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LPN NCLEX CASE STUDY/491
QUESTIONS AND ANSWERS (A+)
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
Quiz :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.
Quiz :The nurse has initiated teaching for a family
member of a patient with Alzheimer's disease. The
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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.
Quiz :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
Quiz :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.
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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.
Quiz :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.
Quiz :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.
Quiz :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?
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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 ossification
stage may take as long as 3 to 4 months. Remodeling of
the bone may take months to years.
Quiz :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
Quiz :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
LPN NCLEX CASE STUDY/491
QUESTIONS AND ANSWERS (A+)
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
Quiz :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.
Quiz :The nurse has initiated teaching for a family
member of a patient with Alzheimer's disease. The
,MEDSTUDY.COM
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.
Quiz :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
Quiz :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.
,MEDSTUDY.COM
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.
Quiz :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.
Quiz :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.
Quiz :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?
, MEDSTUDY.COM
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 ossification
stage may take as long as 3 to 4 months. Remodeling of
the bone may take months to years.
Quiz :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
Quiz :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
