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NCLEX Review Questions
NCLEX Review Questions
This activity contains 14 questions.
Which of the following statements accurately describes Alzheimer's disease (AD)?
Alzheimer's disease is a form of dementia, with reversible manifestations of memory loss and altered cognition.
Alzheimer's disease is a form of dementia that begins with memory loss, which is immediately noticeable.
Alzheimer's disease results from complex interactions between genetic and environmental factors.
Alzheimer's disease is a rapid, progressive, degenerative neurologic disease, which causes brain degeneration without inflammation.
The gerontology nurse practitioner should rule out (R/O) which symptom before the diagnosis of dementia is made?
History of seizures (convulsions)
History of head injury
History of schizophrenia
History of delirium
The definitive medical diagnosis of AD is confirmed by:
History and physical examination.
Combing estimates of genetic and environmental risk factors.
Which of the following statements is accurate pertaining to frontotemporal dementia? Frontotemporal dementia: (Select all that apply.)
Includes Lewy bodies, and is diagnosed on the basis of personality changes.
Is an abrupt-onset dementia with abnormal reflexes and emotional ability.
Includes Pick's disease, and is diagnosed on the basis of personality changes and the presence frontal brain atrophy.
Includes Lewy bodies, Pick's inside nerve cells, and behavioral disinhibition.
Which drug received approval from the Food and Drug Administration (FDA) in 2003 for clinical trial with persons who have moderate-to-severe dementia?
Donepezil HCl (Aricept)
Rivastigmine tartrate (Exelon)
Parkinsonian disease (PD) is referred to as an extrapyramidal syndrome because it manifests which of the following clinical symptoms?
Tremor and bradykinesia
Diarrhea and sweating
Constipation and hypotension
Somnolence and poor gait
Which of the following drugs would be ordered for persons with Parkinsonian disease?
Carbenicillin Indanyl sodium (Geocillin)
Nurses who administer Sinemet as prescribed for the elderly should incorporate timing of the administration of Sinemet into the patient's care plan and:
Give Sinemet 30 minutes after meals.
Give Sinemet 30 minutes before meals.
Give Sinemet one hour before meals.
Give Sinemet with meals, followed by a glass of water.
The pathology of a stroke typically is not caused by which of the following?
Hemorrhage into the brain
An embolus or thrombus that occludes an artery
Rupture of an extracerebral artery, causing subarachnoid hemorrhage
Damage to the cerebrum and myelin sheath
Which prescription most likely would be ordered if not contraindicated for acute ischemic stroke?
Packed red blood cells (PRBC), followed by furosemide (Lasix)
25% albumin followed by 0.9% sodium chloride
Recombinant-tissue plasminogen activator (rt-PA)
Heparin infusion alternating with coumadin (Warfarin)
Nursing interventions for persons with history of seizure would include: (Select all that apply.)
Obtaining an accurate patient history.
Knowledge of the frequency of attacks.
Being aware of the medication dosage and frequency.
Measuring the patient's height and weight accurately.
The most important responsibility of the nurse when a patient has a seizure is to:
Maintain the head-tilt-chin lift method.
Provide oxygen immediately.
Prevent injury of the patient.
Prevent status epilepticus.
Which of the following indicates clonic seizure?
Clonic seizure lasts for a few seconds, and involves rhythmic jerking of the muscles.
Clonic seizure is like the first phase of absence seizures, and entails rigidity.
Clonic seizure occurs in only one hemisphere of the brain, and can be complex or simple.
Clonic seizure involves repetitive motor activity, such as lip smacking.
Patient-family education in regards to seizures would include: (Select all that apply.)
Providing patient and family with audiovisual aids for ongoing review.
Teaching how to identify and avoid precipitating factors for seizures.
Stressing the need to take medication as prescribed.
Teaching what to do in the event a seizure occurs.
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