Geri NCLEX Questions from Presentations
A 62 year old male, came into the ER after falling off a ladder trying to clean his gutters. Which of the following are signs that he has fractured his left wrist? (SELECT ALL THAT APPLY) A) Pain at the affected limb. B) No restricted mobility and full range of motion. C) Edema at the affected limb. D) Discoloration at the affected limb. E) Protruding bone at the affected limb.
A C D E
The nurse is teaching a patient who has recently been diagnosed with Meniere's disease about complications that may appear. The nurse should be sure to include which in the teaching? (SELECT ALL THAT APPLY) A) Emotional stress B) Extreme periods of happiness C) Muffled hearing D) Permanent hearing loss E) Falls
A C D E
Which of the following indications increase a person's risk of having a retinal detachment? (SELECT ALL THAT APPLY) A) Patient cannot see any objects far away B) Patient has allergies to cats and dogs C) Patient is 65 years old D) Patient was stabbed in the eye on accident by a friend E) Patient's father had a retinal detachment 5 years ago
A C D E
The long-term care nurse is performing assessments on several of the residents. Which are normal age-related physiological change(s) the nurse expects to note? (SELECT ALL THAT APPLY) A) Increased heart rate B) Decline in visual acuity C) Decreased respiratory rate D) Decline in long-term memory E) Increased susceptibility to urinary tract infections F) Increased incidence of awakening after sleep onset
B E F
Which labs are important to watch when caring for a patient that has a pressure wound? (SELECT ALL THAT APPLY) A) CBC B) A1C C) Albumin D) Creatinine E) Calcium
A B C
Meniere's disease is known to affect which aspects of life? (SELECT ALL THAT APPLY) A) Relationships B) Social activities C) Physical health D) Sports
A B C D
The following prevent MG exacerbation: (SELECT ALL THAT APPLY) A) avoid emotional stress B) avoid exposure to extreme temperatures C) avoid illness D) avoid muscle relaxants
A B C D
What interventions should be implemented to combat ALS? (SELECT ALL THAT APPLY) A) Speech therapy to improve swallowing B) Physical activity to get swoll and mack on some fly honeys C) Therapy for possible depression r/t diagnosis D) Administer prescribed laxatives E) Let them drool nonstop to keep the oral mucosa moist
A B C D
A nurse is providing teaching to a group of assistive personnel about Alzheimer's disease. Which symptoms is she likely to include in the teaching? (SELECT ALL THAT APPLY) A) Behavior and personality changes B) Unstable gait C) Dysphagia D) Hallucinations and delusions E) Agitation
A B C E
RS is a 77 year old female who has recently been admitted to the hospital. When the nurse is assessing RS's hospitalization, which of the following should she note as potential risks? (SELECT ALL THAT APPLY) A) Constipation B) Falls C) Dehydration D) Increase in functional independence E) Delirium
A B C E
A 55 - yr old man presents to the emergency department after falling from roof and suffered an injury to L 2. Which clinical manifestation should the nurse expect the client to exhibit in the emergency room. (SELECT ALL THAT APPLY) A) Pain radiating from the back to buttock B) Numbness and weakness in legs C) Constant bone pain unrelieved with rest D) Bilateral pain that worsens with movement E) Joint stiffness that worsen in the morning and after inactivity
A B D
Which of the following are myths relating to sexuality in older adults? (SELECT ALL THAT APPLY) A) Older adults have decreased interest in sex B) It is dangerous for all older adults C) Older adult tend to follow the same sexual patterns as earlier in life D) Older adults do not need to practice safe sex measures E) Older adults are physically able to have sex
A B D
Which of the following are risk factors for pressure ulcers: (SELECT ALL THAT APPLY) A) A patient that has poor nutrition and a diet low in protein. B) A patient that is scheduled to have a lengthy surgical procedure. C) A patient that changes positions frequently and deals with insomnia. D) A patient that has a temperature of 101.2. E) A patient that is partially paralyzed.
