Mark Klimek Blue Book (P's) UPDATED
ACTUAL Exam Questions and CORRECT
Answers
What structures in the brain are most affected in Parkinson's? - CORRECT ANSWER -
Basal ganglia
The neurotransmitter imbalance that causes Parkinson's is a ______ in ______ ______. -
CORRECT ANSWER - Decrease, dopamine activity
What drugs can cause a Parkinson-like syndrome? - CORRECT ANSWER - Haldol, major
tranquilizers -- drugs that end in -azine
What is the classic motor manifestation of Parkinson's? - CORRECT ANSWER - Pill-
rolling and tremors
What type of rigidity is typical of Parkinson's? - CORRECT ANSWER - Cogwheel
Parkinson's patients move fast or slow? - CORRECT ANSWER - Slow
What type of gait is seen in Parkinson's? - CORRECT ANSWER - Shuffling slow gait
Patient's with Parkinson's have ______ speech. - CORRECT ANSWER - Monotone
Patients with Parkinson's tend to have constipation or diarrhea? - CORRECT ANSWER -
Constipation
Name four drugs used to treat Parkinson's. - CORRECT ANSWER - Levodopa, Sinement,
Symmetrol, Cogentin, Artane, Parlodel
,In what type of chair should Parkinson's patients sit? - CORRECT ANSWER - Firm, hard-
backed
What time of day can be particularly dangerous for the Parkinson's patient? - CORRECT
ANSWER - Mealtime, due to choking
When a patient is taking Levodopa he should have assistance getting out of bed because... -
CORRECT ANSWER - Of orthostatic hypotension
What vitamin should patients on Levodopa avoid? - CORRECT ANSWER - B6
pyridoxine
Levodopa should be given with or without food? - CORRECT ANSWER - With
What might Levodopa do to patients urine? - CORRECT ANSWER - Make it very dark
The tremors of Parkinson's will get better or worse when they purposefully move or perform a
task? - CORRECT ANSWER - Better, they tremor more when not performing an action
The client on a PCA pump is less likely to have post-operative complications than the client
without a PCA pump. (T/F) - CORRECT ANSWER - True, because the comfortable
patient moves around more and is less likely to get thrombophlebitis, pulmonary embolus,
fatigue, ileus and pneumonia
Clients with COPD are not good candidates for PCA pumps. (T/F) - CORRECT
ANSWER - True, due to the effects of narcotics on central respiratory control
Name the three most common uses of PCA techniques. - CORRECT ANSWER - Post-
operative pain, cancer pain, sickle-cell crisis pain
,PCA pumps allow a more constant level of serum drug than conventional analgesia. (T/F) -
CORRECT ANSWER - True
A major disadvantage of PCA pump is that the client can take too much medication. (T/F) -
CORRECT ANSWER - False, it is not possible for the client to overdose due to the lock-
out feature
Clients on PCA pumps use more medication than those receiving IM injections. (T/F) -
CORRECT ANSWER - False, they use less
A disadvantage of PCA pumps is that the client does not ambulate as early due to the machine.
(T/F) - CORRECT ANSWER - False, PCA clients ambulate earlier and they pull their
machine with them.
When discontinuing a PCA infusion it is acceptable to discard the drug cartridge. (T/F) -
CORRECT ANSWER - False, the whole cartridge system must be returned to the
pharmacy due to federal narcotic control laws.
Comfort range or relative humidity is... - CORRECT ANSWER - 30-60%
Which patients should be forbidden to smoke? Smoke alone? - CORRECT ANSWER -
Those with oxygen in the room, confused, sleepy, drugged clients
When applying restraints remember to... - CORRECT ANSWER - Avoid bruising skin,
cutting off circulation, accidental entangling
List ways to ensure privacy... - CORRECT ANSWER - Use drapes and screens during care
in semi-private rooms
Plastic pillow cases are ______. (disadvantages) - CORRECT ANSWER - Hot and
slippery
, When using restraints with clients who object, don't forget about _____- _____. - CORRECT
ANSWER - False imprisonment
Individuals who are ill are ________ sensitive to noise than individuals who are well. -
CORRECT ANSWER - more
When you are not at the bedside the bed should always be... - CORRECT ANSWER - In
the lowest position
Can nurses be held liable for an accident resulting from a client not being told how to use the call
light? - CORRECT ANSWER - yes
Dangers associated with drafts are... - CORRECT ANSWER - Circulation of micro-
organisms on air currents
The first thing a nurse should do when a client objects to side rails is... - CORRECT
ANSWER - Explain why they are being used.
The comfort range of temperature is... - CORRECT ANSWER - 68 to 74 degrees
Is having the client verbally identify himself considered adequate safety? - CORRECT
ANSWER - No, only identification bands are acceptable.
