LPN NCLEX ACTUAL EXAM QUESTIONS AND ANSWERS
LATEST UPDATE|GRADED 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
- Correct 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.
- Correct Answer- d. Dopaminergics and anticholinergics are contraindicated in
patients with glaucoma.
1
,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.
- Correct 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
- Correct Answer- 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.
2
, - Correct 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.
- Correct 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.
- Correct Answer- a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
3
, 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
- Correct 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.
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
- Correct Answer- b. William Tukes
4
LATEST UPDATE|GRADED 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
- Correct 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.
- Correct Answer- d. Dopaminergics and anticholinergics are contraindicated in
patients with glaucoma.
1
,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.
- Correct 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
- Correct Answer- 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.
2
, - Correct 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.
- Correct 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.
- Correct Answer- a. Rise slowly to avoid dizziness.
b. Remove obstacles from pathways to avoid injury.
c. Closely follow the drug dosing schedule.
3
, 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
- Correct 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.
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
- Correct Answer- b. William Tukes
4
