NURS 375 TEST 2 PRACTICE
QUESTIONS AND CORRECT ANSWERS
After a neurologic assessment, the nurse determines that an older patient is exhibiting
normal signs of aging. What did the nurse assess in this patient?
Standard Text: Select all that apply.
1. Slow movements
2. Intermittent hand tremor
3. Ataxia with position changes
4. Decreased sensation in the feet
5. Slight impairment of coordination ✅1. Slow movements
2. Intermittent hand tremor
4. Decreased sensation in the feet
5. Slight impairment of coordination
The nurse instructs an older patient with Parkinsons disease about carbidopa-levodopa
(Sinemet). Which patient statement indicates that teaching has been effective?
1. I will take the medication with my meals.
2. I will sit up on the side of the bed before standing.
3. This medication will cure my Parkinsons disease in time.
4. This medication will not affect my blood pressure medications. ✅2. I will sit up on
the side of the bed before standing.
The nurse suspects that an older patient is experiencing Parkinsons disease. What did
the nurse observe in this patient?
Standard Text: Select all that apply.
1. Chorea
2. Tremor
,3. Apraxia
4. Agnosia
5. Dystonia ✅1. Chorea
2. Tremor
5. Dystonia
The nurse is preparing an educational session on stroke prevention for a group of
senior citizens. What information would be important for the nurse to provide to these
participants?
Standard Text: Select all that apply.
1. Stop smoking.
2. Limit exercise to once a week.
3. Maintain a healthy body weight.
4. Follow a low-sodium diet as prescribed.
5. Take blood pressure medication as prescribed ✅1. Stop smoking.
3. Maintain a healthy body weight.
4. Follow a low-sodium diet as prescribed.
5. Take blood pressure medication as prescribed.
An older patient begins to experience status epilepticus. Which action will the nurse
take to help this patient?
1. Measure vital signs.
2. Orient the patient between seizures.
3. Prevent chilling with warmed bed linens.
4. Ensure an intravenous access line is available. ✅4. Ensure an intravenous access
line is available.
,The nurse suspects an older patient is having a grand mal seizure. What did the nurse
observe in the patient?
1. Rhythmic jerking of the muscles
2. Rigid extremities lasting for several minutes
3. Brief loss of attention similar to daydreaming
4. Rigid extremities followed by rhythmic flexion ✅4. Rigid extremities followed by
rhythmic flexion
An older patient is demonstrating signs of a brain attack. What will the nurse do to
assess the degree of cerebral infarct?
1. Obtain a current cardiac rhythm strip.
2. Assess the patient using a stroke scale.
3. Prepare for an emergency electroencephalogram.
4. Obtain orders for immediate blood electrolyte analysis. ✅2. Assess the patient using
a stroke scale.
The family of an older patient with Alzheimers disease does not want to discuss long-
term care placement for at least a few years. How should the nurse respond to the
family?
1. Long-term care placement is inevitable with this diagnosis.
2. It often takes a year for an individual with Alzheimers disease to be admitted.
3. Talking about it now gives you time to think about locations and make a decision.
4. By providing this information now, we will not need to address these concerns later.
✅3. Talking about it now gives you time to think about locations and make a decision.
An older patient with advanced Alzheimers disease is being treated for pneumonia. The
daughter is not sure if resuscitation efforts should be a part of the plan of care. What
information should the nurse provide to the daughter?
1. Resuscitation is often effective for older adults.
2. After resuscitation the patient will return to the same level of functioning.
3. As long as the resuscitation efforts are initiated quickly, the patient will survive.
, 4. Resuscitation for cardiac or respiratory arrest will have little probability of success.
✅4. Resuscitation for cardiac or respiratory arrest will have little probability of success.
An older patient with Alzheimers disease has a feeding tube. The family wants to know
if the patient will ever be able to eat solid food again. What information should the nurse
include when responding to this familys question?
1. The dietitian will decide if this can be done.
2. It depends upon the patients functional eating abilities.
3. This can be done but the feeding tube has to be removed first.
4. In the patient with dementia, the restoration of natural feeding is highly unlikely. ✅2.
It depends upon the patients functional eating abilities.
A care conference is being held with the family of an older patient in the late stages of
Alzheimers disease. The family wants to know if a feeding tube should be placed. How
should this question be answered?
1. Tube feeding will aid the patient to gain weight.
2. Tube feeding is associated with a reduced risk of aspiration.
3. Tube feeding reduces the discomfort associated with dehydration.
4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
✅4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
The nurse is caring for an older patient who has been newly diagnosed with tonicclonic
seizures. About which medication should the nurse prepare to instruct the patient?
1. Diazepam (Valium)
2. Phenytoin (Dilantin)
3. Clonazepam (Klonopin)
4. Valproic acid (Depakene) ✅2. Phenytoin (Dilantin)
An older patient with mild Alzheimers disease abruptly stops taking the prescribed
medication donepezil (Aricept). On which area should the nurse focus when assessing
this patient?
