Geri NCLEX questions
Which of the following statements made by the patient indicates a need for further teaching? A. "There is no cure for ALS" B. "ALS will cause double vision" C. "I can take medications that will help reduce muscle spasms" D. "ALS runs in families and is genetic"
B "ALS will cause double vision"
A nurse is teaching a patient who has just had cataract surgery about tasks he is allowed to do as well as the tasks he should avoid. Which of the teachings is correct? A. "You can continue smoking 3 days after surgery." B. "Do not bend at the waist to pick up objects." C. "Walking, climbing stairs and light household chores are not allowed." D. "You can rub your eyes as much as you want after surgery."
B "Do not bend at the waist to pick up objects."
Sexuality in the older population is: A. Present up to age 65 years old B. An integral part of life that never ends C. Only refers to physical touch that is not intercourse D. Is absent due to a lack of desire
B An integral part of life that never ends
A nurse is providing care to a patient with Parkinson's Disease and is getting ready to administer medication. What medication is most widely used for Parkinson's? A. Amantadine B. Levodopa C. Anticholinergics D. Flintstones multivitamin gummies
B Levodopa
A 65 year old woman complains to her doctor that her lady parts are itchy and burning and she has been having white foul smelling discharge. Which of the following should the doctor suspect? A. Cervical cancer B. Vaginitis C. Breast Cancer D. Dyspareunia
B Vaginitis
A client with meniere's disease is experiencing severe vertigo. Which instruction would the nurse give the client to assist in controlling the vertigo. A. Increase fluid intake B. Avoid sudden head movements C. Lie still and watch the television D. Increase sodium in the diet
B Avoid sudden head movements
You are teaching your patient about ways to prevent vertigo from occurring, which statement made by your patient would require further teaching? (Select all that apply) A. "I should get get up slowly from my bed or chair." B. "I should sit on the edge of the bed for a few seconds before standing." C. "I am not at risk for falls with vertigo because it increases my balance." D. "I should avoid sudden movements throughout the day to help prevent dizziness."
B & C "I should sit on the edge of the bed for a few seconds before standing." "I am not at risk for falls with vertigo because it increases my balance."
Which patient(s) are most at risk for developing Macular Degeneration? Select all that apply. A. A 50 year old who exercises 3 times per week for 30 minutes a day and eats a balanced diet. B. A 60 year old who has a BMI of 29.9 and has a family history of AMD. C. A 65 year old caucasian male who smokes daily. D. A 55 year old who maintains a normal blood pressure and cholesterol level.
B & C A 60 year old who has a BMI of 29.9 and has a family history of AMD. A 65 year old caucasian male who smokes daily.
What is the best way to prevent pressure ulcers? A. The Dodgers beating the Cubs B. Pillows and alternating pressure mattresses C. Frequent position changes
B & C Pillows and alternating pressure mattresses Frequent position changes
A nurse is caring for a client with a new diagnosis of Type 2 diabetes mellitus. The nurse is educating the client about diabetic retinopathy screening. Which statements made by the client are correct: A. "I don't have to be screened since I just got diagnosed." B. "I should make an appointment for an eye exam before I leave today" C. "I will need to have dilated eye exams every 5 years" D. "Screening is only for patients who take insulin" E. "I will need to have dilated eye exams annually"
B & E "I should make an appointment for an eye exam before I leave today" "I will need to have dilated eye exams annually"
Which of the following are proper diagnostic procedures for detecting osteomyelitis? (select all that apply) A. Complete blood count B. CT & MRI to detect extent of infection C. WBC and ESR rates to determines if infection present D. X-ray to visualize growth of infection in bone
B, C CT & MRI to detect extent of infection WBC and ESR rates to determines if infection present
Nurses can play a significant role in preventing HIV/AIDS in the older population by (Select all that apply): A. Understanding that HIV/AIDS only impact younger generations B. Recognizing that the older population accounts for 20% of the public's HIV infections C. Reinforcing safe sex practices in older persons D. Educating and counseling about sexuality in late life
B, C & D Recognizing that the older population accounts for 20% of the public's HIV infections Reinforcing safe sex practices in older persons Educating and counseling about sexuality in late life
A nurse is examining a patient and expects they have Parkinson's disease. How would the nurse go about screening this patient? (Select all that apply) A. MRI B. Physical and neurologic assessment C. Medical history D. Blood tests E. Prescribed medication prior to appointment
B, C, & E Physical and neurologic assessment Medical history Prescribed medication prior to appointment
A nurse is assessing a patient for manifestations of Parkinson's Disease/ Which should the nurse expect to find? (Select all the apply) A. decreased vision B. pill-rolling tremor of the fingers C. shuffling gait D. drooling E. lack of facial expression
B, C, D, & E pill-rolling tremor of the fingers shuffling gait drooling lack of facial expression
A 70 year-old female patient with osteoporosis asks the nurse which bones she might be at risk for fracturing. The nurse answers that the three most at-risk areas include the following: (select all that apply) A. Phalanges B. Hip C. Radius at the wrist (Colles' fracture) D. Tibia E. Spine
B,C, E. These are the most common fractures in patients with osteoporosis
The nurse is providing education to a patient, who was recently diagnosed with rheumatoid arthritis, about physical exercise. Which statement made by the patient is correct? A. "It is best I try to incorporate a moderate level of high impact exercises weekly into my routine, such as running and aerobics." B. "I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a weekly regimen of range of motion exercises along with walking and riding a stationary bike." C. "It is important I perform range of motion exercises during joint flare-ups and incorporate low-impact exercises into my daily routine." D. "Physical exercise should be limited to only range of motion exercises to prevent further joint damage."
