Geri Final NCLEX Questions

A 58 year old woman presents to the ER complaining of severe dizziness, vomiting, and pressure inside of her right ear, persisting for 25 minutes. What interventions should the nurse carry out? Select all that apply.: a. Place patient in a quiet room b. Assist the patient in finding their favorite TV channel c. Restrict any fluid intake d. Administer Atropine e. Keep side rails down to keep patient unrestricted - answer-a,d A 78-year-old patient with Huntington's disease has developed contractures from muscle atrophy. The nurse is reviewing the information after admission to the long-term care facility. Which best describes an appropriate outcome for this patient?: a. The patient will monitor for signs and symptoms of skin breakdown as a result of the contactures. b. The patient will learn to reposition himself/herself in bed and chair without help. c. The patient will participate in range of motion exercises to reduce the effects of the contractures. d. The patient will verbalize the effects of contractures on his/her activities of daily living. - answer-c A 78-year-old white woman comes into the emergency room with a fractured hip. She smokes two packs of cigarettes a day and partakes in little to no physical activity. What is the underlying cause of her hip fracture?: a. Arthritis b. Type 1 Diabetes c. Osteoporosis d. Old Age - answer-c A 89-year-old man comes into the clinic complaining of a tender right knee. The knee looks swollen, red, and is warm to touch. Based on his symptoms what is he experiencing?: A. Obesity B. Poor mobility C. Gout D. Osteoporosis - answer-c A charge nurse asks a new nurse on orientation caring for an older adult about some of the common causes of hearing loss. How should the nurse respond?: a. Aging, poor diet, and lack of exercise B. Presbycusis, cerumen buildup, and prolonged exposure to loud noises C. Genetics, smoking, and growing old D. Using earphones with loud music, hypertension, and diabetes - answer-b A charge nurse asks a new nurse on orientation caring for an older adult about some of the common causes of hearing loss. How should the nurse respond?: a. Aging, poor diet, and lack of exercise b. Presbycusis, cerumen buildup, and prolonged exposure to loud noises c. Genetics, smoking, and growing old d. Using earphones with loud music, hypertension, and diabetes - answer-b A charge nurse is discussing BPPV with a nurse on the unit. Which statement by the nurse indicates a need for more teaching?: a. "BPPV is most commonly seen in post-menopausal women." b. "BPPV is sometimes triggered when the head is frequently changing positions." c. "The doctor may prescribe a PRN antiemetic because of intense n/v that may accompany vertigo." d. "BPPV is a symptom of a more serious problem." - answer-d A client comes in complaining of symptoms that may be ALS. The physician decides to do an assessment and order some tests to figure out what is going on. What one test confirms the diagnosis of ALS?: A. MRI B. Blood work and urine sample C. CT Scan D. There is no one test that can provide a definitive diagnosis of ALS - answer-D A college student is asking the nurse about his grandfather, who just received a diagnosis of Huntington's disease. The student wants to know if he will have the disease, too. What should the nurse tell the student? Select all that apply.: a. "Huntington's disease affects men more than women." b. "Huntington's disease is an autosomal dominant disease." c. "Huntington's disease does not skip a generation." d. "Huntington's disease is a treatable disease." e. "There is a 75% chance you will have the disease." - answer-b,c A nurse at an assisted living facility is planning a program about safer sex for older adults. Why would this program be important? (Select all that apply.): a. Advancing age makes a person more susceptible to sexually transmitted infections (STIs) b. HIV/AIDS is spreading more quickly among older adults than among younger adults. c. Older adults frequently forego condom use because there is no risk for unwanted pregnancy d. Many older adults assume that STIs are not a problem. STIs only affect younger adults - answer-b,c,d A nurse at Colonial Oaks is caring for a patient with dementia, what is her priority intervention?: a. Maintain a quiet environment b. Include photographs c. Removing all area rugs from the home d. Keeping the temperature of the home consistent - answer-c A nurse is communicating with a patient who has been diagnosed with depression. Which of the following questions represent therapeutic communication?: a. Can you tell me why you feel this way? b. Can't you just snap out of this? c. This must be a very difficult time for you. Can you elaborate, please? d. Do you go outside enough? - answer-c A nurse is discussing treatment options for a pt with MS who has complained frequently of tremors. The nurse may discuss which of the following medications