NSG 6420 WEEK 9 STUDY GUIDE: COMPLETE
SOLUTION
Question 1.1. 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
Question 2. 2. 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
Question 3. 3. 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
Question 4. 4. 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
Question 5. 5. 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
Question 6. 6. The most common neurological cause of seizures in an older adult
is:
Alzheimer’s disease
Multiple sclerosis
Stroke
SOLUTION
Question 1.1. 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
Question 2. 2. 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
Question 3. 3. 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
Question 4. 4. 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
Question 5. 5. 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
Question 6. 6. The most common neurological cause of seizures in an older adult
is:
Alzheimer’s disease
Multiple sclerosis
Stroke