A B D E
Which patient is at risk for developing osteoarthritis? (SELECT ALL THAT APPLY) A) A 65 year old male with a BMI of 36 B) A 25 year old female who goes walking everyday C) A 57 year old male with a history of repeated right knee injuries D) A 60 year old female who who has a BMI of 18
A C
Which potential factors increase the risk of an individual developing diabetic retinopathy? (SELECT ALL THAT APPLY) A) Old age B) Frequent exercise C) Prolonged uncontrolled glycemic levels D) Smoking E) Eating a lot of fruit and vegetables
A C D
You are caring for a patient that has a stage 1 pressure wound on their coccyx. The family wants to know what treatment you are going to use to help this wound heal. Which treatments are you going to use? (SELECT ALL THAT APPLY) A) Applying a dressing to the wound B) Sit the patient in a chair all day C) Provide a diet high in protein D) Putting pillows under the patient to keep them off of their wound E) Rubbing lotion on their skin to keep it moist
A C D
When teaching a daughter how to set up a safe home environment for her elderly mother with Alzheimer's disease, which statement made by the daughter indicates an understanding of the teaching? A) "Since, she likes to wander, I will install alarms on the door so I know if she leaves." B) "I will not put up any pictures from the past so I don't make her sad." C) "I will rearrange the furniture occasionally to keep her mind sharp." D) "Since she used to clean houses, I will leave the cleaning supplies out so she can clean when she wants to."
A
A 79 year old male walks into the clinic. He says that he has been having trouble getting and maintaining an erection. What are underlying causes of erectile dysfunction? (SELECT ALL THAT APPLY) A) Alcoholism B) Diabetes C) Low self-esteem D) Low energy levels
A B C
A patient in the nursing home at which you work has been prescribed a MAO inhibitor. Which of the following foods do you assume will be removed from the patient's dietary plan? (SELECT ALL THAT APPLY) A) Pepperoni/Salami B) Aged dairy, such as sour cream C) Over ripe fruit D) Ham
A B C
A family member of a patient with progressed Huntington's Disease tells the nursing staff that the patient has been losing a significant amount of weight over the past few months. The nurse should tell the family member: A) The caloric requirements are likely not being met. The nutritional plan should be reevaluated. B) There is nothing that can be done about the weight loss. This is a normal progression of the disease. C) The weight loss is only temporary, her weight should increase on its own as the disease goes into remission. D) Her weight loss should not be seen as a major concern.
A
A patient comes in for her scheduled appointment and is expecting answers for her chronic pain and blurry vision. She has been tested over the last few months for other chronic (and acute) illnesses and all have come up short. She has an MRI that shows 2 lesions, one on her leg and the other in her brain. Does the patient meet the requirements to be diagnosed with MS? A) Yes, she ran out of options, has two lesions, and has had many attacks to provoke diagnosis. B) No, I am tired and really don't care what you're talking about. Is it 20 minutes yet? C) Maybe, I choose this answer in the hopes of receiving candy. D) None of the above.
A
A patient who is newly diagnosed with MS is struggling to find ways to combat her illness. What suggestions might the nurse make initially to help the patient reduce symptoms that she is feeling? A) "Exercising plays a big role in managing your MS. It should help subside or lessen your pain as you continue to work out." B) "We have multiple medications that should help manage your MS. Would you like me to teach you about the risks and benefits of these medications?" C) "The best thing you can do in times like these is to keep your head up despite the circumstances." D) "Well since this disease is so hard to maintain, I would recommend some surgeries we provide to help you with your illness."
A
M.K. is a 89 yr. old patient that has come to your unit with a pressure ulcer. He asks what medications they might give him to help his pain associated with the pressure wound. Which medication would you tell M.K. is going to be used in his treatment? A) Ibuprofen B) Oxycodone C) Morphine D) Tylenol
A
The client is diagnosed with ALS. What is the priority nursing diagnosis? A) Ineffective breathing pattern B) F/E imbalance C) Chronic pain D) Sleep pattern disturbance
A
The client with RA has nontender movable nodules in subcutaneous tissue over the elbows and shoulders. Which statement is the best explanation for the nodules? A) The nodules indicate a rapidly progressive destruction of the affected tissue B) The nodules are small amounts of synovial fluid that have become crystallized C) The nodules are lymph nodes that have proliferated to try to fight the disease D) The nodules present a favorable prognosis and mean the client is better
A
The client with glaucoma asks the nurse if complete vision will return. The most appropriate response is: A) "Although some vision has been lost and cannot be restored, further loss may be prevented by adhering to the treatment plan." B) "Your vision will return as soon as you start the medication regimen." C) "Your vision doesn't matter that much, and you shouldn't worry about it." D) "It depends on the person, and since you are older, it probably will."
