Class NCLEX questions

The healthcare provider is assessing a patient with a diagnosis of Parkinson disease (PD). Which of the following findings would the healthcare provider anticipate? Select all that apply. Bradykinesia Daytime sleepiness Kyphosis Depression Receptive aphasia Exophthalmos

Bradykinesia Daytime sleepiness Kyphosis Depression

patient is being treated for increased intracranial pressure. Which activities below should the patient avoid performing? A. Coughing B. Sneezing C. Talking D. Valsalva maneuver E. Vomiting

A. Coughing B. Sneezing D. Valsalva maneuver E. Vomiting

A nurse is teaching a female client who has a new diagnosis of SLE about factors that can trigger an exacerbation of SLE. The nurse should determine that the client needs more teaching when she identifies which of the following as a factor that can exacerbate SLE. A. Exercise B. Pregnancy C. Infection D. Sunlight

A. Exercise

The nurse is preparing the discharge of a client who has had a knee replacement with a metal joint. The nurse should instruct the client about which of the following? Select all that apply. A. Notify health care providers about the joint prior to invasive procedures. B. Avoid use of Magnetic Resonance Imaging (MRI) scans. C. Notify airport security that the joint may set off alarms on metal detectors. D. Refrain from carrying items weighing more than 5 lb. E. Limit fluid intake to 1,000 mL/ day.

A. Notify health care providers about the joint prior to invasive procedures. B. Avoid use of Magnetic Resonance Imaging (MRI) scans. C. Notify airport security that the joint may set off alarms on metal detectors.

The nurse is discharging a client with osteoarthritis. Which of the following would the nurse include in the teaching plan? (select all that apply) A.Obesity increases the risks of bone, muscle, and joint disorders. B.Musculoskeletal health is influenced by the diet. C.Exercise is important in the prevention of osteoarthritis. D.Smoking and alcohol contribute to the development of osteoarthritis. E.As the condition progresses the hands may develop contractures that resemble swan necks

A. Obesity increases the risks of bone, muscle, and joint disorders. B. Musculoskeletal health is influenced by the diet. C. Exercise is important in the prevention of osteoarthritis.

10 The nurse is caring for a client diagnosed with systemic lupus erythematosus (SLE) 1 year ago who is hospitalized due to an exacerbation. The nurse is reviewing the client's lab work and finds the white blood cell count (WBC) is shifted to the left. Based on this information, which is a priority nursing diagnosis for this client? A. Risk for infection B. Ineffective Health Maintenance C. Ineffective Individual Coping D. Risk for Impaired Skin Integrity

A. Risk for infection

A patient with Parkinson Disease is experiencing weight loss due to difficulty chewing and swallowing. Which meal option below is the best for this patient? A. Scrambled eggs with a side of cottage cheese B. Grilled cheese with apple slices C. Baked chicken with bacon slices D. Tacos with refried beans

A. Scrambled eggs with a side of cottage cheese

When caring for a patient who has had a head injury, which assessment information requires the most rapid action by the nurse? A. The patient is more difficult to arouse B. The patient's pulse is slightly irregular C. The patient's blood pressure increases from 120/54 to 136/62 mm Hg D. The patient complains of a headache at pain level 5 of a 10-point scale

A. The patient is more difficult to arouse

hen admitting a patient who has a tumor of the right frontal lobe, the nurse would expect to find: A. judgment changes B. expressive aphasia C. right-sided weakness D. difficulty swallowing

A. judgment changes

Which nursing diagnosis is likely to be a priority in the care of a patient with myasthenia gravis (MG)? Acute confusion Bowel incontinence Activity intolerance Disturbed sleep pattern

Activity intolerance

The client with ALS is admitted to the medical unit with SOB, dyspnea, and respiratory complications. Which intervention should the nurse implement first? Elevate HOB 30 degrees. Administer oxygen via nasal cannula. Assess lung sounds. Obtain a pulse ox reading.

Administer oxygen via nasal cannula.

You're educating a patient about treatment options for Guillain-Barré Syndrome. Which statement by the patient requires you to re-educate the patient about treatment? A. "Treatments available for this syndrome do not cure the condition but helps speed up recovery time." B. "Plasmapheresis or immunoglobin therapies are treatment options available for this syndrome but are most effective when given within 4 weeks of the onset of symptoms." C. "When I start plasmapheresis treatment a machine will filter my blood to remove the antibodies from my plasma that are attacking the myelin sheath." D. "Immunoglobulin therapy is where IV immunoglobulin from a donor is given to a patient to stop the antibodies that are damaging the nerves.