1. Reflexes
QUESTIONS AND CORRECT ANSWERS
After a neurologic assessment, the nurse determines that an older patient is exhibiting
normal signs of aging. What did the nurse assess in this patient?
Standard Text: Select all that apply.
1. Slow movements
2. Intermittent hand tremor
3. Ataxia with position changes
4. Decreased sensation in the feet
5. Slight impairment of coordination ✅1. Slow movements
2. Intermittent hand tremor
4. Decreased sensation in the feet
5. Slight impairment of coordination
The nurse instructs an older patient with Parkinsons disease about carbidopa-levodopa
(Sinemet). Which patient statement indicates that teaching has been effective?
1. I will take the medication with my meals.
2. I will sit up on the side of the bed before standing.
3. This medication will cure my Parkinsons disease in time.
4. This medication will not affect my blood pressure medications. ✅2. I will sit up on
the side of the bed before standing.
The nurse suspects that an older patient is experiencing Parkinsons disease. What did
the nurse observe in this patient?
Standard Text: Select all that apply.
1. Chorea
2. Tremor
,3. Apraxia
4. Agnosia
5. Dystonia ✅1. Chorea
2. Tremor
5. Dystonia
The nurse is preparing an educational session on stroke prevention for a group of
senior citizens. What information would be important for the nurse to provide to these
participants?
Standard Text: Select all that apply.
1. Stop smoking.
2. Limit exercise to once a week.
3. Maintain a healthy body weight.
4. Follow a low-sodium diet as prescribed.
5. Take blood pressure medication as prescribed ✅1. Stop smoking.
3. Maintain a healthy body weight.
4. Follow a low-sodium diet as prescribed.
5. Take blood pressure medication as prescribed.
An older patient begins to experience status epilepticus. Which action will the nurse
take to help this patient?
1. Measure vital signs.
2. Orient the patient between seizures.
3. Prevent chilling with warmed bed linens.
4. Ensure an intravenous access line is available. ✅4. Ensure an intravenous access
line is available.
,The nurse suspects an older patient is having a grand mal seizure. What did the nurse
observe in the patient?
1. Rhythmic jerking of the muscles
2. Rigid extremities lasting for several minutes
3. Brief loss of attention similar to daydreaming
4. Rigid extremities followed by rhythmic flexion ✅4. Rigid extremities followed by
rhythmic flexion
An older patient is demonstrating signs of a brain attack. What will the nurse do to
assess the degree of cerebral infarct?
1. Obtain a current cardiac rhythm strip.
2. Assess the patient using a stroke scale.
3. Prepare for an emergency electroencephalogram.
4. Obtain orders for immediate blood electrolyte analysis. ✅2. Assess the patient using
a stroke scale.
The family of an older patient with Alzheimers disease does not want to discuss long-
term care placement for at least a few years. How should the nurse respond to the
family?
1. Long-term care placement is inevitable with this diagnosis.
2. It often takes a year for an individual with Alzheimers disease to be admitted.
3. Talking about it now gives you time to think about locations and make a decision.
4. By providing this information now, we will not need to address these concerns later.
✅3. Talking about it now gives you time to think about locations and make a decision.
An older patient with advanced Alzheimers disease is being treated for pneumonia. The
daughter is not sure if resuscitation efforts should be a part of the plan of care. What
information should the nurse provide to the daughter?
1. Resuscitation is often effective for older adults.
2. After resuscitation the patient will return to the same level of functioning.
3. As long as the resuscitation efforts are initiated quickly, the patient will survive.
, 4. Resuscitation for cardiac or respiratory arrest will have little probability of success.
✅4. Resuscitation for cardiac or respiratory arrest will have little probability of success.
An older patient with Alzheimers disease has a feeding tube. The family wants to know
if the patient will ever be able to eat solid food again. What information should the nurse
include when responding to this familys question?
1. The dietitian will decide if this can be done.
2. It depends upon the patients functional eating abilities.
3. This can be done but the feeding tube has to be removed first.
4. In the patient with dementia, the restoration of natural feeding is highly unlikely. ✅2.
It depends upon the patients functional eating abilities.
A care conference is being held with the family of an older patient in the late stages of
Alzheimers disease. The family wants to know if a feeding tube should be placed. How
should this question be answered?
1. Tube feeding will aid the patient to gain weight.
2. Tube feeding is associated with a reduced risk of aspiration.
3. Tube feeding reduces the discomfort associated with dehydration.
4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
✅4. The absence of tube feeding promotes dehydration which reduces pain sensitivity.
The nurse is caring for an older patient who has been newly diagnosed with tonicclonic
seizures. About which medication should the nurse prepare to instruct the patient?
1. Diazepam (Valium)
2. Phenytoin (Dilantin)
3. Clonazepam (Klonopin)
4. Valproic acid (Depakene) ✅2. Phenytoin (Dilantin)
An older patient with mild Alzheimers disease abruptly stops taking the prescribed
medication donepezil (Aricept). On which area should the nurse focus when assessing
this patient?
1. Reflexes
