NCLEX questions for Geri final

Which of these medications is the first line of treatment for Parkinson's disease? a. Rotigotine (Neupro) b. Carbadopa/ Levadopa (Sinemet) c. Pramipexole (Mirapex) d. Ropinirole (Requip)

B

Which test can help diagnose glaucoma? A. CBC lab B. Ophthalmoscopy C. Refraction test D. Perimetry

B

Which of the following are risks associated with macular degeneration? (Select all that apply) A. African American and Hispanic background B. Cigarette smoking C. Exposure to UV light D. Age over 65 years old E. Myopia/nearsightedness

B, C, D

Which of the following are realistic goals the nurse could set for the patient with MS?(Select all that apply) A. Establish completely independent B. Manage fatigue C. Maximize neuromuscular function D. Adjust to illness E. Reduce factors that precipitate exacerbations

B, C, D, E

A 74 y/o female patient is in a rehabilitative facility after right knee replacement. Which of the following are proper nursing interventions when caring for this client? (Select all that apply.) A. Demonstrate hope, optimism, and a sense of humor B. It is individual C. Tell the patient to take ginseng and/or ginkgo biloba D. Proper fitting of assistive device E. Assess pt's self-care capacity, mental status, level of motivations and family support

A, B, D, E

What are the signs and symptoms of a client presenting with Myasthenia gravis? A. Respiratory failure B. Diplopia C. Increased salivation D. Ptosis (drooping of upper eyelids) E. Restlessness F. Slurred speech G. Difficulty swallowing

A, B, D, F, G

You're explaining to a group of outpatients about the signs and symptoms that may present with osteoarthritis. Select all the signs and symptoms that may present with this condition: A. Heberden's Node B. Usually have more pain at the end of the day after moving around C. Soft, tender, warm joints D. Fever E. Anemia F. Hard and bony joints G. Crepitus H. Bouchard's Node

A, B, F, G, H

What would you teach your chronic glaucoma pt.? A. Turning head side to side to fully see side objects B. When using screens keep a meter away from face C. Keep environment clutter free D. Use brightly colored decorative rugs

A, C

Which of the following is NOT a myth regarding sexual activity in the elderly population? A. Sex is bad for a heart condition B. Elderly often have a renewed interest in sex as they age C. Penile penetration can be harmful to a women after a hysterectomy D. Erections are not possible after prostatectomy

B

You are a newly hired RN in a nursing home and one of the first things you notice is that the type of care is much different from that of a hospital. What are the main differences found in long-term care facilities? (select all that apply) A. Length of time B. Number of patients C. Facilities D. Mortality Rate E. Relationships made with patients

A, B, C

A patient was recently diagnosed with Huntington's Disease, she is asking her nurse about the sign and symptoms of this disease. How would you respond if you were her nurse? (SELECT ALL THAT APPLY) A. Impaired ability to eat B. Social Withdrawal C. Abnormal and excessive involuntary movements (chorea) D. Loss of bowel function E. Impaired ability to talk

A, B, C, E

A 65 year old male is newly admitted into a long term facility. What are some of the initial assessments that will be performed? (select all that apply) A. Nutritional Assessment B. Physical Exam C. Favorite Ice Cream D. Skin Assessment

A, B, D

Which of these manifestations, would a nurse identify in a client with ALS? (Select all that apply) A. Dysphagia B. Spasticity C. Paranoia D. Drooling

A, B, D

A 75-year old caucasian women is newly diagnosed with macular degeneration. Which of the following responses by the nurse best describes treatment for this disease process? A. "Although therapy does not recover lost vision, you can make lifestyle modifications to preserve your current vision." B. "Eating kale, fish, and taking supplements will improve your vision and cure the symptoms." C. "Laser therapy is the only treatment for macular degeneration." D. "Your disease will quickly progress and cause blindness."

