NSG 6420 WEEK 9 QUIZ
The three cardinal features of Parkinson’s disease are:
Essential tremor, postural rigidity, and infarcts of the basal ganglion
Bradykinesia, rigidity, and tremor
Shuffling gait, constipation, positional freezing.
Dementia, incontinence, and infarcts of the basal ganglion
2.
Mr. Marshall was administered the Mini-Mental State Exam (MMSE). Which of
the following statements pertaining to this tool is a true statement?
Adverse drug effects
Urinary tract infection
Depression
Acute cerebrovascular event
3.
Mr. Marshall was administered the Mini-Mental State Exam (MMSE). Which of
the following statements pertaining to this tool is a true statement?
Mr. Marshall’s baseline score of 18 on the MMSE demonstrates severe
impairment.
The test takes 45 minutes to administer and will detect subtle memory losses,
particularly in well-educated patients
Because Mr. Marshall has symptoms of change of mental status you are
not screening; you are doing the MMSE for diagnosis.
In interpreting MMSE test scores, allowance does not have to be made for
education and ethnicity
4.
When assessing a patient who complains of a tremor, the nurse practitioner must
differentiate essential tremor from the tremor of Parkinson’s disease. Which of the
following findings are consistent with essential tremor?
The handwriting is not affected by the tremor
The tremor occurs with purposeful movements
The tremor occurs at rest
The tremor gets worse with alcohol ingestion
5.
An older adult client with a history of a seizure disorder comes into the clinic for a
routine check-up. Although seizure free, the client continues on long-term
, phenytoin treatment. The nurse practitioner would assess for which of the
following long-term effects?
Lid lag and nystagmus
Gingival hyperplasia and nystagmus
Nystagmus and microcytic anemia
Gingival hyperplasia and iron deficiency anemia
6.
An elderly patient is maintained on phenytoin therapy for a history of a seizure
disorder. In addition to periodic serum drug concentrations, which of the following
are needed for annual evaluation?
Complete blood count, liver function tests, and renal function tests
Complete blood count, liver function tests, and platelet count
Because of megaloblastic anemia?
Renal function and calculated creatinine clearance
Serum albumin, liver function tests, and renal function tests
7.
An elderly patient has had a CVA in the anterior cerebral circulatory system
(frontal lobe). What symptoms are most likely expressed?
Neglect of body and difficulty organizing space
Wernicke’s aphasia (difficulty understanding speech)
Disorders of behavior and cognition
Bilateral motor and sensory problem
8.
The most common neurological cause of seizures in an older adult is
Alzheimer’s disease
Multiple sclerosis
Stroke
Peripheral neuropathy
9.
Mr. Andrews experienced a brief onset of right-sided weakness, slurred speech,
and confusion yesterday. The symptoms have resolved. What should the nurse
practitioner do?
Assure the patient that he will not experience the symptoms again
Identify modifiable cardiovascular risk factors
The three cardinal features of Parkinson’s disease are:
Essential tremor, postural rigidity, and infarcts of the basal ganglion
Bradykinesia, rigidity, and tremor
Shuffling gait, constipation, positional freezing.
Dementia, incontinence, and infarcts of the basal ganglion
2.
Mr. Marshall was administered the Mini-Mental State Exam (MMSE). Which of
the following statements pertaining to this tool is a true statement?
Adverse drug effects
Urinary tract infection
Depression
Acute cerebrovascular event
3.
Mr. Marshall was administered the Mini-Mental State Exam (MMSE). Which of
the following statements pertaining to this tool is a true statement?
Mr. Marshall’s baseline score of 18 on the MMSE demonstrates severe
impairment.
The test takes 45 minutes to administer and will detect subtle memory losses,
particularly in well-educated patients
Because Mr. Marshall has symptoms of change of mental status you are
not screening; you are doing the MMSE for diagnosis.
In interpreting MMSE test scores, allowance does not have to be made for
education and ethnicity
4.
When assessing a patient who complains of a tremor, the nurse practitioner must
differentiate essential tremor from the tremor of Parkinson’s disease. Which of the
following findings are consistent with essential tremor?
The handwriting is not affected by the tremor
The tremor occurs with purposeful movements
The tremor occurs at rest
The tremor gets worse with alcohol ingestion
5.
An older adult client with a history of a seizure disorder comes into the clinic for a
routine check-up. Although seizure free, the client continues on long-term
, phenytoin treatment. The nurse practitioner would assess for which of the
following long-term effects?
Lid lag and nystagmus
Gingival hyperplasia and nystagmus
Nystagmus and microcytic anemia
Gingival hyperplasia and iron deficiency anemia
6.
An elderly patient is maintained on phenytoin therapy for a history of a seizure
disorder. In addition to periodic serum drug concentrations, which of the following
are needed for annual evaluation?
Complete blood count, liver function tests, and renal function tests
Complete blood count, liver function tests, and platelet count
Because of megaloblastic anemia?
Renal function and calculated creatinine clearance
Serum albumin, liver function tests, and renal function tests
7.
An elderly patient has had a CVA in the anterior cerebral circulatory system
(frontal lobe). What symptoms are most likely expressed?
Neglect of body and difficulty organizing space
Wernicke’s aphasia (difficulty understanding speech)
Disorders of behavior and cognition
Bilateral motor and sensory problem
8.
The most common neurological cause of seizures in an older adult is
Alzheimer’s disease
Multiple sclerosis
Stroke
Peripheral neuropathy
9.
Mr. Andrews experienced a brief onset of right-sided weakness, slurred speech,
and confusion yesterday. The symptoms have resolved. What should the nurse
practitioner do?
Assure the patient that he will not experience the symptoms again
Identify modifiable cardiovascular risk factors
