LVN NCLEX
Which of the following assessment findings could the nurse see in a patient with
parkinsonism? (Select all that apply.)
a. An abrupt onset of symptoms
b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
e. Bilateral muscle weakness - CORRECT ANSWERS-b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
A patient is receiving carbidopa-levodopa for parkinsonism. What should the nurse
know about this drug?
a. Carbidopa-levodopa may lead to hypertension.
b. Carbidopa-levodopa may lead to excessive salivation.
c. Dopaminergic and anticholinergic therapy may lead to drowsiness and sedation.
d. Dopaminergics and anticholinergics are contraindicated in patients with glaucoma. -
CORRECT ANSWERS-d. Dopaminergics and anticholinergics are contraindicated in
patients with glaucoma.
The nurse has initiated teaching for a family member of a patient with Alzheimer's
disease. The nurse realizes more teaching is needed if the family member makes which
statement?
a. As the disease gets worse, the memory loss will get worse.
b. There are several theories about the cause of the disease.
c. Personality changes and hostility may occur.
d. It may take several medications to cure the disease. - CORRECT ANSWERS-d. It
may take several medications to cure the disease.
A patient is taking rivastigmine (Exelon). The nurse should teach the patient and family
which information about rivastigmine?
a. That hepatotoxicity may occur
b. That the initial dose is 6 mg t.i.d.
c. That GI distress is a common side effect
d. That weight gain may be a side effect - CORRECT ANSWERS-c. That GI distress is
a common side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for
parkinsonism?
,a. Encourage the patient to adhere to a high-protein diet.
b. Inform the patient that perspiration may be dark and stain clothing.
c. Advise the patient that glucose levels should be checked with urine testing.
d. Warn the patient that it may take 4 to 5 days before symptoms are controlled. -
CORRECT ANSWERS-b. Inform the patient that perspiration may be dark and stain
clothing.
What would the nurse teach a patient who is taking anticholinergic therapy for
parkinsonism? (Select all that apply.)
a. Avoid alcohol, cigarettes, and caffeine.
b. Relieve dry mouth with hard candy or ice chips.
c. Use sunglasses to reduce photophobia.
d. Urinate 2 hours after taking the drug.
e. Receive routine eye examinations. - CORRECT ANSWERS-a. Avoid alcohol,
cigarettes, and caffeine.
A patient is taking rivastigmine (Exelon) to improve cognitive function. What should the
nurse teach the patient/family member to do? (Select all that apply.)
a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
d. Have frequent checks for hypertension.
e. Receive regular liver function tests. - CORRECT ANSWERS-a. Rise slowly to avoid
dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
Your client has a fracture of the radius. There is swelling at the injury site and the client
complains of pain in the area. Which stage of bone healing do these signs and
symptoms represent?
a. Cellular proliferation
b. Inflammatory
c. Ossification
d. Callus formation - CORRECT ANSWERS-b. Inflammatory
During the inflammatory phase, bleeding occurs at the area of injury and results in a
hematoma. Why plus I was rushed to the area of injury to begin to debride the dead
cells. The patient will experience pain during this phase. Cellular proliferation occurs
after approximately 5 days, when the interrupted blood supply is recreated and fibrin
strands begin to form. The callus formation stage takes about 3 to 4 weeks, while the
ossification stage may take as long as 3 to 4 months. Remodeling of the bone may take
months to years.
,Who was the English Quaker who advocated humane care and built an asylum to
reflect a household?
a. Florence Nightingale
b. William Tukes
c. Sigmund Freud
d. Benjamin Rush - CORRECT ANSWERS-b. William Tukes
Changes in the delivery of mental health care that resulted from the development of
electroconvulsive therapy and psychotherapeutic drugs brought about which
phenomenon in the 20th century?
a. Behavioral therapy
b. Personality disorganization
c. Deinstitutionalization
d. Brain surgery - CORRECT ANSWERS-c. Deinstitutionalization
What is the best description of personality?
a. The level of mental health that a person attains in life
b. The relatively consistent set of attitudes and behaviors particular to an individual
c. The result of a positive self-concept and acceptable behavior
d. The ability to manage stress - CORRECT ANSWERS-b. The relatively consistent set
of attitudes and behaviors particular to an individual
The nurse is reviewing the assessment finding for a patient hospitalized with a stress
disorder. What findings support the diagnoses?