A

A patient with an open fracture of the left tibia and soft tissue damage underwent a surgical reduction and fixation of the tibia with debridement of nonviable tissue and drain placement. When assessing the patient during the postoperative period, the nurse will be most concerned about that would point to osteomyelitis? a. fever with chills and night sweats. b. light yellow drainage from the wound. c. shortness of breath with movement. d. muscle spasms around the affected bone.

A

All of the following are causes of spinal stenosis except for which of the following? A. Diabetes B. Paget's disease C. Rheumatoid arthritis D. Scoliosis E. Osteoarthritis

A

What is NOT a normal part of aging? a. Dementia b. Loss of skin elasticity c. Grey and thinning hair d. Decreased height

A

What is the only surgery offered for acute? A. Iridectomy B. Argon laser trabeculoplasty C. Trabeculectomy D. Ciliary body ablation

A

Which of the following is the proper way to step off a curb A. Place both feet near the edge before stepping down B. Stretching to reach the curb to step down C. Leaping off like superman D. Balancing on your toes to achieve the best stability

A

While caring for a client who has chronic osteomyelitis and wound drainage, which intervention is most important for the nurse to implement? a. Cover the wound with a dressing. b. Teach about the cause of the infection. c. Monitor the erythrocyte sedimentation rate (ESR). d. Prepare the client for hyperbaric oxygenation.

A

You are assigned four patients on your nursing unit. Which patient is at most risk for pressure ulcers? A. A 72 year old female weighing 84 pounds with stress incontinence and dementia B. A 90 year old male with congestive heart failure who has 3+ pitting edema in lower extremities C. A 6 month old with the flu D. An ambulatory 88 year old with dementia who is admitted with shingles

A

Factors that contribute to conductive hearing loss includes (select all that apply) A. Obstruction B. Tympanic membrane perforation C. Ear infection D. Diet

A, B, C

Factors that contribute to sensorineural hearing loss include (select all that apply) A. Ototoxic medications B. Exposure to loud noises C. Aging D. Exercise

A, B, C

Risk factors for sensorineural hearing loss include (select all that apply): a. Aspirin b. Hypothyroidism c. Diabetes d. Listening to quiet music e. Proper diet

A, B, C

Signs and symptoms of acute glaucoma (Select all that apply) A. NV B. Redness C. Blurry vision D. Yellowing of sclera

A, B, C

The nurse should advise an older patient to avoid the following medications, which affect potency, libido, ejaculation? (Select all that apply) A. Citalopram B. Lasix C. Lorazepam D. Warfarin E. Metformin

A, B, C

What are signs of Delirium? (Select all that apply) a. Hypervigilance b. Poor judgement c. Worsened memory d. Sleeping through the night

A, B, C

A patient newly diagnosed with Parkinson's disease has just been prescribed Levodopa. What should you educate your patient on with this medication? Select all that apply. a. This drug may not take effect for weeks to months. b. This drug is designed to cure your disease. c. This drug may interact with vitamins or herbal supplements, so ask your doctor before beginning anything new. d. This drug is designed to increase dopamine levels which can help to minimize your symptoms.

A, C, D

A patient that has been living with Parkinson's disease is being moved from his home to a long term care facility by his daughter who states that she can "no longer take care of him". What can you as a nurse do to promote his comfort? (Select all that apply) a. Realize that he may be experiencing depression and be an emotional support for both him and his family. b. Tell him that you are surprised his daughter didn't bring him in sooner. c. Find out what his favorite foods are and make accommodations as much as possible d. Assess his level of need/ assistance and encourage independent self-care activities.

