NUR 4271 - Exam 1 Practice Questions And Answers
A patient with Parkinson's disease is having difficulty tying shoes. Which nursing
intervention would be most helpful?
A. Tie the shoes for the patient.
B. Reteach the patient to tie shoes.
C. Have a family member purchase shoes with Velcro fasteners.
D. Explain to the patient that as the disease progresses there are going to be many
things that will require assistance. - ANSWER C. Have a family member purchase shoes
with Velcro fasteners.
Ability of the patient to stay independent
The nurse is providing a client with Parkinson's disease with teaching related to fall
prevention. The client makes which of the following statements that demonstrates a
need for further teaching?
A. "I can sit down to dress and put on my pants and shoes."
B. "I try to exercise daily and then rest when I am tired."
C. "My son took all of the loose rugs out of my bedroom."
D. "I don't need to use my walker to get to the bathroom." - ANSWER D. "I don't need to
use my walker to get to the bathroom."
The client with Parkinson's disease should be taught about safety measures in the
home. The client should use his or her walker for support to get to the bathroom due to
bradykinesia.
The nurse is providing care for a patient with Parkinson's disease who exhibits
dysphagia. Which of the following dysphagia-related problems most significantly
influences the plan of care?
, Anorexia
Aspiration
Self-care deficit
Inadequate intake - ANSWER B. Aspiration
Dysphagia is a swallowing disorder wherein food or fluid can passively fall into the
trachea and be inhaled into the lungs-aspiration-instead of being swallowed down the
esophagus. The consequences include choking, partial or total airway obstruction, or
aspiration pneumonia.
A nurse is caring for a patient who has been diagnosed with Parkinson's disease and
has developed a swallowing disorder. The nurse should order which of the following for
this patient?
A. Clear liquids
B. Full liquids
C. Thick liquids
D. Soft diet - ANSWER C. Thick liquids
Diet best for dysphagia
A client is diagnosed with MS and is scheduled to have an MRI of the brain and spine.
What should the nurse explain to the client regarding the examination?
A. The client will be attached to wires on the scalp and there will be flashing lights off
and on.
B. The machine will make much noise and the client should remain still and not move
their head during the examination.
C. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
D. The test will be repeated at intervals during a five (5)- to six (6)-hour p - ANSWER B.
The machine will be loud and the client must not move the head during the test.
A patient with Parkinson's disease is having difficulty tying shoes. Which nursing
intervention would be most helpful?
A. Tie the shoes for the patient.
B. Reteach the patient to tie shoes.
C. Have a family member purchase shoes with Velcro fasteners.
D. Explain to the patient that as the disease progresses there are going to be many
things that will require assistance. - ANSWER C. Have a family member purchase shoes
with Velcro fasteners.
Ability of the patient to stay independent
The nurse is providing a client with Parkinson's disease with teaching related to fall
prevention. The client makes which of the following statements that demonstrates a
need for further teaching?
A. "I can sit down to dress and put on my pants and shoes."
B. "I try to exercise daily and then rest when I am tired."
C. "My son took all of the loose rugs out of my bedroom."
D. "I don't need to use my walker to get to the bathroom." - ANSWER D. "I don't need to
use my walker to get to the bathroom."
The client with Parkinson's disease should be taught about safety measures in the
home. The client should use his or her walker for support to get to the bathroom due to
bradykinesia.
The nurse is providing care for a patient with Parkinson's disease who exhibits
dysphagia. Which of the following dysphagia-related problems most significantly
influences the plan of care?
, Anorexia
Aspiration
Self-care deficit
Inadequate intake - ANSWER B. Aspiration
Dysphagia is a swallowing disorder wherein food or fluid can passively fall into the
trachea and be inhaled into the lungs-aspiration-instead of being swallowed down the
esophagus. The consequences include choking, partial or total airway obstruction, or
aspiration pneumonia.
A nurse is caring for a patient who has been diagnosed with Parkinson's disease and
has developed a swallowing disorder. The nurse should order which of the following for
this patient?
A. Clear liquids
B. Full liquids
C. Thick liquids
D. Soft diet - ANSWER C. Thick liquids
Diet best for dysphagia
A client is diagnosed with MS and is scheduled to have an MRI of the brain and spine.
What should the nurse explain to the client regarding the examination?
A. The client will be attached to wires on the scalp and there will be flashing lights off
and on.
B. The machine will make much noise and the client should remain still and not move
their head during the examination.
C. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
D. The test will be repeated at intervals during a five (5)- to six (6)-hour p - ANSWER B.
The machine will be loud and the client must not move the head during the test.