a. A vague feeling of depression
b. An assumed role to protect the ego
c. A main reason for all mental illnesses
d. A response to any demand made upon the individual - CORRECT ANSWERS-d. A
response to any demand made upon the individual
The nurse is caring for a patient who is currently voicing feelings of anxiety. The nurse
correctly recognizes what as the best description of the feelings that the patient is
experiencing?
a. A vague feeling of apprehension
b. Feelings of paranoia
c. Concerns about the impressions others have for her
d. Emotional stability - CORRECT ANSWERS-a. A vague feeling of apprehension
An assembly line manager in a factory was told that he would be laid off if his line did
not meet the hourly quote. He promptly went to his workers and threatened to fire
, anyone who was found taking even 1 minute extra on a break. What is the manager
displaying?
a. Denial
b. Regression
c. Displacement
d. Identification - CORRECT ANSWERS-c. Displacement
Punishment and abandonment were how mentally ill people were treated in medieval
times. These practices continued until the 17th and 18th centuries. Which care practice
that is still being used today did Dr. Phillipe Pinel of France advocate?
a. Electroshock therapy for melancholy
b. Humane care with record keeping of behaviors
c. Psychoanalysis
d. Home care in the community - CORRECT ANSWERS-b. Humane care with record
keeping of behaviors
The student nurse is working on a presentation regarding OBRA. What was the result of
this landmark legislation?
a. Deinstitutionalization
b. Approved surgical treatment for schizophrenia
c. Prohibition of electroshock therapy
d. Increased construction of state facilities for residential mental health care -
CORRECT ANSWERS-a. Deinstitutionalization
A 52-year old patient experienced cardiac arrest from a myocardial infarction. During his
acute care stay in the hospital, the patient flirts with all female nurses. When he is asked
to stop, he withdraws and later complains of chest heaviness. What is a possible
explanation for the patient's behavior?
a. Boredom from restricted activity
b. Lack of motivation to recover
c. Frustration from illness
d. Threatened self-concept - CORRECT ANSWERS-d. Threatened self-concept
A 14-year-old tells the school nurse that she is self-conscious about her recent breast
development. She reports that the boys in her class are teasing her. What is the first
step for the nurse to take?
a. Call her parents
b. Have her describe what happened
c. Ask who her friends are
d. Provide her with a pamphlet outlining the changes associated with puberty -
CORRECT ANSWERS-b. Have her describe what happened
Which of the following assessment findings could the nurse see in a patient with
parkinsonism? (Select all that apply.)
a. An abrupt onset of symptoms
b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
e. Bilateral muscle weakness - CORRECT ANSWERS-b. Muscle rigidity
c. Involuntary tremors
d. Bradykinesia
A patient is receiving carbidopa-levodopa for parkinsonism. What should the nurse
know about this drug?
a. Carbidopa-levodopa may lead to hypertension.
b. Carbidopa-levodopa may lead to excessive salivation.
c. Dopaminergic and anticholinergic therapy may lead to drowsiness and sedation.
d. Dopaminergics and anticholinergics are contraindicated in patients with glaucoma. -
CORRECT ANSWERS-d. Dopaminergics and anticholinergics are contraindicated in
patients with glaucoma.
The nurse has initiated teaching for a family member of a patient with Alzheimer's
disease. The nurse realizes more teaching is needed if the family member makes which
statement?
a. As the disease gets worse, the memory loss will get worse.
b. There are several theories about the cause of the disease.
c. Personality changes and hostility may occur.
d. It may take several medications to cure the disease. - CORRECT ANSWERS-d. It
may take several medications to cure the disease.
A patient is taking rivastigmine (Exelon). The nurse should teach the patient and family
which information about rivastigmine?
a. That hepatotoxicity may occur
b. That the initial dose is 6 mg t.i.d.
c. That GI distress is a common side effect
d. That weight gain may be a side effect - CORRECT ANSWERS-c. That GI distress is
a common side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for
parkinsonism?
,a. Encourage the patient to adhere to a high-protein diet.
b. Inform the patient that perspiration may be dark and stain clothing.
c. Advise the patient that glucose levels should be checked with urine testing.
d. Warn the patient that it may take 4 to 5 days before symptoms are controlled. -
CORRECT ANSWERS-b. Inform the patient that perspiration may be dark and stain
clothing.
What would the nurse teach a patient who is taking anticholinergic therapy for
parkinsonism? (Select all that apply.)
a. Avoid alcohol, cigarettes, and caffeine.
b. Relieve dry mouth with hard candy or ice chips.
c. Use sunglasses to reduce photophobia.
d. Urinate 2 hours after taking the drug.
e. Receive routine eye examinations. - CORRECT ANSWERS-a. Avoid alcohol,
cigarettes, and caffeine.