A, C, D

For patients that are hearing impaired (select all that apply) A. Speak slowly and clearly B. Speak loudly with high pitch C. Face them when speaking D. Minimize background noises

A, C, D

What are the most common sites for fractures in older adults? (Select all that apply) A. Neck of the femur B. Left hand C. Distal radius D. Vertebrae

A, C, D

Which of the following medications would you expect to possibly administer help a patient manage their chronic glaucoma? A. Carbonic anhydrase inhibitor B. Steroids C. Beta-blockers D. Prostaglandin analogues

A, C, D

Which of the following would be appropriate methods of exercise for a patient with ALS? (Select all that apply) A. Swimming B. Weight lifting C. Light resistance training D. Cycling

A, C, D

Multiple Sclerosis is Characterized by (select all that apply): A. Chronic Inflammation B. Severe Headaches C. Paralysis D. Demyelination E. Gliosis

A, D, E

The nurse is preparing to give teaching to a group of elderly patients about the difference between rehabilitative and restorative care. Which of the following are examples of restorative care? (Select all that apply). A. Amputations B. Fracture C. Stroke D. Damaged lungs E. Partial blindness

A, D, E

Which of these symptoms are characteristic of Parkinson's disease? (select all that apply) a. Bradykinesia b. Hypertension c. Polydipsia d. Weakness e. Drooling

A, D, E

In facilitating connections for older adults to establish sexual relationships, nurses can... (select all that apply) A. Respect patients' interest and efforts to be sexually active B. Scold patient for having unprotected sex C. Telling patient that sexual relations are against biblical practice D. Require a patient's husband with dementia to live on a separate wing E. Provide information on sources of social activities

A, E

Which of the following nursing considerations is correct? A. Provide extra lighting to exercise eye so it will receive light properly B. Provide frequent checks, communication, and call-lights in patient's hand C. Educate the patient about the severe pain involved with retinal detachment D. Tell them it's not a big deal and they shouldn't worry about it

B

A nurse is assessing an older patient who recently fractured their wrist the nurse knows that patients with a fracture are at an increased risk for... A. Quicker healing process B. Thrombus formation C. Developing leukemia D. Future fractures

B

A nurse is caring for an elderly patient who was diagnosed with Huntington's Disease recently. The patient has three children and is worried about them also having the disease. What is a correct response? A. "Huntington's Disease is an autosomal recessive disorder. There is a slight chance your children will have the disease." B. "With Huntington's Disease, there is a 50% chance that your offspring will be diagnosed with the disorder." C. "The link between Huntington's Disease and genetics is unknown. Talk to your doctor about this question." D. "Unfortunately, all of your offspring will have Huntington's Disease."

B

During a full body admission assessment, you note the patient has a stage 3 pressure ulcer. How would you document the appearance of the wound? A. Area is red and does not blanch B. Full-thickness skin loss to dermis and subcutaneous tissues C. Partial thickness of dermis with shallow open ulcer D. Full-thickness with bone and tendon visible E. OSTEOMYELITIS

B

Four patients in the doctor's office, who is at a higher risk for chronic open angle glaucoma A. Mindy a 21 year old Latino who experiences chronic migraines and mother is an alcoholic B. Fred a 50 year old african American with Diabetes and Hypertension, who smoke a pack a day C. Mary a 40 year old caucasian women with GERD and likes to go biking twice a week D. Tyler a 30 year old Native American who came has Rheumatoid arthritis and family history of cancer-

B

Presbycusis is a. Decrease in hearing related to exposure to loud noise b. Age related hearing loss c. Another term for earwax impaction d. A tumor that causes hearing loss

B

Which of the following describes a Rhegmatogenous retinal detachment? A. Caused by retinal disease or injury/trauma, no breaks or tears B. Thin layer of tissue (the retina) at the back of the eye pulls away from its normal position. (From tear or break) C. Scar tissue on retina's surface contracts. Seperating from the retinal pigment epithelium D. Damage and breakdown of the macula

B

You're providing care to a patient with severe rheumatoid arthritis. While performing the head-to-toe nursing assessment, you note the patient's overall skin color to be pale and the patient looks exhausted. You ask the patient how she is feeling, and she says "I'm so tired. I can't even get out of this bed without getting short of breath." Which finding on the patient's morning lab work may confirm a complication that can be experienced with rheumatoid arthritis?* A. Potassium 3.2 mEq/L B. Hemoglobin 7 g/dL C. Sodium 135 mEq/L D. WBC count 6,500