B. During flare-ups of RA the patient should rest the joint. However, it is important the patient performs range of motion exercises along with LOW-IMPACT exercise weekly (such as stationary bike riding, walking, water aerobics etc.). This will help with increasing the patient's energy level along with muscle strength and maintain joint health.
You are providing education to a patient who will be participating in Photodynamic Therapy. Which statement by the patient requires further teaching? A. "This therapy will preserve retinal function, visual acuity, and central vision." B. "To begin the therapy, someone will administer and infuse verteporfin into my arm." C. "This therapy will restore my vision loss and I will be able to see normally again." D. "This therapy will help to reduce further vision loss but not cure it."
C "This therapy will restore my vision loss and I will be able to see normally again."
A nurse is assessing clients in an outpatient clinic. Which of her patients is more likely to develop MS? A. A 70 year old male from Canada B. A 50 year old female from Costa Rica C. A 30 year old female from the United States D. An 18 year old male from Ireland
C A 30 year old female from the United States
A nurse is helping a client who reports reduced muscle mass, reduced energy, reduced strength and stamina, and reduced libido. The client is a 65 year old male so the nurse suspects the client may be experiencing: A. Testicular tumors B. Benign Prostatic Hyperplasia C. Andropause D. Menopause
C Andropause
Which of the following is the most important nursing intervention regarding a patient with ALS? A. Promote a sense of comfort B. Implement a high-nutrient diet C. Assist with eating due to dysphagia D. Help the patient with ambulating
C Assist with eating due to dysphagia
Which of the following is NOT a cause of erectile dysfunctions? A. Diabetes B. Medications C. Colon cancer D. Multiple sclerosis
C Colon cancer
A nurse is assessing a patient who has MS, which manifestation is she likely to notice? A. Increased respirations B. Restlessness C. Difficulty speaking D. Decreased heart rate
C Difficulty speaking
Which is not a symptom of Meniere's Disease A. Hearing Loss B. Tinnitus C. Hyperhidrosis D. Feeling of fullness in the hear
C Hyperhidrosis
A patient goes to the doctor and reports that her vision has become distorted and her night vision has decreased. Which test would be used to screen the patient for cataracts? A. Color Vision Test B. Babinski Test C. Visual Acuity Test D. Refraction Test
C Visual Acuity Test
A nurse is caring for a patient who is starting to display bradykinesia. What action is appropriate for the nurse to take? A. teach the patient to walk more quickly when ambulating B. place patient on a low-protein, low-calorie diet C. give the patient extra time to perform activities D. complete passive range-of-motion exercises daily
C give the patient extra time to perform activities
Which patient below is NOT at risk for osteoporosis? A. A 48 year old female patient who has been taking glucocorticoids for the last 6 months. B. A 50 year old female whose last menstrual period was 7 years ago. C. A 30 year old male who says he drinks alcohol a few times a month and has a BMI of 26 D. A 35 year old female who has a history of seizures and takes Dilantin regularly.
C Because all the other patients have risk factors for osteoporosis. A and D are at risk because medications such as glucocorticoids and anticonvulsants can weaken bones and put patients at risk for osteoporosis. The 50 year old female is at risk because she has reached menopause, which causes a loss in estrogen and weaker bones. C is not at risk because he doesn't drink much alcohol and his BMI is within normal limits
A nurse is educating a patient with rheumatoid arthritis about management of the disease, what should the nurse include in the teaching? A. "Stay on a low-purine diet and lower your consumption of red meats and shellfish." B. "To avoid sensitivity, avoid applying cold or heat to your joints." C. "Weight has no effect on this disease, so there is no need to change your diet or exercise." D. "Call your doctor if you experience chest pain that gets worse when laying down."
