LPN NCLEX Case Study Questions
with Complete Solutions191
Which problem constitutes a medical emergency?
A) Anura
B) Polyuria
C) Dysuria
D) Dyspnea - ANSWERS-A) Anuria
The nurse is reviewing the health history of a patient suspected of having renal calculus. What
factors in the patient's history increases the patient's risk factor for developing the condition?
(SELECT ALL THAT APPLY).
A) Stasis of urine caused by obstruction
B) Infections of urinary tract
C) Hypoparathyroidism
D)Diabetes mellitus
E) Immobility - ANSWERS-A) Stasis of urine caused by obstruction
B) Infections of urinary tract
The collection of objective data for a patient with acute glomerulonephritits could include which
symptoms? (SELECT ALL THAT APPLY).
A) Periorbital edema
B) Anorexia
,C) Hypotension
D) Frankly sanguineous urine
E) Headaches - ANSWERS-A) Periorbital edema
B) Anorexia
C) Hypotension
Careful preparation of a patient for an IVP is necessary. What nursing intervention would be
included in the preparation? (SELECT ALL THAT APLLY).
A) NPO for about 8 hours before examination.
B) Ascertaining whether patient has allergy to magnesium
C) Giving prescribed bowel prep
D) Instructing patient concerning IVP
E) Discussing the anesthesia needed for the procedure - ANSWERS-A) NPO for about 8 hours
before examination.
C) Giving prescribed bowel prep
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 - ANSWERS-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. -
ANSWERS-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. - ANSWERS-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 - ANSWERS-c. That GI distress is a common side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for parkinsonism?
, 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. - ANSWERS-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. - ANSWERS-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. - ANSWERS-a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
with Complete Solutions191
Which problem constitutes a medical emergency?
A) Anura
B) Polyuria
C) Dysuria
D) Dyspnea - ANSWERS-A) Anuria
The nurse is reviewing the health history of a patient suspected of having renal calculus. What
factors in the patient's history increases the patient's risk factor for developing the condition?
(SELECT ALL THAT APPLY).
A) Stasis of urine caused by obstruction
B) Infections of urinary tract
C) Hypoparathyroidism
D)Diabetes mellitus
E) Immobility - ANSWERS-A) Stasis of urine caused by obstruction
B) Infections of urinary tract
The collection of objective data for a patient with acute glomerulonephritits could include which
symptoms? (SELECT ALL THAT APPLY).
A) Periorbital edema
B) Anorexia
,C) Hypotension
D) Frankly sanguineous urine
E) Headaches - ANSWERS-A) Periorbital edema
B) Anorexia
C) Hypotension
Careful preparation of a patient for an IVP is necessary. What nursing intervention would be
included in the preparation? (SELECT ALL THAT APLLY).
A) NPO for about 8 hours before examination.
B) Ascertaining whether patient has allergy to magnesium
C) Giving prescribed bowel prep
D) Instructing patient concerning IVP
E) Discussing the anesthesia needed for the procedure - ANSWERS-A) NPO for about 8 hours
before examination.
C) Giving prescribed bowel prep
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 - ANSWERS-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. -
ANSWERS-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. - ANSWERS-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 - ANSWERS-c. That GI distress is a common side effect
5.Which is a nursing intervention for a patient taking carbidopa-levodopa for parkinsonism?
, 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. - ANSWERS-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. - ANSWERS-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. - ANSWERS-a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