A
What neurotransmitter is associated with Parkinson's disease? A) Dopamine B) Norepinephrine C) Serotonin D) GABA
A
What are some common signs and symptoms of Parkinson's? (SELECT ALL THAT APPLY) A) Slow speech B) Shuffling gait C) Tremors D) Manic episodes
A B C
Which of the following may indicate that a patient has a retinal detachment? (SELECT ALL THAT APPLY) A) Patient complains of having a sharp pain in the eye B) Patient states that they have suddenly been seeing small spots C) Patient complains of nausea and vomiting D) Patient stated they see a curtain like shadow E) Patient's eye is red
B D E
Which of the following are common age-related changes in the reproductive health of older adults? (SELECT ALL THAT APPLY) A) Hypertension B) Dyspareunia C) Erectile Dysfunction D) Arthritis
B C
Which of the following are post-op restrictions to aid in preventing IOP? (SELECT ALL THAT APPLY) A) Decreasing amount of meat consumed B) Head positioning C) Bending D) Coughing E) Valsalva maneuver
B C D E
55-yr S.N. is post-op from a surgical laminectomy. Prior to surgery S.N. pain level was at a 8 out of 10, weakness in his left leg, and pulses present bilaterally. Which of the following neurovascular assessments is most important for the nurse to report to the MD following S.N.'s surgery? (SELECT ALL THAT APPLY) A) The client report pain level of 6 out 10 after having surgery. B) The client reports numbness in his right leg. C) The client's incision has no drainage D) The client has absent pulses bilateral
B D
A patient is admitted with complaints of vision problems. Which reported symptoms are signs of cataracts? (SELECT ALL THAT APPLY) A) Pain B) Blurry vision C) Seeing spots D) Increased nearsightedness E) Decreased night vision
B D E
Which of the following are clinical manifestations of Chronic (open-angle) glaucoma? (SELECT ALL THAT APPLY) A) Severe eye pain B) Gradual onset of symptoms C) Loss of central vision D) Loss of peripheral vision E) Seeing colored halos around lights
B D E
A patient is brought into the ER by police after he is found wandering on the street. He is not oriented to time, place, or person. A brain scan shows damage to the brain tissue including small cerebral infarctions. The nurse knows this is likely from A) Delirium B) Vascular Dementia C) Depression D) Alzheimer's disease E) Lewy body dementia
B
A patient presents with severe eye pain, a headache, ocular redness and nausea and vomiting. You would suspect the patient is suffering from which eye condition? A) Open-angle glaucoma B) Angle-closure glaucoma C) Chronic glaucoma D) Macular degeneration
B
The physician recently prescribed the medication Tetrabenazine (Xenazine) for a patient with progressed Huntington's Disease. The nurse knows that this medication is used A) To treat the underlying cause of the disease and ultimately cure the patient B) To treat choreic involuntary movements C) To increase appetite D) To treat depression
B
What are some of the predisposing factors for dyspareunia? A) Having a lot of children B) Vaginitis C) Cervical cancer D) Annual gynecologic exams
B
What drug has become the "gold standard" in Parkinson's treatment? A) Fluoxetine B) Levodopa C) Amantadine D) Tramadol
B
What outpatient procedure is used for the removal of the lens only to treat cataracts? A) Intracapsular extraction B) Extracapsular extraction C) Vitrectomy D) Corneal transplantation
B
What would be the nurse's priority when caring for a patient with Macular Degeneration? A) Improving vision B) Providing a safe, care effective environment for the patient C) Providing the patient with information about their condition D) Educating the patient on support groups for macular degeneration
B
When a 74-year-old patient is seen in the health clinic with new development of a stooped posture, shuffling gait, and pill rolling-type tremor, the nurse will anticipate teaching the patient about A) oral corticosteroids. B) antiparkinsonian drugs. C) magnetic resonance imaging (MRI). D) electroencephalogram (EEG) testing.
B
Which client is the most at risk for getting diagnosed with multiple sclerosis? A) An 18 year old Asian male who lives in Florida and smokes. B) A 32 year old white woman who lives in Kentucky and is pregnant. C) A 68 year old white man who lives in the Bahamas and drinks regularly. D) A 21 year old Latino woman who lives in the Amazon rainforest and eats healthily.
