PN 140 Test 2 Practice Questions and answers
The provider discusses the treatment options with a patient newly diagnosed with PD. The patient asks, "What will happen to me?" An appropriate response would be:
1. "You seem worried. Let's talk about your concerns."
2. "Your provider can fully e...
PN 140 Test 2 Practice Questions and
answers
The provider discusses the treatment options with a patient newly diagnosed with PD. The patient asks,
"What will happen to me?" An appropriate response would be:
1. "You seem worried. Let's talk about your concerns."
2. "Your provider can fully explain your condition."
3. "You will be all right."
4. "We all eventually get there." -Correct Answer-Correct Answer: 1
The patient is worried and probably scared. This is the best response to allow him to express concerns
and ask questions. (2, 3, 4) Do not address his need to verbalize his concerns.
During a neurologic examination, a patient demonstrates difficulty initiating movement. The steps are
short with quick cadence. Arm swings are decreased with subsequent steps. The clinical findings are
referred to as:
1. muscle atrophy.
2. akinesia.
3. rigidity.
4. tremors. -Correct Answer-Correct Answer: 3
(3) Difficulty initiating movements; altered gait with short, jerky steps; and decreased arm swings are
characteristic of a patient who has Parkinson disease and rigidity. (1) Muscle atrophy is shrinking of the
,muscles. (2) Akinesia is loss of voluntary movement. (4) Tremors are involuntary rhythmic muscle
contraction and relaxation.
A nurse observes a nursing assistant feed a dysphagic patient. Which action by the nursing assistant
indicates a need for further instruction and guidance?
1. The wall suction is turned on and readily available.
2. The patient is propped up with one pillow.
3. The food is cut into small, bite-size pieces.
4. The nursing assistant coaches the patient to drop the chin. -Correct Answer-Correct Answer: 2
(2) The dysphagic patient should eat in as upright a position as possible. That is not achieved with the
use of only one pillow. When the patient is upright, gravity helps with swallowing. (1) The wall suction is
turned on to be available in case of choking. (3) Food in smaller pieces is more easily chewed and
swallowed. (4) Dropping the chin assists in swallowing.
A 45-year-old patient newly diagnosed with MS asks about his prognosis for the future. Teaching about
the future might include stating:
1. "The condition is a progressive neurologic disease, and you will likely end up using a wheelchair or
scooter. You might start equipping your house to be wheelchair accessible."
2. "With the new immune-modifying drugs available as treatment, you will not even be able to tell you
have the disease."
3. "MS may begin with exacerbations and remissions, but it will eventually develop into a progressive
disease, affecting your entire neurologic system and, thus, your whole body."
, 4. "The condition is a periodic demyelination of the central nervous system, often with periods of
remissions and exacerbations. It is a manageable disease, and there are many patients who live active
and rewarding lives. Use of the new immune-modifying agents will help reduce exacerbations." -Correct
Answer-Correct Answer: 4
(4) Multiple sclerosis (MS) is a manageable disease, and the new available drugs help reduce the number
of exacerbations, thus improving quality of life. (1) Only about 25% of people with MS use wheel chairs
or scooters—many are able to walk unassisted while some use walking aids, such as canes or crutches.
(2) Even though he knew immune-modifying drugs are effective at reducing exacerbations, it does not
mean the patient will not experience any symptoms or exacerbations; (3) while some people develop
progressive disease, the majority of MS patients do not.
A man and his wife are sitting in their pajamas in the living room when the man cries out. He attempts to
rise from his chair, but he falls when he discovers the left side of his body has become paralyzed. The left
side of his mouth and his left eye are drooping. What should his wife do?
1. Help him stand and walk to the car. She can drive him to the hospital, because it is only 3 miles away.
He will receive care more immediately than if the wife calls an ambulance.
2. Sit with him for an hour to see if his condition resolves. If it worsens, she should transport him to the
hospital.
3. Call 911 immediately. The emergency team will be able to assess him, give supportive care, and
transport.
4. Assess the man's pulse and breathing. If he is in no immediate cardiac distress the wife can help the
husband change into street clothes before driving him to the hospital. -Correct Answer-Correct Answer:
3
(3) The husband is exhibiting signs of a stroke and time is of the essence. The emergency team can begin
care as soon as they arrive and during transport. In addition, the husband will be attended to
immediately in the hospital if he is received from an ambulance. (1, 2) Do not perform activities that will
delay treatment. (4) The wife should not drive him to the hospital as delays in care may be experienced.
Which are true regarding an ischemic stroke? (Select all that apply.)
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