C. Asthma-like symptoms
D. Extreme dyspnea
14. For which patient should the nurse question an order for esomeprazole (Nexium)?
A. A 55-year-old female who takes digoxin.
B. A 52-year-old male who is noncompliant.
C. A 38-year-old female who has asthma.
D. A 56-year-old male who has epistaxsis.
The nurse is caring for a patient who is being treated for extensive burns. The nurse notes the presence of coffee-ground material in
the Salem sump catheter. The nurse correctly recognizes which factor as the likely cause?
A. Esophagitis
B. Perforated gastric ulcer
C. Gastric irritation from the Salem sump tube
D. A physiologic stress ulcer
The nurse is caring for a patient with a peptic ulcer. The patient also has a history of chronic bronchitis, diabetes, and arthritis.
Which component of the patient’s history is the most likely contributing factor to the patient’s ulcer?
A. The patient requires insulin to manage his diabetes.
B. The patient uses a daily inhaler to decrease incidence of asthma attacks.
C. The patient takes ibuprofen daily for arthritis pain.
D. The patient takes a multivitamin daily.
The nurse documenting the presence of pain in a patient with possible gastric ulcer would anticipate that the pain would occur at
which time?
A. In the morning
B. Erratically, without pattern
C. At bedtime
D. With meals
. The nurse is caring for a patient with a Salem sump tube for decompression. The patient displays dyspnea and reports feeling full
and nauseated. What action should the nurse take first?
A. Increase suction from low to high.
B. Notify the charge nurse.
C. Irrigate the tube with normal saline.
D. Withdraw the tube about three inches.
. The nurse is caring for a patient who is being treated for a gunshot wound to the abdomen. The patient is receiving total parenteral
nutrition (TPN), and the physician has prescribed insulin coverage on a sliding scale. The patient reports he has never had diabetes
before. What response is best for the nurse to make?
A. “It is likely you have developed diabetes as a result of your illness.”
B. “Do you have a family history for diabetes?”
C. “The TPN you are receiving has high amounts of glucose.”
Insulin is needed to manage your stomach’s inability to adequately metabolize food at this time.”
A patient who had gastric bypass surgery 5 weeks ago calls the office to report feelings of nausea, sweating, and diarrhea shortly
after eating meals. What response by the nurse is most appropriate?
A. “This is common after the type of surgery you had.”
B. “How much, if any, alcohol do you consume each day?”
C. “Avoid large meals, limit sweets, and drink small amounts of liquids between meals.”
D. “You may be experiencing a postoperative infection.”
The nurse is caring for a patient who is suspected of having oral cancer. When reviewing the patient’s health history, which finding
provides supportive data for the diagnosis?
A. Presence of leukoplakia
B. History of oral herpes simplex
C. History of an oral yeast infection
D. Reports of a dry oral cavity
{"name":"The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly understands the pathophysiology of the disease?", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"The nurse is explaining Parkinson disease to the student nurse. Which statement indicates that the student nurse correctly understands the pathophysiology of the disease?, 2. The nurse is assessing a patient with Parkinson disease. Which statement likely characterizes this patient’s tremors?, 3. Which problem statement\/nursing diagnosis is most appropriate for a person with Parkinson disease?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
More Quizzes
Car Brand Personality Test
15825
The New Immigrants
100
Nasal Sounds
10537
PARASIT Moving Exam
17829
Free Marketing Fundamentals Knowledge
201024003
Take the Epic: Are You Truly Epic? Find Out Now!
201033109
Free Physics Kinematics
201023614
Doberman: Are You a True Pinscher Expert?
201033109
Discover Your Gypsy Character: Which Role Suits You?
201025051
Dancing With the Stars Trivia Challenge - Test Your Skills
201025051
Free Math & Geometry for Grades 3-11
201024409
Free Real Estate Agent Lead Generation
201021730