B
Which of the following drugs is NOT used to treat osteoarthritis? A) NSAIDs B) Systemic corticosteroids C) Topical analgesics D) Acetaminophen E) Hyaluronic acid
B
Which of the following is NOT a symptom of menopause? A) Hot flashes B) Increased metabolic rate C) Fuzzy thinking D) Symptoms of arthritis and fibromyalgia
B
Which of the following is not true regarding prevention of complications after glaucoma. A) Avoid situations or activities that increase IOP, like physical straining B) Avoid using products such as eye drops C) Avoid stimulants and medications that increase blood pressure D) Periodic evaluation by an ophthalmologist is critical for continued care
B
Which type of disorder of the back arises when there is prolonged intervertebral disk, pain and sciatica is the major complaint here, followed by increased pain in the leg when walking? Sciatica show pain in the distribution of the sciatic nerve. A) Scoliosis and kyphosis B) Lumbar Spinal stenosis C) Ankylosing spondylitis D) Cervical spinal stenosis
B
Who is most at risk for developing Macular Degeneration? A) A 45 year old patient who works out every other day, is of African American descent, and works as a landscaper. B) A 65 year old Chinese patient who has a BMI of 35, smokes a pack a day, has a family history of MG, and drinks a beer with dinner every night. C) A 50 year old patient who is obese and has high blood pressure. D) A 70 year old patient who runs a marathon every year, spends most of his time outside gardening, and is of Chinese descent.
B
You are caring for a 68 year old patient that recently had a stroke. He suffers from paralysis on the right side. He will be discharging soon and the wife and daughter plan to care for him at home. While educating the family, what would you NOT want to include in teaching to prevent skin breakdown and pressure ulcers? A) Turn and reposition patient every 2 hours. B) Keep the skin moist and use extra sheets to pad sensitive areas. C) Use pillows to support bony areas. D) Use passive and active range of motion activities to exercise extremities.
B
Your patient with ALS is angry about their recent diagnosis. What would be a therapeutic way to respond to their behavior? A) "Yeah. That sucks! It's so unfair that people get that when others don't!" B) "Would you like to talk about how your illness is making you feel?" C) "Sorry about your luck, ma'am. Good luck with that." D) "Stop being such a baby and do something about it."
B
An 86 year old female has fallen and fractured her left hip. Which of the following will promote a greater chance of recovery following her fracture? A) She performs her exercises but stops halfway through because the pain is intolerable. B) She attends physical therapy only when she feels needed. C) She attends all physical therapy sessions and completes at home exercises. D) She take pain medications at the first sight of pain.
C
DW is a 69 year old male who is being prepped for a total hip replacement procedure. The nurse notices DW seems anxious and has mentioned several times how his brother died in surgery a few years ago. Which of the following should the nurse not do in this situation? A) Teach the pt and family what to expect before, during, and after the procedure B) Document the education provided to pt and family C) Do not make the physician aware of these findings and try to fix them herself D) Explain to the pt that surgical procedures have an increased success
C
A 35 year old female patient recently had genetic testing and discovered that she had a diseased HTT gene linked with Huntington's disease. Based on this information, the nurse knows: A) The patient has a chance of developing the disease B) The patient is only a carrier and will not develop the disease C) The patient will develop Huntington's Disease D) The HTT gene is linked with numerous diseases so genetic diagnosis in unsupported
C
A long-term care facility sponsors a discussion group on the administration of medications. The participants have a number of questions concerning their medications. The nurse responds most appropriately by saying: A) "Don't worry about the medication's name if you can identify it by its color and shape." B) "Unless you have severe side effects, don't worry about the minor changes in the way you feel." C) "Feel free to ask your physician why you are receiving the medications that are prescribed for you." D) "Remember that the hepatic system is primarily responsible for the pharmacotherapeutics of your medications."
C
A nurse is planning care for a patient with Myasthenia Gravis. The nurse should inclue all of the following except: A) Plan times of social activity. B) Activities should be planned in accordance with the patient's energy level. C) Muscle relaxants may be used during periods of exacerbation. D) Plan adequate rest times.
C
A nurse is providing care for an older woman. Which of the following actions should the nurse implement to help demonstrate respect? A) Not completely button a patient's shirt B) Provide a member of the opposite sex to bathe her C) Ask the client how she would like her hair done D) Joke about the client's interest in a male client down the hall
C
Of the following patients, which of the following is most at risk for hip fracture? A) A 76 year old male who, uses a nightlight to guide his way to the bathroom during the night. B) A 64 year old female, who exercises regularly and eats dairy product daily. C) A 73 year old female, who does not exercise, wears loose fitted shoes, and avoids taking her calcium supplements. D) A 77 year old male, who uses the handrails to get in and out of the shower.
C
The nurse is assessing 72 year old FE, who has presented with a UTI. Which of the following symptoms should the nurse note as unexpected? A) Confusion B) Nausea C) Bradycardia D) Loss of glycemic control
C
What is the priority nursing intervention for a patient suffering Meniere's disease? A) Putting the client on suicide precautions B) Providing padding on the bed for seizure precautions C) Minimizing fall risks in the patient's room
C
When developing the plan of care for an older adult who is hospitalized for an acute illness, the nurse should ______. A) use a standardized geriatric nursing care plan. B) plan for likely long-term-care transfer to allow additional time for recovery. C) consider the preadmission functional abilities when setting patient goals. D) minimize activity level during hospitalization.
