NCLEX Questions Parkinson Disease Test Questions with 100%
Verified Answers
1. The nurse is assessing an older Answer: A, B, D, E
adult client. Which finding should Rationale: PD causes slowed move
cause the nurse to suspect the ments, including slurred speech.
client has Parkinson disease (PD)? Tremors at rest are very common in
(Select all that apply.) PD and easy to identify. Tremors may
A. The client has hand tremors at occur in the hands, face, neck, lips
rest. tongue, and jaw. PD causes a frozen
B. The client does not remember mask-like expression (lack of affect
what he ate for breakfast. The client will not have an expression
C. The client's blood pressure in- that is consistent with the emotions the
creases when the client stands up. client is feeling. Memory loss occurs in
D. The client has a slurred speech. Parkinson disease because of the loss
E. The client's facial expression of neurons and other changes in the
shows no emotion. brain. The client may develop demen-
tia. Postural hypotension, not hype
tension, is a common manifestation in
clients with PD. This is caused by dam-
age to the autonomic nervous system.
2. Which is the main pathology of Answer: B
Parkinson disease that causes Rationale: The changes in muscular
changes in muscular and sensory and sensory function in Parkinson dis-
function? ease (PD) are caused by a decreased
A. Reduction of acetylcholine in the amount of dopamine in the brain,
brain which in turn increases, not reduce
B. Reduction of dopamine in the the amount of acetylcholine. The pres-
brain ence of Lewy bodies (abnormal aggre
C. Genetic predisposition gates of proteins) in the neurons is a
D. Presence of Lewy bodies characteristic of PD, but it is unclear
whether they are helpful or harmful.
Although there is a genetic link in ap-
proximately 15dash 25% of cases, i
a risk factor rather than a cause of PD
manifestations.
3. Which clinical manifestation would Answer: A
be required to confirm the diagno- Rationale: A diagnosis of Parkinson
sis of Parkinson disease? disease requires the presence of
A. Tremors at rest and bradykinesia two of the three cardinal manifesta-
1/8
, NCLEX Questions Parkinson Disease Test Questions with 100%
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B. Bradykinesia only tions: tremor, rigidity, and bradykine-
C. Rigidity only sia. Tremors at rest and bradykinesia
D. Tremor at rest and flaccidity are two of the cardinal signs. Bradyki-
nesia alone would not be diagnostic.
Tremors at rest are a cardinal sign, bu
flaccidity is not. Rigidity is a cardinal
sign, but rigidity alone is not diagnos-
tic.
4. Which symptom for a client with Answer: C
Parkinson disease (PD) is due to Rationale: Alterations in sleep pattern
the lack of automatic muscle m ov em- ay occur due to lack of automat-
ment? ic muscle movement in a client with
A. Diminished voice volume Parkinson disease. Reducing strenu-
B. Reduced ability to swallow ous activities near bedtime, limiting in
C. Alterations in sleep pattern take of caffeine, and providing a glass
D. Diminished physical mobility of milk before bedtime are all exam-
ples of interventions that directly ad-
dress issues with sleep pattern. Re-
duced ability to swallow, diminished
voice volume, and diminished physica
mobility are all related to dysfunction
of voluntary muscle movement.
5. A client newly diagnosed with Answer:
Parkinson disease asks the nurse, Rationale: Dopamine is responsible
"What does dopamine do in the for coordination. It balances the neuro-
brain?" Which is the most appropri- transmitter acetylcholine, which stimu
ate response? lates the neurons. Dopamine prevents
A. "Dopamine enhances the action this stimulation from becoming exces-
of acetylcholine." sive. Dopamine provides regulation
B. "Dopamine causes spinal cord rather than stimulation. Dopamine reg-
neurons to transmit impulses." ulates motor neuron impulses and bal-
C. "Dopamine stimulates the neu- ances acetylcholine. Dopamine only
rons to transmit sensory and motor works on certain brain neurons locat-
impulses." ed in the basal ganglia, not the spina
D. "Dopamine helps maintain coor- cord. Dopamine minimizes and bal-
dinated motor movement." ances the effects of acetylcholine and
does not enhance it.