B. "Plasmapheresis or immunoglobin therapies are treatment options available for this syndrome but are most effective when given within 4 weeks of the onset of symptoms."

hat assessment finding requires immediate intervention if found while a patient is receiving Mannitol? A. An ICP of 10 mmHg B. Crackles throughout lung fields C. BP 110/72 D. Patient complains of dry mouth and thirst

B. Crackles throughout lung fields

Following a total hip replacement, the nurse should do which of the following? Select all that apply. A. With the aid of a coworker, turn the client from the supine to the prone position every 2 hours. B. Encourage the client to use the overhead trapeze to assist with position changes. C. For meals, elevate the head of the bed to 90 degrees. D. Use a fracture bedpan when needed by the client. E. When the client is in bed, prevent thromboembolism by encouraging the client to do toe-pointing exercises.

B. Encourage the client to use the overhead trapeze to assist with position changes D. Use a fracture bedpan when needed by the client. E. When the client is in bed, prevent thromboembolism by encouraging the client to do toe-pointing exercises.

A nurse is caring for a client who is experiencing an acute exacerbation of rheumatoid arthritis. The nurse should anticipate that the client's affected joints will require the following treatments? A. An assistive device to use when the client is ambulating B. Heat paraffin therapy applied to the client's joints C. Gentle massage of the client's hands D. Active range of motion exercises on clients affected joints

B. Heat paraffin therapy applied to the client's joints

Which statement by a patient who is being discharged from the emergency department (ED) after a head injury indicates a need for intervention by the nurse? A. I will return if I feel dizzy or nauseated B. I am going to drive home and go to bed C. I do not even remember being in an accident D. I can take acetaminophen (Tylenol) for my headache

B. I am going to drive home and go to bed

You're developing a plan of care for a patient with multiple sclerosis who presents with Uhthoff's Sign. What interventions will you include in the patient's plan of care? Select all that apply: A. Avoid movements of the head and neck downward B. Keep room temperature cool C. Encourage patient to use warm packs and heating pads for symptoms D. Educate the patient on three ways to avoid overheating during exercise

B. Keep room temperature cool D. Educate the patient on three ways to avoid overheating during exercise

A patient has been diagnosed with increased joint inflammation that spreads across cartilage into the joint cavity. Which stage of rheumatoid arthritis does the nurse determine the patient has? A. Stage I B. Stage II C. Stage III D. Stage IV

B. Stage II

The client asks the nurse, "Why can't the physician tell me exactly how much of my leg he's going to take off? Don't you think I should know that?" On which of the following should the nurse base the response? A. The need to remove as much of the leg as possible. B. The adequacy of the blood supply to the tissues. C. The ease with which a prosthesis can be fitted. D. The client's ability to walk with a prosthesis.

B. The adequacy of the blood supply to the tissues.

The client asks the nurse, "Why can't the physician tell me exactly how much of my leg he's going to take off? Don't you think I should know that?" On which of the following should the nurse base the response? A. The need to remove as much of the leg as possible. B. The adequacy of the blood supply to the tissues. C. The ease with which a prosthesis can be fitted. D. The client's ability to walk with a prosthesis.

B. The adequacy of the blood supply to the tissues.

The nurse is creating a plan of care for a patient with osteoarthritis. What would the nurse plan as an appropriate short-term goal for this patient? A. The patient will limit physical activity. B. The patient will participate in physical therapy activities. C. The patient will eliminate the use of narcotic analgesics if diarrhea develops. D. The patient will limit pain medications to nonnarcotic drugs to prevent addiction.

