Nclex-Rn Practice Questions-Neurological Disorders-Parkinson Disease
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Question 1 |
Which clinical manifestations would the nurse expect to assess in the client diagnosed with Parkinson disease (PD)?
A | Nausea, vomiting, and diarrhea. |
B | Polyuria, polydipsia, and polyphagia. |
C | Dysphonia, dysphagia, and scanning speech. |
D | Tremors, rigidity, and bradykinesia. |
Question 2 |
The charge nurse is making assignments on a medical surgical unit. Which client should be assigned to the licensed practical nurse (LPN)?
A | The client with Parkinson disease who became disoriented throughout the night. |
B | The client with aseptic meningitis who is complaining the light is bothersome. |
C | The client newly diagnosed with Parkinson disease who is being discharged. |
D | The client diagnosed with a brain tumor who had a seizure at the change of shift. |
Question 3 |
The nurse is planning the care for a client diagnosed with Parkinson disease. Which goal would be appropriate for the client problem of “impaired mobility”?
A | The client will experience periods of akinesia throughout the day. |
B | The client will be able to turn from side toside in bed. |
C | The client will be able to ambulate in the hall three times a day. |
D | The client will be able to carry out ADLs. |
Question 4 |
The client diagnosed with Parkinson disease is being discharged. Which statement made by the client’s significant other indicates a need for more teaching?
A | “I know that my husband may have some emotional mood swings.” |
B | “My spouse may experience hallucinations until the medication starts working.” |
C | “I will schedule appointments late in the morning after his morning bath.” |
D | “My spouse must take his medication at the same time every day.” |
Question 5 |
The home health nurse is caring for a client diagnosed with Parkinson disease. Which comment by the client’s significant other would suggest a common cognitive problem associated with Parkinson disease?
A | “My wife is never happy about anything I do for her.” |
B | “All my wife does is sit on the porch and look at her garden.” |
C | “My wife is becoming more forgetful about routine things.” |
D | “My wife thinks the medication I give her is poison.” |
Question 6 |
The nurse is conducting a support group for clients diagnosed with PD and their significant others. Which information regarding physiological needs should be included in the discussion?
A | Remove all throw rugs and tack down all loose carpet. |
B | Recommend the client completes an advance directive. |
C | Explain the reason why the client has “pill rolling” tremors. |
D | Give simple, short, concise directions to their loved one. |
Question 7 |
The client has been diagnosed with Parkinson disease for 12 years and has been taking levodopa (L-dopa) for the last 8 years. Which symptom would alert the nurse to a possible medication complication?
A | The client is unable to initiate voluntary movement. |
B | The client has recently developed dyskinesia. |
C | The client has masklike facies and cogwheel movements. |
D | The client has excessive saliva production. |
Question 8 |
The nurse and the UAP are caring for clients on a medical surgical unit. Which task would be most appropriate to assign to the UAP?
A | Feed the client with Parkinson disease who has intention tremors of the hand. |
B | Change the sterile pressure ulcer dressing for a client who is on bedrest. |
C | Give the client who is having heartburn 30 mL of the antacid Maalox. |
D | Obtain vital signs on a client with Parkinson disease who is hallucinating. |
Question 9 |
The nurse caring for a client diagnosed with Parkinson disease writes a problem of “Impaired Nutrition.” Which nursing intervention would be included in the plan of care?
A | Give the client a pureed diet. |
B | Request a low-residue heart-healthy diet. |
C | Provide an 1800-calorie American Diabetic Association diet. |
D | Offer bite-sized foods on a plate warmer. |
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