Bed side rails should be up for the following individuals... - CORRECT ANSWER -
Elderly clients, unconscious, babies, young children, restless, confused
The symptoms of sensory overload and sensory deprivation are... - CORRECT ANSWER -
Fear, panic, depression, inability to concentrate, restlessness, agitation
ACTUAL Exam Questions and CORRECT
Answers
What structures in the brain are most affected in Parkinson's? - CORRECT ANSWER -
Basal ganglia
The neurotransmitter imbalance that causes Parkinson's is a ______ in ______ ______. -
CORRECT ANSWER - Decrease, dopamine activity
What drugs can cause a Parkinson-like syndrome? - CORRECT ANSWER - Haldol, major
tranquilizers -- drugs that end in -azine
What is the classic motor manifestation of Parkinson's? - CORRECT ANSWER - Pill-
rolling and tremors
What type of rigidity is typical of Parkinson's? - CORRECT ANSWER - Cogwheel
Parkinson's patients move fast or slow? - CORRECT ANSWER - Slow
What type of gait is seen in Parkinson's? - CORRECT ANSWER - Shuffling slow gait
Patient's with Parkinson's have ______ speech. - CORRECT ANSWER - Monotone
Patients with Parkinson's tend to have constipation or diarrhea? - CORRECT ANSWER -
Constipation
Name four drugs used to treat Parkinson's. - CORRECT ANSWER - Levodopa, Sinement,
Symmetrol, Cogentin, Artane, Parlodel
,In what type of chair should Parkinson's patients sit? - CORRECT ANSWER - Firm, hard-
backed
What time of day can be particularly dangerous for the Parkinson's patient? - CORRECT
ANSWER - Mealtime, due to choking
When a patient is taking Levodopa he should have assistance getting out of bed because... -
CORRECT ANSWER - Of orthostatic hypotension
What vitamin should patients on Levodopa avoid? - CORRECT ANSWER - B6
pyridoxine
Levodopa should be given with or without food? - CORRECT ANSWER - With
What might Levodopa do to patients urine? - CORRECT ANSWER - Make it very dark
The tremors of Parkinson's will get better or worse when they purposefully move or perform a
task? - CORRECT ANSWER - Better, they tremor more when not performing an action
The client on a PCA pump is less likely to have post-operative complications than the client
without a PCA pump. (T/F) - CORRECT ANSWER - True, because the comfortable
patient moves around more and is less likely to get thrombophlebitis, pulmonary embolus,
fatigue, ileus and pneumonia
Clients with COPD are not good candidates for PCA pumps. (T/F) - CORRECT
ANSWER - True, due to the effects of narcotics on central respiratory control
Name the three most common uses of PCA techniques. - CORRECT ANSWER - Post-
operative pain, cancer pain, sickle-cell crisis pain
,PCA pumps allow a more constant level of serum drug than conventional analgesia. (T/F) -
CORRECT ANSWER - True
A major disadvantage of PCA pump is that the client can take too much medication. (T/F) -
CORRECT ANSWER - False, it is not possible for the client to overdose due to the lock-
out feature
Clients on PCA pumps use more medication than those receiving IM injections. (T/F) -
CORRECT ANSWER - False, they use less
A disadvantage of PCA pumps is that the client does not ambulate as early due to the machine.
(T/F) - CORRECT ANSWER - False, PCA clients ambulate earlier and they pull their
machine with them.
When discontinuing a PCA infusion it is acceptable to discard the drug cartridge. (T/F) -
CORRECT ANSWER - False, the whole cartridge system must be returned to the
pharmacy due to federal narcotic control laws.
Comfort range or relative humidity is... - CORRECT ANSWER - 30-60%
Which patients should be forbidden to smoke? Smoke alone? - CORRECT ANSWER -
Those with oxygen in the room, confused, sleepy, drugged clients
When applying restraints remember to... - CORRECT ANSWER - Avoid bruising skin,
cutting off circulation, accidental entangling
List ways to ensure privacy... - CORRECT ANSWER - Use drapes and screens during care
in semi-private rooms
Plastic pillow cases are ______. (disadvantages) - CORRECT ANSWER - Hot and
slippery
, When using restraints with clients who object, don't forget about _____- _____. - CORRECT
ANSWER - False imprisonment
Individuals who are ill are ________ sensitive to noise than individuals who are well. -
CORRECT ANSWER - more
When you are not at the bedside the bed should always be... - CORRECT ANSWER - In
the lowest position
Can nurses be held liable for an accident resulting from a client not being told how to use the call
light? - CORRECT ANSWER - yes
Dangers associated with drafts are... - CORRECT ANSWER - Circulation of micro-
organisms on air currents
The first thing a nurse should do when a client objects to side rails is... - CORRECT
ANSWER - Explain why they are being used.
The comfort range of temperature is... - CORRECT ANSWER - 68 to 74 degrees
Is having the client verbally identify himself considered adequate safety? - CORRECT
ANSWER - No, only identification bands are acceptable.
Bed side rails should be up for the following individuals... - CORRECT ANSWER -
Elderly clients, unconscious, babies, young children, restless, confused
The symptoms of sensory overload and sensory deprivation are... - CORRECT ANSWER -
Fear, panic, depression, inability to concentrate, restlessness, agitation