B. The patient will participate in physical therapy activities.

Which patient below is at MOST at risk for increased cranial pressure? A. patient who is experiencing severe hypotension B. patient who is admitted with a traumatic brain injury C. patient who recently experienced a myocardial infarction D. patient post-op from eye surgery

B. patient who is admitted with a traumatic brain injury

Question 8The nurse notes watery sanguineous drainage from the nares of a patient who is being evaluated after falling from a roof. What is the best method for the nurse to validate suspicion of CSF? A.Gram stain B.The halo test C.Use a Dextrostix D.Slide smear for presence of leukocytes

B.The halo test

A patient with Parkinson's Disease has slow movements that affects their swallowing, facial expressions, and ability to coordinate movements. As the nurse you will document that the patient has: A. Akinesia B. "Freeze up" tremors C. Bradykinesia D. Pill-rolling

Bradykinesia

A nurse in a provider's office is providing teaching to a client who has a recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching? A. "This medication will take 4 weeks for me to notice relief in my joints" B. "I can take an antacid with this medication for indigestion" C. "I can take this medication with aspirin" D. The naproxen goes down easier when I crush it and put it in applesauce"

C "I can take this medication with aspirin"

A client who had a total hip replacement 4 days ago is worried about dislocation of the prosthesis. The nurse should respond by saying which of the following? A. "Don't worry, your new hip is very strong." B. "Use of a cushioned toilet seat helps to prevent dislocation." C. "Activities that tend to cause adduction of the hip to tend to cause dislocation, so try to avoid them." D. "Decreasing use of the abductor pillow will strengthen the muscles to prevent dislocation.

C. "Activities that tend to cause adduction of the hip tend to cause dislocation, so try to avoid them."

2 Which patient should the nurse expect to be at the highest risk for systemic lupus erythematosus (SLE)? A. A 24-year-old white female B. A 55-year-old Hispanic male C. A 28-year-old Asian American female D. A 30-year-old African American male

C. A 28-year-old Asian American female

The nurse is planning care for a group of clients who have had total hip replacement. Of the clients listed below, which is at highest risk for infection and should be assessed first? A. A 55-year-old client who is 6 feet tall and weighs 180 lb. B. A 90-year-old who lives alone. C. A 74-year-old who has periodontal disease with periodontitis. D. A 75-year-old who has asthma and uses an inhale

C. A 74-year-old who has periodontal disease with periodontitis.

Which meal option would be the most appropriate for a patient with myasthenia gravis? A. Roasted potatoes and cubed steak B. Hamburger with baked fries C. Clam chowder with mashed potatoes D. Fresh veggie tray with sliced cheese cubes

C. Clam chowder with mashed potatoes

patient has a ventriculostomy. Which finding would you immediately report to the doctor? A. Temperature 98.4 'F B. CPP 70 mmHg C. ICP 24 mmHg D. PaCO2 35

C. ICP 24 mmHg

After surgery and insertion of a total joint prosthesis, a client develops severe sudden pain and an inability to move the extremity. The nurse correctly interprets these findings as indicating which of the following? A. developing infection. B. Bleeding in the operative site. C. Joint dislocation. D. Glue seepage into soft tissue.

C. Joint dislocation

The nurse has established a goal with a client to improve mobility following hip replacement. Which of the following is a realistic outcome at the time of discharge from the surgical unit? A. The client can walk throughout the entire hospital with a walker. B. The client can walk the length of a hospital hallway with minimal pain. C. The client has increased independence in transfers from bed to chair. D. The client can raise the affected leg 6 inches with assistance

C. The client has increased independence in transfers from bed to chair.

A patient is prescribed to take Carbidopa/Levodopa (Sinemet). As the nurse you know that which statement is incorrect about this medication: A. It can take up to 3 weeks for the patient to notice a decrease in signs and symptoms when beginning treatment with this medication. B. Body fluids can turn a dark color and stain clothes. C. This medication is most commonly prescribed with a vitamin B6 supplement. D. Carbidopa helps to prevent Levodopa from being broken down in the blood before it enters the brain. Hence, levodopa is able to enter the brain.

C. This medication is most commonly prescribed with a vitamin B6 supplement.

Prior to surgery, the nurse is instructing a client who will have a total hip replacement tomorrow. Which of the following information is most important to include in the teaching plan at this time? A. Teaching how to prevent hip flexion. B. Demonstrating coughing and deep-breathing techniques. C. Showing the client what an actual hip prosthesis looks like. D. Assessing the client's fears about the procedure

D. Assessing the client's fears about the procedure.

Prior to surgery, the nurse is instructing a client who will have a total hip replacement tomorrow. Which of the following information is most important to include in the teaching plan at this time? A. Teaching how to prevent hip flexion. B. Demonstrating coughing and deep-breathing techniques. C. Showing the client what an actual hip prosthesis looks like. D. Assessing the client's fears about the procedure

D. Assessing the client's fears about the procedure.

A 58-year-old patient has been diagnosed with osteoarthritis (OA) of the hands and feet. The patient tells the nurse, "I am afraid that I will be hopelessly crippled in just a few years!" The best response by the nurse is that: A. Progression of OA can be prevented with a regimen of exercise, diet, and drugs. B. OA is an inflammatory process with periods of exacerbation and remission. C. Bone degeneration in OA occurs after age 60 and results in deformity. D. OA is common with aging, but is usually localized to joints that have been in high use.

