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Basic Adult Healthcare - Final Exam/137 Questions and Answers 2023
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Basic Adult Healthcare - FinalExam/137 Questions and Answers
2023
A patient with suspected Parkinson's disease is initially being assessed by
the nurse. When is the best time to assess for the presence of a tremor?
When the patient is resting
When the patient is ambulating
When the patient is preparing his or her meal tray to eat
When the patient is participating in occupational therapy - -When the
patient is resting
-The clinic nurse caring for a patient with Parkinson's disease notes that the
patient has been taking levodopa and carbidopa (Sinemet) for 7 years. For
what common side effect of Sinemet would the nurse assesses this patient?
Pruritus
Dyskinesia
Lactose intolerance
Diarrhea - -Dyskinesia
-A patient with Parkinson's disease is undergoing a swallowing assessment
because she has recently developed adventitious lung sounds. The patient's
nutritional needs should be met by what method?
Total parenteral nutrition (TPN)
Provision of a low-residue diet
Semisolid food with thick liquids
Minced foods and a fluid restriction - -Semisolid food with thick liquids
-The nurse caring for a patient diagnosed with Parkinson's disease has
prepared a plan of care that would include what goal?
Promoting effective communication
Controlling diarrhea
Preventing cognitive decline
Managing choreiform movements - -Promoting effective communication
-A patient diagnosed with Bell's palsy is being cared for on an outpatient
basis. During health education, the nurse should promote which of the
following actions?
,Applying a protective eye shield at night
Chewing on the affected side to prevent unilateral neglect
Avoiding the use of analgesics whenever possible
Avoiding brushing the teeth - -Applying a protective eye shield at night
-The nurse is working with a patient who is newly diagnosed with MS. What
basic information should the nurse provide to the patient?
MS is a progressive demyelinating disease of the nervous system.
MS usually occurs more frequently in men.
MS typically has an acute onset.
MS is sometimes caused by a bacterial infection. - -MS is a progressive
demyelinating disease of the nervous system.
-The nurse is creating a plan of care for a patient who has a recent diagnosis
of MS. Which of the following should the nurse include in the patient's care
plan?
Encourage patient to void every hour.
Order a low-residue diet.
Provide total assistance with all ADLs.
Instruct the patient on daily muscle stretching. - -Instruct the patient on
daily muscle stretching.
-The nurse is developing a plan of care for a patient newly diagnosed with
Bell's palsy. The nurse's plan of care should address what characteristic
manifestation of this disease?
Tinnitus
Facial paralysis
Pain at the base of the tongue
Diplopia - -Facial paralysis
-A middle-aged woman has sought care from her primary care provider and
undergone diagnostic testing that has resulted in a diagnosis of MS. What
sign or symptom is most likely to have prompted the woman to seek care?
Cognitive declines
Personality changes
Contractures
Difficulty in coordination - -Difficulty in coordination
, -The nurse is caring for a patient who is hospitalized with an exacerbation of
MS. To ensure the patient's safety, what nursing action should be
performed?
Ensure that suction apparatus is set up at the bedside.
Pad the patient's bed rails.
Maintain bed rest whenever possible.
Provide several small meals each day. - -Ensure that suction apparatus is
set up at the bedside.
-A 33-year-old patient presents at the clinic with complaints of weakness,
incoordination, dizziness, and loss of balance. The patient is hospitalized and
diagnosed with MS. What sign or symptom, revealed during the initial
assessment, is typical of MS?
Diplopia, history of increased fatigue, and decreased or absent deep tendon
reflexes
Flexor spasm, clonus, and negative Babinski's reflex
Blurred vision, intention tremor, and urinary hesitancy
Hyperactive abdominal reflexes and history of unsteady gait and episodic
paresthesia in both legs - -Blurred vision, intention tremor, and urinary
hesitancy
-A nurse is assessing a patient with an acoustic neuroma who has been
recently admitted to an oncology unit. What symptoms is the nurse likely to
find during the initial assessment?
Loss of hearing, tinnitus, and vertigo
Loss of vision change in mental status, and hyperthermia
Loss of hearing, increased sodium retention, and hypertension
Loss of vision, headache, and tachycardia - -Loss of hearing, tinnitus, and
vertigo
-A patient has been diagnosed with hearing loss related to damage of the
end organ for hearing or cranial nerve VIII. What term is used to describe this
condition?
Exostoses
Otalgia
Sensorineural hearing loss
, Presbycusis - -Sensorineural hearing loss
-A group of high school students is attending a concert, which will be at a
volume of 80 to 90 dB. What is a health consequence of this sound level?
Hearing will not be affected by a decibel level in this range.
Hearing loss may occur with a decibel level in this range.
Sounds in this decibel level are not perceived to be harsh to the ear.
Ear plugs will have no effect on these decibel levels. - -Hearing loss may
occur with a decibel level in this range.
-A patient diagnosed with arthritis has been taking aspirin and now reports
experiencing tinnitus and hearing loss. What should the nurse teach this
patient?
The hearing loss will likely resolve with time after the drug is discontinued.
The patient's hearing loss and tinnitus are irreversible at this point.
The patient's tinnitus is likely multifactorial, and not directly related to
aspirin use.
The patient's tinnitus will abate as tolerance to aspirin develops. - -The
hearing loss will likely resolve with time after the drug is discontinued.
-The nurse is assessing a patient with multiple sclerosis who is
demonstrating involuntary, rhythmic eye movements. What term will the
nurse use when documenting these eye movements?
Vertigo
Tinnitus
Nystagmus
Astigmatism - -Nystagmus
-The nurse is planning the care of a patient with a diagnosis of vertigo. What
nursing diagnosis risk should the nurse prioritize in this patient's care?
Risk for disturbed sensory perception
Risk for unilateral neglect
Risk for falls
Risk for ineffective health maintenance - -Risk for falls
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