A patient is taking rivastigmine (Exelon) to improve cognitive function. What should the
nurse teach the patient/family member to do? (Select all that apply.)
a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
d. Have frequent checks for hypertension.
e. Receive regular liver function tests. - CORRECT ANSWERS-a. Rise slowly to avoid
dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
Your client has a fracture of the radius. There is swelling at the injury site and the client
complains of pain in the area. Which stage of bone healing do these signs and
symptoms represent?
a. Cellular proliferation
b. Inflammatory
c. Ossification
d. Callus formation - CORRECT ANSWERS-b. Inflammatory
During the inflammatory phase, bleeding occurs at the area of injury and results in a
hematoma. Why plus I was rushed to the area of injury to begin to debride the dead
cells. The patient will experience pain during this phase. Cellular proliferation occurs
after approximately 5 days, when the interrupted blood supply is recreated and fibrin
strands begin to form. The callus formation stage takes about 3 to 4 weeks, while the
ossification stage may take as long as 3 to 4 months. Remodeling of the bone may take
months to years.
,Who was the English Quaker who advocated humane care and built an asylum to
reflect a household?
a. Florence Nightingale
b. William Tukes
c. Sigmund Freud
d. Benjamin Rush - CORRECT ANSWERS-b. William Tukes
Changes in the delivery of mental health care that resulted from the development of
electroconvulsive therapy and psychotherapeutic drugs brought about which
phenomenon in the 20th century?
a. Behavioral therapy
b. Personality disorganization
c. Deinstitutionalization
d. Brain surgery - CORRECT ANSWERS-c. Deinstitutionalization
What is the best description of personality?
a. The level of mental health that a person attains in life
b. The relatively consistent set of attitudes and behaviors particular to an individual
c. The result of a positive self-concept and acceptable behavior
d. The ability to manage stress - CORRECT ANSWERS-b. The relatively consistent set
of attitudes and behaviors particular to an individual
The nurse is reviewing the assessment finding for a patient hospitalized with a stress
disorder. What findings support the diagnoses?
a. A vague feeling of depression
b. An assumed role to protect the ego
c. A main reason for all mental illnesses
d. A response to any demand made upon the individual - CORRECT ANSWERS-d. A
response to any demand made upon the individual
The nurse is caring for a patient who is currently voicing feelings of anxiety. The nurse
correctly recognizes what as the best description of the feelings that the patient is
experiencing?
a. A vague feeling of apprehension
b. Feelings of paranoia
c. Concerns about the impressions others have for her
d. Emotional stability - CORRECT ANSWERS-a. A vague feeling of apprehension
An assembly line manager in a factory was told that he would be laid off if his line did
not meet the hourly quote. He promptly went to his workers and threatened to fire
, anyone who was found taking even 1 minute extra on a break. What is the manager
displaying?
a. Denial
b. Regression
c. Displacement
d. Identification - CORRECT ANSWERS-c. Displacement
Punishment and abandonment were how mentally ill people were treated in medieval
times. These practices continued until the 17th and 18th centuries. Which care practice
that is still being used today did Dr. Phillipe Pinel of France advocate?
a. Electroshock therapy for melancholy
b. Humane care with record keeping of behaviors
c. Psychoanalysis
d. Home care in the community - CORRECT ANSWERS-b. Humane care with record
keeping of behaviors
The student nurse is working on a presentation regarding OBRA. What was the result of
this landmark legislation?
a. Deinstitutionalization
b. Approved surgical treatment for schizophrenia
c. Prohibition of electroshock therapy
d. Increased construction of state facilities for residential mental health care -
CORRECT ANSWERS-a. Deinstitutionalization
A 52-year old patient experienced cardiac arrest from a myocardial infarction. During his
acute care stay in the hospital, the patient flirts with all female nurses. When he is asked
to stop, he withdraws and later complains of chest heaviness. What is a possible
explanation for the patient's behavior?
a. Boredom from restricted activity
b. Lack of motivation to recover
c. Frustration from illness
d. Threatened self-concept - CORRECT ANSWERS-d. Threatened self-concept
A 14-year-old tells the school nurse that she is self-conscious about her recent breast
development. She reports that the boys in her class are teasing her. What is the first
step for the nurse to take?
a. Call her parents
b. Have her describe what happened
c. Ask who her friends are
d. Provide her with a pamphlet outlining the changes associated with puberty -
CORRECT ANSWERS-b. Have her describe what happened