D. OA is common with aging, but is usually localized to joints that have been in high use.

Successful achievement of patient outcomes for the patient with cranial surgery would be best indicated by the: A. ability to return home in 6 days B. ability to meet all self-care needs C. acceptance of residual neurologic deficits D. absence of signs and symptoms of increased ICP

D. absence of signs and symptoms of increased ICP

The nurse is teaching a client who has osteoarthritis ways to slow progression of the disease. Which statement indicates that the client understands the nurse's instruction? A."I will eat more vegetables and less meat." B."I will avoid exercising to minimize wear on my joints." C."I will take calcium with vitamin D every day." D."I will start swimming twice a week."

D."I will start swimming twice a week."

When assessing a patient diagnosed with multiple sclerosis (MS), which of the following would require immediate action by the healthcare provider? Fatigue and depression Paresthesia and tremor Nystagmus and diplopia Dysphagia and congested cough

Dysphagia and congested cough

Your patient with Guillain Barré is back from having a lumbar puncture. Select all the correct nursing interventions for this patient? Place the patient in lateral recumbent position. Keep the patient flat. Remind the patient to refrain from eating or drinking for 4 hours. Encourage the patient to consume liquids regularly.

Keep the patient flat. Encourage the patient to consume liquids regularly.

The nurse performs a pull test on a patient with suspected Parkinson's disease. The nurse stands behind the patient and gives a tug backward on the shoulder. What would be the patient's reaction if he has Parkinson's disease? Lose balance and sit down Lose balance and fall forward Lose balance and fall backward Lose balance and become unconscious

Lose balance and fall backward

The nurse develops a teaching plan for a client newly diagnosed with Parkinson's Disease. Which of the following topics that the nurse plans to discuss is the most important? Maintaining a balanced nutritional diet Enhancing the immune system Maintaining a safe environment Engaging in diversional activity

Maintaining a safe environment

The healthcare provider is teaching a patient with a new diagnosis of Parkinson disease (PD) about lifestyle changes to make the disease more manageable. Which of the following will the healthcare provider include in the teaching? Select all that apply Maintain a low calorie, low fat diet Wear shoes with rubber soles Perform ROM exercises daily Choose clothing that does not require buttons Eat small frequent meals

Perform ROM exercises daily Choose clothing that does not require buttons Eat small frequent meals

A Patient with Multiple Sclerosis has an exacerbation of sensory Deficits. Which nursing diagnostic statement should be assigned highest priority?

RISK FOR INJURY

A nurse is developing a plan of care for the nutritional needs of a client who has stage IV Parkinson's disease. Which actions should the nurse include in the plan of care? (select all that apply) Provide three large balanced meals daily. Record diet and fluid intake daily. Document weight every other week. Place the client in Fowler's position to eat. Offer nutritional supplements between meals.

Record diet and fluid intake daily. Offer nutritional supplements between meals.

A patient has been diagnosed with amyotrophic lateral sclerosis (ALS). What nursing intervention is most important to help prevent a common cause of death for patients with ALS? Reduce fat intake Reduce the risk of aspiration Decrease injury related to falls Decrease pain secondary to muscle weakness

Reduce the risk of aspiration

What is the major complication associated with myasthenic crisis? Speech alteration Difficulty chewing Impaired facial mobility Respiratory insufficiency

Respiratory insufficiency

A patient is diagnosed with multiple sclerosis (MS) and is prescribed interferon. What should the nurse include in medication teaching?

The medication often causes patients to experience flu-like symptoms.

At what time of day should the nurse encourage a client with Parkinson's disease to schedule the most demanding physical activities to minimize the effects of hypokinesia? Early in the morning, when the client's energy level is high To coincide with the peak action of drug therapy Immediately after a rest period When family members will be available

To coincide with the peak action of drug therapy

Which goal is the most realistic for a client diagnosed with Parkinson's disease? To cure the disease To stop progression of the disease To begin preparations for terminal care To maintain optimal body function

To maintain optimal body function