C
Which client problem is priority for a client diagnosed with RA? A) Activity intolerance B) Fluid and electrolyte imbalance C) Alteration in comfort D) Excessive nutritional intake
C
Which of the following is not a risk for cataract formation? A) Smoking B) Maternal rubella C) Use of NSAIDs D) UV light exposure
C
Which of the following statements is correct about Meniere's disease? A) Only old people who are experiencing failure to thrive are susceptible to Meniere's disease. B) Young children never experience Meniere's disease. C) Meniere's disease can occur at any age.
C
Which treatment is indicated for a vitreous hemorrhage and retinal detachment of macula? A) Argon laser photocoagulation therapy B) Early screenings C) Vitrectomy D) Anti-VEGF medications
C
You are assigned 4 patients on your nursing unit. Which patient is most at risk for pressure ulcers: A) An 86 year old female with dementia, admitted with pneumonia. B) A 73 year old male with CHF and 3+ pitting edema, admitted with confusion. C) A 70 year old female weighing 120 lbs, with dementia and is frequently incontinent admitted with the flu. D) An 88 year old male with dementia admitted with shingles.
C
H.L. is a 72 year old widow who recently lost her husband. Since the death of her husband, her family has noticed that H.L. is losing weight, socially withdrawn, and has been experiencing headaches. She mentions that she "does not think she wants to live anymore," and that her world is "hopeless." She has a medical diagnosis of Major Depressive Disorder. What is the priority nursing diagnosis in this situation? A) Social Isolation B) Imbalanced nutrition: less than body requirements C)Grieving D) Risk for suicide
D
It is suspected your patient has glaucoma. Which diagnostic procedure will most likely be used to verify this diagnosis? A) Argon laser trabeculoplasty B) Iridectomy C) Iridotomy D) Tonometer measurement
D
Other forms of vertigo include: A) BPPV B) Vestibular neuronitis C) Labyrinthitis D) All of the above
D
Which individual is at the greatest risk of developing diabetic retinopathy? A) 60 year old woman who is overweight and complains of eye fatigue. B). 23 year old woman who runs 12 miles a day in the bright sunlight C) 50 year old man who works an office job and drinks a two liter of Coke each day D) 74 year old hispanic man, who is a diabetic, has hypertension, and stopped taking his insulin
D
Which intervention has the highest priority when caring for a client diagnosed with RA? A) Encourage the patient to let out feelings about the disease process B) Discuss the effects of the disease on the client's career and other life roles C) Instruct the client to perform most important activities in the morning D) Teach the client proper use of hot and cold therapy to provide pain relief
D
Which of the following symptoms is usually not associated with depression? A) Fatigue B) Indigestion C) Constipation D) A decline in intellect or personality E) Hopelessness
D
A 46 year-old Caucasian woman with no family history of autoimmune disorders asks the nurse if she is at risk for Myasthenia Gravis. The nurse responds: A) Yes, because you are a woman, and women have a higher incidence of Myasthenia Gravis than men. B) Because you are of European decent you are at greater risk. C) No, you are only 46 so you don't need to worry about that. D) Family history of autoimmune disorders are the biggest risk for Myasthenia Gravis.
D
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for Parkinson's disease. Which information is most important for the nurse to report to the health care provider? A) Shuffling gait B) Tremor at rest C) Cogwheel rigidity of limbs D) Uncontrolled head movement
D
A patient who is diagnosed with Parkinson disease (PD) states, "I can't tie my shoelaces anymore." The healthcare provider recognizes that this patient's problem is due to a deficiency in which of these neurotransmitters? A) Serotonin B) Glutamate C) Norepinephrine D) Dopamine
D
A patient with osteoarthritis is describing their signs and symptoms. Which is NOT associated with osteoarthritis? A) Grating during joint movement B) Asymmetrical pain with joint movement C) Pain and stiffness is worse at the end of the day D) Fever and anemia
D
A nurse would expect which of the following symptoms in a patient diagnosed with macular degeneration? A) Blurred central vision B) Difficulty focusing on objects far away C) Clear vision while reading D) Straight lines that appear wavy E) Both A & D
E
True or False: The treatment plans provided for Meniere's cure the disease completely no matter the severity of the disease.
F