B

During a routine health check-up visit a patient states, "I've been experiencing severe pain and stiffness in my joints lately." As the nurse, you will ask the patient what questions to assess for other possible signs and symptoms of rheumatoid arthritis? Select-all-that-apply:* A. "Does the pain and stiffness tend to be the worst before bedtime?" B. "Are you experiencing fatigue and fever as well?" C. "Is your pain and stiffness symmetrical on the body?" D. "Is your pain and stiffness aggravated by extreme temperature changes?"

B, C

An appropriate discussion about sexuality with a geriatric patient would include... (Select all that apply) A. Advising client to refrain from sexual activity in the nursing home setting B. Sexual history C. Health history D. Positions that would increase satisfaction

B, C, D

Select all that apply: To ensure the safety of a pt. With dementia, a nurse should... a. Restrain the pt. When pt. Attempts to wander b. Have room close to nurses station c. Have consistent caregivers d. Have cleaning supplies left on counters e. Provide photos to help trigger memory

B, C, D

Which of the following are Aging Effects of Retinal detachment? (Select all that apply) A. Excruciating pain B. Eye floaters C. Flashes of light D. Sensitivity to light

B, C, D

A 58 year old female is experiencing a flare-up with rheumatoid arthritis. While assisting the patient with her morning routine, the patient verbalizes a pain rating of 7 on 1-10 scale in the right and left wrist along with severe stiffness. You note the wrist joints to be red, warm, and swollen. What non pharmacological nursing interventions can you provide to this patient to help alleviate pain and stiffness? Select-all-that-apply:* A. Exercise the affected joints B. Assist the patient with a warm shower or bath C. Perform deep massage therapy to the wrist joints D. Assist the patient with applying wrist splints`

B, D

You are a nurse that is providing care to a client who is battling Huntington's Disease. What nursing interventions can be implement for the patient? (SELECT ALL THAT APPLY) A. Administer medications for the patient achieve remission from the disease. B. Provide comfort and safety measures for the patient. C. Encourage the client to be on a low-calorie diet. D. Administer neuroleptics such as Haloperidol and Risperidone to help with the movement disorder. E. Monitor the patient for depression and social isolation.

B, D, E

A patient has recently undergone genetic screening and has found that he tests positive for the LRKK2 gene. He is wondering what measures he can take to prevent Parkinson's disease as much as possible. What do you tell him? a. Just wait it out. What's meant to happen is what's going to happen. b. You should talk to your physician about this. c. Proper diet, exercise, management of stress, and avoidance of toxins aids in prevention of Parkinson's disease.

C

A patient is being discharged after 2 weeks of IV antibiotic therapy for acute osteomyelitis in the left leg. Which information will be included in the discharge teaching? a. The reason for taking oral antibiotics for 7 to 10 days after discharge b. The need for daily aerobic exercise to help maintain muscle strength c. How to monitor and care for the long-term IV catheter site d. How to apply warm packs safely to the leg to reduce pain

C

All of the following statements are true regarding hearing loss EXCEPT: a. Weber and Rinne tests can help screen clients in regards to hearing conduction b. The elderly excrete drugs much more slowly causing ototoxicity c. Women are at much higher risk of hearing loss d. The tympanic membrane slowly wears down with age

C

As a home care nurse, you are providing care to a 63 year old male who suffered a severe stroke. His upper and lower extremities are paralyzed. He has a feeding tube for feeding. The patient's son provides his care to the patient. You notice that the patients has a stage 1 pressure ulcer on the sacral area. What would you not include in your teaching to the son of the patient? A. Exercise the extremities actively/passively B. Turn and reposition the patient every 2 hours C. Keep the skin moist and layer the sacra area with extra sheet layers D. Use pillows to elevate bony prominences