2/8
Verified Answers
1. The nurse is assessing an older Answer: A, B, D, E
adult client. Which finding should Rationale: PD causes slowed move
cause the nurse to suspect the ments, including slurred speech.
client has Parkinson disease (PD)? Tremors at rest are very common in
(Select all that apply.) PD and easy to identify. Tremors may
A. The client has hand tremors at occur in the hands, face, neck, lips
rest. tongue, and jaw. PD causes a frozen
B. The client does not remember mask-like expression (lack of affect
what he ate for breakfast. The client will not have an expression
C. The client's blood pressure in- that is consistent with the emotions the
creases when the client stands up. client is feeling. Memory loss occurs in
D. The client has a slurred speech. Parkinson disease because of the loss
E. The client's facial expression of neurons and other changes in the
shows no emotion. brain. The client may develop demen-
tia. Postural hypotension, not hype
tension, is a common manifestation in
clients with PD. This is caused by dam-
age to the autonomic nervous system.
2. Which is the main pathology of Answer: B
Parkinson disease that causes Rationale: The changes in muscular
changes in muscular and sensory and sensory function in Parkinson dis-
function? ease (PD) are caused by a decreased
A. Reduction of acetylcholine in the amount of dopamine in the brain,
brain which in turn increases, not reduce
B. Reduction of dopamine in the the amount of acetylcholine. The pres-
brain ence of Lewy bodies (abnormal aggre
C. Genetic predisposition gates of proteins) in the neurons is a
D. Presence of Lewy bodies characteristic of PD, but it is unclear
whether they are helpful or harmful.
Although there is a genetic link in ap-
proximately 15dash 25% of cases, i
a risk factor rather than a cause of PD
manifestations.
3. Which clinical manifestation would Answer: A
be required to confirm the diagno- Rationale: A diagnosis of Parkinson
sis of Parkinson disease? disease requires the presence of
A. Tremors at rest and bradykinesia two of the three cardinal manifesta-
1/8
, NCLEX Questions Parkinson Disease Test Questions with 100%
Verified Answers
B. Bradykinesia only tions: tremor, rigidity, and bradykine-
C. Rigidity only sia. Tremors at rest and bradykinesia
D. Tremor at rest and flaccidity are two of the cardinal signs. Bradyki-
nesia alone would not be diagnostic.
Tremors at rest are a cardinal sign, bu
flaccidity is not. Rigidity is a cardinal
sign, but rigidity alone is not diagnos-
tic.
4. Which symptom for a client with Answer: C
Parkinson disease (PD) is due to Rationale: Alterations in sleep pattern
the lack of automatic muscle m ov em- ay occur due to lack of automat-
ment? ic muscle movement in a client with
A. Diminished voice volume Parkinson disease. Reducing strenu-
B. Reduced ability to swallow ous activities near bedtime, limiting in
C. Alterations in sleep pattern take of caffeine, and providing a glass
D. Diminished physical mobility of milk before bedtime are all exam-
ples of interventions that directly ad-
dress issues with sleep pattern. Re-
duced ability to swallow, diminished
voice volume, and diminished physica
mobility are all related to dysfunction
of voluntary muscle movement.
5. A client newly diagnosed with Answer:
Parkinson disease asks the nurse, Rationale: Dopamine is responsible
"What does dopamine do in the for coordination. It balances the neuro-
brain?" Which is the most appropri- transmitter acetylcholine, which stimu
ate response? lates the neurons. Dopamine prevents
A. "Dopamine enhances the action this stimulation from becoming exces-
of acetylcholine." sive. Dopamine provides regulation
B. "Dopamine causes spinal cord rather than stimulation. Dopamine reg-
neurons to transmit impulses." ulates motor neuron impulses and bal-
C. "Dopamine stimulates the neu- ances acetylcholine. Dopamine only
rons to transmit sensory and motor works on certain brain neurons locat-
impulses." ed in the basal ganglia, not the spina
D. "Dopamine helps maintain coor- cord. Dopamine minimizes and bal-
dinated motor movement." ances the effects of acetylcholine and
does not enhance it.
2/8
