EXAM 2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES (A NEW
UPDATED VERSION 2026 EDITION) |GUARANTEED SUCCESS A+
|FULL REVISED NURS 6202 REAL FINAL EXAM |BRAND NEW!
1. What symptoms would you expect to observe in a client with a
suspected diagnosis of Parkinson's Disease?
A. Ataxia, nystagmus, dysmetria
B. Tremors, rigidity, bradykinesia
C. Muscle weakness, fasciculations, cramping
D. Chorea, dystonia, hemiballismus
CORRECT ANSWER: B. Tremors, rigidity, bradykinesia
Rationale: Parkinson's disease is characterized by the classic triad of
resting tremors, muscle rigidity, and bradykinesia (slowness of
movement). These symptoms result from the progressive
degeneration of dopamine-producing neurons in the substantia nigra
pars compacta, leading to an imbalance between dopamine and
acetylcholine in the basal ganglia. Ataxia and nystagmus are more
characteristic of cerebellar disorders. Fasciculations are seen in lower
motor neuron diseases such as ALS. Chorea is associated with
Huntington's disease.
,2. Which of the following nursing diagnoses are included in the plan
of care for a patient with ALS? (Select all that apply)
A. Alteration in comfort
B. Fluid volume, excess
C. Impaired bowel elimination
D. Potential for injury
E. Ineffective breathing pattern
F. Ineffective coping strategies
CORRECT ANSWER: A, C, D, E, F
Rationale: Amyotrophic lateral sclerosis (ALS) is a progressive
neurodegenerative disease affecting both upper and lower motor
neurons. Patients experience muscle weakness, dysphagia,
respiratory compromise, and immobility. Nursing diagnoses should
address comfort (pain from muscle spasms), bowel elimination
(constipation from immobility), potential for injury (falls from
weakness), ineffective breathing pattern (respiratory muscle
weakness), and ineffective coping (psychological impact of a
terminal diagnosis). Fluid volume excess is not typically a concern
unless complicated by heart failure or other conditions.
3. What is the definition of a symptom cluster in a cancer patient?
A. A single symptom that is severe enough to require hospitalization
,B. Three or more related symptoms that occur at the same time
C. Any symptom that occurs during chemotherapy treatment
D. Symptoms that are unrelated but occur simultaneously
CORRECT ANSWER: B. Three or more related symptoms that
occur at the same time
Rationale: A symptom cluster is defined as three or more concurrent
symptoms that are related to each other and occur together. These
symptoms may have a common underlying mechanism and can
influence each other. For example, fatigue, pain, and sleep
disturbance often form a symptom cluster in cancer patients.
Recognizing symptom clusters is important because they may require
coordinated management rather than treating each symptom
individually.
4. A lower motor neuron lesion will cause which of the following?
A. Spasticity
B. Hyperreflexia
C. Flaccidity
D. Clonus
CORRECT ANSWER: C. Flaccidity
, Rationale: Lower motor neuron (LMN) lesions result in flaccid
paralysis, decreased muscle tone, hyporeflexia or areflexia,
fasciculations, and muscle atrophy. This occurs because the damage
is to the cell bodies or axons of motor neurons in the anterior horn of
the spinal cord or cranial nerve nuclei, disrupting the final common
pathway for motor output. In contrast, upper motor neuron (UMN)
lesions cause spasticity, hyperreflexia, and clonus due to loss of
inhibitory control from the cortex.
5. A patient with a complete cervical cord injury complains of a
throbbing headache. What is the nurse's primary concern?
A. Migraine headache
B. Autonomic dysreflexia
C. Sinusitis
D. Medication side effect
CORRECT ANSWER: B. Autonomic dysreflexia
Rationale: Autonomic dysreflexia is a life-threatening emergency
that occurs in patients with spinal cord injuries at or above the T6
level. It is characterized by a sudden, severe elevation in blood
pressure, throbbing headache, bradycardia, flushing above the level
of injury, and diaphoresis. The condition is triggered by a noxious
stimulus below the level of injury, such as a distended bladder, fecal
impaction, or pressure ulcer. Immediate intervention is required to
identify and remove the triggering stimulus and lower blood pressure
to prevent stroke or seizure.