D "Call your doctor if you experience chest pain that gets worse when laying down."
Which statement would suggest to the nurse that a patient may have ALS? A. "I have had a stomachache for the past month" B. "I am losing feeling in my hands and feet" C. "My vision is starting to become really blurry" D. "I am having difficulty holding things in my hands"
D "I am having difficulty holding things in my hands"
All of the following are true regarding normal age related changes in sexuality EXCEPT: A. Older women may experience dyspareunia (painful intercourse) B. Older men are slower to erect, mount, and ejaculate C. There is a decrease in sexual responsiveness D. Fewer older adults will acquire AIDS/HIV
D Fewer older adults will acquire AIDS/HIV
Which patient is NOT at risk for a retinal detachment? A. Patient who recently had cataract surgery B. Patient who has extreme nearsightedness C. Patient who is over 50 years old with a family history D. Patient who is a long time smoker
D Patient who is a long time smoker Smoking is a risk factor for macular degeneration not retinal detachment
A nurse is teaching a patient about the risk factors of cataracts. Which is not a risk factor for cataracts? A. Increasing age B. Exposure to large amounts of UVB rays C. Diabetes D. Race
D Race
If an older patient is taking aspirin as a blood thinner, what would you warn them about that could occur with their ears? A. Inflammation B. Build up of wax C. Bleeding in the ears D. Tinnitus
D Tinnitus
A nurse is teaching a a class about management and treatment of diabetic retinopathy. All of the following statements are correct EXCEPT: A. Laser photocoagulation is used to destroy leaking blood vessels B. Medications called vascular endothelial growth factor inhibitors (anti-VEGF) are injected intravitreally C. Proper control of diabetes mellitus is critical D. Treatments are aimed at restoring lost vision
D Treatments are aimed at restoring lost vision
When assessing a patient with osteoarthritis, what symptom should the nurse look for with this diagnosis? A. Crepitus in one or more joints B. Decreased grip strength C. Bilateral joint swelling D. Increased joint movement
A Crepitus in one or more joints
The nurse working on a diabetic medical floor is teaching an orienting nurse about the difference between nonproliferative and proliferative diabetic retinopathy. Which statement made by the orienting nurse is correct? A. Proliferative DR can lead to retinal detachment and blindness B. Neovascularization occurs in nonproliferative DR C. Proliferative DR is characterized by retinal edema and hard exudates D. Nonproliferative DR is rare, but severe leading to blindness in 50% of patient if left untreated
A Proliferative DR can lead to retinal detachment and blindness
What diet would be best for a patient with pressure ulcers? A. Quinoa, eggs, spinach and dark chocolate B. Hamburger, fries, and strawberry milkshake C. Pizza, ice cream, and ranch. D. Tator-tots, pasta, and diet Pepsi
A Quinoa, eggs, spinach and dark chocolate
What are some ways a patient can prevent retinal detachment? (Select all that apply) A. Wear protective glasses or sport goggles B. Go in for routine eye exams C. Exercise regularly D. Eat a healthy diet with lots of green leafy vegetables
A & B Wear protective glasses or sport goggles Go in for routine eye exams
Which patients below are at risk for developing osteoarthritis? Select all that apply: A. A 65 year old male with a BMI of 35. B. A 59 year old female with a history of taking long term doses of corticosteroids. C. A 55 year old male with a history of repeated right knee injuries. D. A 60 year old female with high uric acid levels. E. A 45 year old female with a BMI of 21
A & C. The risk factors for developing OA include: older age, being overweight (BMI >25), repeated injuries to the weight bearing joints, genetics. Option B is at risk for osteoporosis, and option D is at risk for gout.
What are goals for a patient with Myasthenia Gravis? (Select all that apply) A. Return of normal muscle endurance B. Maintain a quality of life C. Have them run 2 miles a day D. Manage fatigue E. Mange TV time to 8 hours a day
A, B & D Return of normal muscle endurance Maintain a quality of life Manage fatigue
When assessing a patient's lab values, the nurse should see which lab values to be lowered? (Select all that apply) A. DJ-1 levels in CSP B. Uric acid levels C. A-synuclein levels in CSF D. Plasma IL-6 concentration
A, B, & C DJ-1 levels in CSP Uric acid levels A-synuclein levels in CSF
True of False: Macular Degeneration is an age-related disease that is painful.
