LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
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 - ANSWER 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.
- ANSWER 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. - ANSWER 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 - ANSWER c. That GI distress is a common
side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for
parkinsonism?
,LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
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. -
ANSWER 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. - ANSWER 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. - ANSWER 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 - ANSWER 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
,LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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
, LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
b. Feelings of paranoia
c. Concerns about the impressions others have for her
d. Emotional stability - ANSWER 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 - ANSWER 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 - ANSWER 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 -
ANSWER 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 - ANSWER d. Threatened self-concept
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
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 - ANSWER 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.
- ANSWER 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. - ANSWER 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 - ANSWER c. That GI distress is a common
side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for
parkinsonism?
,LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
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. -
ANSWER 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. - ANSWER 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. - ANSWER 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 - ANSWER 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
,LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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
, LVN NCLEX EXAM CONTAINING 118
QUESTIONS AND WELL ANALYSED
ANSWERS ERROR FREE RATED TO
PASS.
b. Feelings of paranoia
c. Concerns about the impressions others have for her
d. Emotional stability - ANSWER 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 - ANSWER 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 - ANSWER 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 -
ANSWER 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 - ANSWER d. Threatened self-concept
