NU 185
EXAM 1
NCLEX Style Ques ons w/ Ra onales
Medical-Surgical Nursing II
Galen College of Nursing
This Document Description:
This document contains NCLEX-style Exam
questions tailored to the NU 185 course at Galen
College of Nursing
It covers core topics assessed in the course and
reflects the actual exam format and question style.
, Each question is followed by a correct answer and rationale to
support exam preparation.
A nurse is assessing a client diagnosed with Parkinson's disease. Which of the following findings
should the nurse report to the healthcare provider immediately?
A. Pill-rolling tremor in the right hand
B. Cogwheel rigidity in both upper extremities
C. Shuffling gait with a stooped posture
D. Episodes of freezing while ambulating, increasing in frequency
Correct Answer: D
Rationale: Freezing episodes that increase in frequency may indicate worsening mobility and higher
fall risk. This change requires prompt intervention to ensure safety.
Which clinical manifestation is most characteristic of Parkinson's disease?
A. Muscle flaccidity
B. Hyperactive reflexes
C. Pill-rolling tremor
D. Sudden onset of muscle weakness
Correct Answer: C
Rationale: A resting "pill-rolling" tremor is a hallmark symptom of Parkinson's disease, particularly
affecting the hands.
The nurse is providing discharge instructions to a client newly diagnosed with Parkinson's
disease. Which statement by the client indicates a need for further teaching?
A. "I should exercise to maintain mobility."
B. "I may notice my handwriting becoming smaller."
C. "I will avoid walking alone due to the risk of freezing."
D. "These symptoms should go away after a few weeks of medication."
Correct Answer: D
Rationale: Parkinson's disease is chronic and progressive. Medications can help control symptoms but
will not cure the disease or make symptoms disappear completely.
A nurse is caring for a client with Parkinson's disease who reports feelings of hopelessness and
has a flat affect. Which action should the nurse take first?
A. Encourage increased physical activity.
B. Assess for suicidal ideation.
C. Educate the client on disease progression.
D. Refer the client to a support group.
EXAM 1
NCLEX Style Ques ons w/ Ra onales
Medical-Surgical Nursing II
Galen College of Nursing
This Document Description:
This document contains NCLEX-style Exam
questions tailored to the NU 185 course at Galen
College of Nursing
It covers core topics assessed in the course and
reflects the actual exam format and question style.
, Each question is followed by a correct answer and rationale to
support exam preparation.
A nurse is assessing a client diagnosed with Parkinson's disease. Which of the following findings
should the nurse report to the healthcare provider immediately?
A. Pill-rolling tremor in the right hand
B. Cogwheel rigidity in both upper extremities
C. Shuffling gait with a stooped posture
D. Episodes of freezing while ambulating, increasing in frequency
Correct Answer: D
Rationale: Freezing episodes that increase in frequency may indicate worsening mobility and higher
fall risk. This change requires prompt intervention to ensure safety.
Which clinical manifestation is most characteristic of Parkinson's disease?
A. Muscle flaccidity
B. Hyperactive reflexes
C. Pill-rolling tremor
D. Sudden onset of muscle weakness
Correct Answer: C
Rationale: A resting "pill-rolling" tremor is a hallmark symptom of Parkinson's disease, particularly
affecting the hands.
The nurse is providing discharge instructions to a client newly diagnosed with Parkinson's
disease. Which statement by the client indicates a need for further teaching?
A. "I should exercise to maintain mobility."
B. "I may notice my handwriting becoming smaller."
C. "I will avoid walking alone due to the risk of freezing."
D. "These symptoms should go away after a few weeks of medication."
Correct Answer: D
Rationale: Parkinson's disease is chronic and progressive. Medications can help control symptoms but
will not cure the disease or make symptoms disappear completely.
A nurse is caring for a client with Parkinson's disease who reports feelings of hopelessness and
has a flat affect. Which action should the nurse take first?
A. Encourage increased physical activity.
B. Assess for suicidal ideation.
C. Educate the client on disease progression.
D. Refer the client to a support group.