as options to help with tremors... (select all that apply): a. Primidone b. Docusate sodium c. Clonazepam d. Cyclosporine - answer-a,c A nurse is doing an intake assessment on a female patient when the patient describes having pain during intercourse. What action by the nurse indicates an understanding?: a. The nurse asks "Can you describe the pain you are having?" b. The nurse asks "You're still having sex?" c. The nurse, feeling uncomfortable, moves on to the next question. d. The nurse asks a coworker to finish the intake assessment - answer-a A nurse is educating a client about Argon laser trabeculoplasty (ALT). Which of the following statements should the nurse include in their teaching? Select all that apply.: a. "This is a noninvasive, outpatient procedure." b. "You should expect IV conscious sedation." c. "You should use the prescribed topical corticosteroids for the first 3-5 days after the surgery." d. "You should come back for a check-up in a week and then again in 4 weeks." - answer-a.c.d A nurse is educating a group of nursing students about screenings that should be done for Gouty arthritis. What screenings would the nurse include? (Select all that apply): a. Screening in postmenopausal women b. Family history c. Individuals who live in Indiana d. Excessive alcohol consumers Individuals who have two dogs - answer-a,b,d A nurse is evaluating the client's understanding of his prescribed medication, Pilocarpine, that comes in the ocular route. Which of the client's verbalizations indicates the need for further teaching?: a. "I will occlude my puncta when administering the eye drops." b. "Blurred vision is not a side effect so I don't need to worry about that." c. "I should carry my card that says I'm taking Pilocarpine." d. "I should keep my hallways dimly light at night because this medication will cause poor night vision." - answer-b A nurse is taking care of an older adult patient who continuously shouts at her to "speak up" whenever she talks to him. The nurse notices that the patient also has difficulty speaking as his words are often muffled and distorted. What should the nurse do next based on these symptoms? SELECT ALL THAT APPLY: A. Perform an eye exam B. Assess the patient's ears for impacted cerumen C. Perform a hearing test D. Ask the patient if he normally wears hearing aids E. Immediately call the physician - answer-b,c,d A nurse is taking care of an older adult patient who continuously shouts at her to "speak up" whenever she talks to him. The nurse notices that the patient also has difficulty speaking as his words are often muffled and distorted. What should the nurse do next based on these symptoms? SELECT ALL THAT APPLY: a. Perform an eye exam b. Assess the patient's ears for impacted cerumen c. Perform a hearing test d. Ask the patient if he normally wears hearing aids - answer-b,c,d A nurse is teaching a student about symptoms of Ménière's disease. Which of the following would the nurse not include? a. Fullness in the ear b. A repetitive popping sound in the ear canal c. Bouts of vertigo d. Hearing loss e. Ringing in the ears - answer-b A nurse is teaching an elderly client recently diagnosed with BPPV after falling twice during episodes of vertigo. The client asks the nurse how to prevent further falls. What should the nurse say to the client? (select all that apply): a. "It is beneficial to have good lighting throughout your entire home." b. "You should sit down as soon as you begin to feel dizzy." c. "A cane would be a good option to provide greater stability." d. "A glass or two of wine per night will decrease effects of vertigo." - answer-a,b,c A nurse manager in a long-term care facility is educating the staff on sexuality in older adults. The nurse wants to ensure the staff is nonjudgmental about an older adult's means of sexual expression. Which statement by a nurse aide requires more teaching?: a. "Older adults have a decrease in sexual responsiveness." b. "Older men and women orgasm less than younger patients." c. "Sexual intercourse is not physically possible for older adults." d. "Sexual intercourse may require more physical stimulation." - answer-c A nurse who works at Colonial Oaks believes one of her residents may be depressed. Which of the following symptoms may make her this?: a. He fell out of his wheelchair yesterday b. He sleeps well consistently c. He has been using his toothbrush for a hair comb d. He lost interest in attending meetings and eating dinner - answer-d A nurse, working in an assisted living facility, encounters a male patient having difficulty urinating. What is a possible cause for his trouble?: a. BPH b. HTN c. Oldness d. Senility - answer-a A nursing instructor is explaining the pathophysiology of vertigo. Which disorder is vertigo least likely to be associated with?: a. Infection of throat b. Inflammation of cranial nerve VIII c. Injury to brain stem d. Trauma to inner ear - answer-a