False. It is an age-related disease but is painless
The following are risk factors for developing osteomyelitis (select all that apply) A. Immunocompromised B. Placement of prosthetic devices C. Limited physical activity D. Vascular insufficiencies
A, B, & D Immunocompromised Placement of prosthetic devices Vascular insufficiencies
Which of the following are risk factors for gout? Select all that apply: A. Obesity B. Alcohol Consumption C. Aging D. Chronic Kidney Failure E. Female Gender
A, B, & D Obesity Alcohol Consumption Chronic Kidney Failure
What are symptoms of Huntington's Disease? (select all that apply) A. They have a writhing, twisting movements of the face, limbs, and the body. B. Speech, chewing, and swallowing affected C. Malnutrition D. Insomnia
A, B, & D They have a writhing, twisting movements of the face, limbs, and the body. Speech, chewing, and swallowing affected Malnutrition
A nurse is explaining to a patient with PD and the patient's family the kind of nutritional habits that would be beneficial for the patient. What are some things the nurse should mention? (Select all that apply) A. Eat 6 small, frequent meals instead of 3 large meals per day B. Avoid vitamin B6 and B6 containing foods C. Constipation is a normal complication with PD and does not need to be addressed D. Serve food a cooler temperature than usual E. Choose mealtimes that best suit the patient's preferences of when to eat
A, B, & E Eat 6 small, frequent meals instead of 3 large meals per day Avoid vitamin B6 and B6 containing foods Choose mealtimes that best suit the patient's preferences of when to eat
What are the factors that attribute to the increase in HIV/AIDS in the older population? (Select all that apply) A. Men having sex with men increase the risk. B. A widowed man/woman may feel lonely. C. Women are not fearful of getting pregnant and may not feel the need to use protection. D. The older population may not be educated enough
A, B, C & D Men having sex with men increase the risk. A widowed man/woman may feel lonely. Women are not fearful of getting pregnant and may not feel the need to use protection. The older population may not be educated enough
What reason puts elderly patients at a higher risk for pressure ulcers? A. Fragile skin that damages easy B. Poor nutritional state C. Reduced sensation of pressure and pain D. Frequently more affected by immobile and edematous conditions
A, B, C, & D Fragile skin that damages easy Poor nutritional state Reduced sensation of pressure and pain Frequently more affected by immobile and edematous conditions
A 56 year old woman is going through menopause and ask her nurse what are some alternatives besides medications that she can use? Which of the following would be good suggestions? (select all that apply) A. Exercise B. Meditation C. Drinking a glass of wine every night D. Yoga or T'ai chi E. Acupuncture
A, B, D & E Exercise Meditation Yoga or T'ai chi Acupuncture
Risk factors for cancer of the endometrium include (select all that apply): A. Late onset of menstrual periods B. Being infertile C. Being a male over age 60 D. Use of estrogen without progesterone E. Obesity
A, B, D & E Late onset of menstrual periods Being infertile Use of estrogen without progesterone Obesity
A nurse is educating a patient diagnosed with MS on what things trigger exacerbations. What does she include in this teaching? A. Infection B. Acidic foods C. Immunizations D. Stress
A, C & D Infection Immunizations Stress
Myasthenic crisis is an acute exacerbation of muscle weakness triggered by: (select all that apply) A. infection B. weather changes C. emotional distress D. inadequate drugs E. Secondhand smoke
A, C & D infection emotional distress inadequate drugs
During a home health visit you are helping a patient with gout identify foods in their pantry they should avoid eating. Select all the foods below the patient should avoid: A. Sardines B. Whole wheat bread C. Steak D. Crackers E. Craft beer F. Bananas
A, C, & E. A patient with gout should avoid foods high in PURINES. These include most red meats, shellfish, organ meats (liver, kidneys, sweetbreads), and alcohol (especially beer).
A nurse is giving teaching to a 65 year-old female patient who has osteoporosis and is going home from the hospital after a Colles' fracture. What items should be included in the teaching? A. Remove throw rugs to prevent more falls. B. Eat foods such as chicken, pork, or lamb, because they are high in calcium. C. Eat foods such as white or red beans and green leafy vegetables because they are high in calcium. D. If the nail beds on your affected hand are blue, don't worry. That's normal when you have a cast on. E. If the skin under the cast becomes itchy or uncomfortable, you can put a small piece of cotton gauze underneath the cast.
A, C. White or red beans, green leafy vegetables, and dairy products are high in calcium. Chicken, pork, and lamb are not good sources of calcium. Cyanotic fingernails are not expected when a patient has a cast on. And teach patients to never stick anything underneath their cast.
True or False: You will likely experience vertigo symptoms during the procedures and or treatments.
True
True/False: Is Staphylococcus aureus a common causative agent of osteomyelitis?
True
True or False? Retinal detachment is an emergency situation
True If a patient suspects they have a retinal detachment, seek help immediately
True or False Increasing sodium intake improves Meniere's Disease
False