C

How is Lhermitte's Sign Described? A. A tingling of the hands and feet without warning B. Paralysis of the lower extremities after physical exertion C. An electric shock down the spine and into the limbs upon flexion of the neck D. It is made up and not a real manifestation of MS

C

Macular degeneration is characterized by all of the following EXCEPT: A. Blind spots in the visual field (scotomas) B. Yellow flakes under the retina (drusen) C. Blurry peripheral vision D. Blurred dark spots toward the center of images

C

The client diagnosed with osteoarthritis states, "My friend takes steroid pills for her rheumatoid arthritis. Why don't I take steroids for my osteoarthritis?" Which of the following is the best explanation? A. Oral corticosteroids can be used in osteoarthritis. B. A systemic effect is needed in osteoarthritis. C. Intra-articular corticosteroid injections are used for treatment. D. Rheumatoid arthritis and osteoarthritis are two similar diseases.

C

The screening for Delirium is called... a. Delirium Assessment b. Impaired Cognition Assessment c. Confusion Assessment Method d. Disorganised Thought Assessment Method

C

What is the most common form of dementia? a. Vascular dementia b. Frontotemporal dementia c. Alzheimer's d. Parkinson's disease

C

What is the number one complication/risk to avoid in elderly clients? A. Fractures B. Emergency care C. Infection D. Pressure ulcers

C

When educating a client on the pathophysiology of MG, you explain how the thymus gland is often involved to which the client asks where their thymus gland is located; what is your response? A. Behind the thyroid gland B. Within the adrenal glands C. Behind the sternum in between the lungs D. Anterior to the hypothalamus

C

Which theory proves that elderly people typically keep the same hobbies, relationships, and interests as they age through life? A. Disengagement theory B. Age stratification theory C. Continuity theory D. Free radical theory

C

While caring for your 90 year old patient in a long-term facility, you notice that their mood is down and they are spending more time in their bedroom. You have been caring for this patient for several years and they normally love to socialize and be around people. What is your biggest concern that might be happening to your patient? A. Malnutrition B. Poor social skills C. Depression D. They are dying

C

A 68 year old man reports for his annual check up at his primary care physician. He complains of a new slight tremor in his hands and slight difficulty swallowing tough foods. What can you as a nurse tell him? a. This is not normal! I'll tell the doctor right away! b. Slight tremors are nothing to worry about, it's just part of aging. For swallowing, you can try cutting bites smaller. c. I will report this to the doctor, it sounds like you may have early symptoms of Parkinson's disease. d. These symptoms are not normal, it's good that you came in. When did you notice these things starting? Does anything make them better or worse?

D

The absence of typical signs of a fracture does not guarantee that a bone is not broken, therefore close observation is essential whenever a patient is subjected to which of the following A. A MVA B. A fall C. Abuse D. Trauma

D

When counseling an older adult patient about ways to prevent fractures, which information will the nurse include? A. Removing scatter rugs in the home is not necessary. B. Occasional weight-bearing exercise will improve muscle and bone strength. C. Most falls happen outside the home. D. Buying shoes that provide good support and are comfortable to wear is recommended.

D

Which of the following is NOT a factor that affects having sex later in life? A. Decrease in lubrication B. Chronic Disease C. Loss of partner D. Lack of interest E. Arthritic joints

D

Which of the following statements indicates that the client with osteoarthritis understands the effects of capsaicin (Zostrix) cream? A. "After I apply the cream, I wrap my knee with an elastic bandage." B. "I keep the cream in the cabinet above the stove in the kitchen." C. "I also use the same cream when I get a cut or a burn." D. "I always wash my hands right after I apply the cream."

D

Which would be the best meal option for a patient with MG? A. Roasted potatoes and cubed chicken B. A burger and oven-baked fries C. Fresh veggie and fruit tray D. Vegetable soup and applesauce

D

True/False: ALS is a rare progressive neurologic disorder characterized by loss of motor neurons.

True

True or false: Delirium can be fatal

true