8/19/2020 Group 1 Parkinson's Pre-Test

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Started on Wednesday, 19 August 2020, 8:11 AM

State Finished
Completed on Wednesday, 19 August 2020, 8:29 AM
Time taken 17 mins 32 secs
Grade 13.00 out of 15.00 (87%)

Question 1 A 65-year-old woman was just diagnosed with Parkinson’s disease. The priority nursing intervention is:
Correct

Mark 1.00 out of Select one:

1.00
a. Evaluating the home for environmental safety

b. Designing an exercise program to strengthen and stretch specific muscles

c. Searching the internet for educational videos.

d. Promoting physical exercise and well-balanced diet 

Question 2 A patient who has been prescribed the antiparkinsonian medication carbidopa/levodopa, asks the healthcare provider,
Correct “Why am I getting these two medications?” How should the healthcare provider respond?
Mark 1.00 out of
1.00 Select one:
a. “This drug combination is composed of two types of the same medication.”

b. “The levodopa turns the carbidopa into dopamine when it reaches the brain.”

c. “The carbidopa prevents the breakdown of the levodopa.” 

d. “You will experience fewer side effects when you take both medications together.”

Question 3 A patient who has been treated with levodopa for Parkinson disease (PD) tells the healthcare provider, “I’m worried
Correct because don’t think the drug is helping me anymore.” Which of the following is the best response by the healthcare
Mark 1.00 out of provider?
1.00

Select one:
a. “It looks like your liver is not able to metabolize the drug as well as it used to.”

b. “It is unlikely that the levodopa has stopped being effective.”

c. “It can be disappointing when the medications don’t work like they used to.” 

d. “Now that the medication isn’t working, we can consider surgery.”

Question 4 A patient who is diagnosed with Parkinson disease (PD) states, “I can’t tie my shoelaces anymore.” The healthcare provider
Correct recognizes that this patient’s problem is due to a deficiency in which of these neurotransmitters?
Mark 1.00 out of
1.00 Select one:
a. Glutamate

b. Serotonin

c. Dopamine 

d. Norepinephrine

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Question 5 A patient with a diagnosis of Parkinson disease (PD) is admitted to the medical unit. Which of these menu options is the
Correct safest choice for this patient?
Mark 1.00 out of
1.00 Select one:
a. Milk shake 

b. Chicken broth

c. Sandwich

d. Raw vegetables

Question 6 During an interview with a patient with a diagnosis of Parkinson disease (PD), which of the following speech patterns will
Correct the healthcare provider anticipate
Mark 1.00 out of
1.00 Select one:
a. Clear and rhythmic

b. Bubbly and spirited

c. Pressured and hurried

d. Slow, slurred, and monotone 

Question 7 he healthcare provider is assessing a patient with a diagnosis of Parkinson disease (PD). Which of the following
Correct assessments will the healthcare provider anticipate?
Mark 1.00 out of
1.00 Select one:
a. Deep tendon reflexes graded as 111

b. Twisting and protruding movements of the tongue

c. Pill-rolling tremor when the hand is at rest 

d. An absence of stereognosis

Question 8 The nurse caring for a client diagnosed with Parkinson's disease writes a problem of "impaired nutrition." Which nursing
Correct intervention would be included in the plan of care?
Mark 1.00 out of
1.00 Select one:
a. Provide three (3) meals per day that include nuts and whole-grain breads.

b. Request a low-fat, low-sodium diet from the dietary department.

c. Offer six (6) meals per day with a soft consistency. 

d. Consult the occupational therapist for adaptive appliances for eating.

Question 9 The client diagnosed with Parkinson's disease (PD) is being admitted with a fever and
Incorrect patchy infiltrates in the lung fields on the chest x-ray. Which clinical manifestations of PD would explain these assessment
Mark 0.00 out of data?
1.00

Select one:
a. Pill rolling of fingers and flat affect.

b. Masklike facies and shuffling gait.

c. Difficulty swallowing and immobility.

d. Lack of arm swing and bradykinesia. 

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Question 10 The client diagnosed with Parkinson's disease (PD) is being admitted with a fever and patchy infiltrates in the lung fields
Correct on the chest x-ray. Which clinical manifestations of PD would explain these assessment data?
Mark 1.00 out of
1.00 Select one:
a. Lack of arm swing and bradykinesia.

b. Masklike facies and shuffling gait.

c. Difficulty swallowing and immobility. 

d. Pill rolling of fingers and flat affect.

Question 11 The nurse caring for a client diagnosed with Parkinson's disease writes a problem of "impaired nutrition." Which nursing
Correct intervention would be included in the plan of care?
Mark 1.00 out of
1.00 Select one:
a. Offer six (6) meals per day with a soft consistency. 

b. Consult the occupational therapist for adaptive appliances for eating.

c. Provide three (3) meals per day that include nuts and whole-grain breads.

d. Request a low-fat, low-sodium diet from the dietary department.

Question 12 The nurse is planning the care for a client diagnosed with Parkinson's disease. Which would be a therapeutic goal of
Correct treatment for the disease process?
Mark 1.00 out of
1.00 Select one:
a. The client will take the prescribed medications correctly.

b. The client will experience periods of akinesia throughout the day.

c. The client will be able to carry out activities of daily living. 

d. The client will be able to enjoy a family outing with the spouse.

Question 13 The nurse is caring for clients on a medical-surgical floor. Which client should be assessed first?
Correct 1. . 
Mark 1.00 out of 3. 
1.00 4. .

Select one:
a. The 62-year-old client diagnosed with a cerebrovascular accident who has a
resolving left hemiparesis

b. The 58-year-old client diagnosed with Parkinson's disease who is crying and
worried about her facial appearance. 

c. The 24-year-old client diagnosed with a T10 spinal cord injury who cannot move
his toes.

d. The 65-year-old client diagnosed with seizures who is complaining of a headache

that is a "2" on a 1-to-10 scale.
2

Question 14 As the nurse you know that Parkinson's Disease tends to affect the _____________ of the midbrain, which leads to the
Correct depletion of the neurotransmitter ________________.*
Mark 1.00 out of
1.00 Select one:
a. tectum nigra, dopamine

b. red nucleus, acetylcholine

c. leminisci, norepinephrine

d. substantia nigra, dopamine 

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Question 15 A patient with Parkinson's Disease has slow movements that affects their swallowing, facial expressions, and ability to
Incorrect coordinate movements. As the nurse you will document the patient has:*
Mark 0.00 out of
1.00 Select one:
a. Pill-rolling

b.  Bradykinesia

c. Akinesia

d. "Freeze up" tremors 

◄ Parkinsonism preparation sheets submission Jump to... What's the Parkinsonism symptoms look like (copy) ►

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