Title PB3 - NP 5 - STUDENT COPY ✅

1 | Page PREBOARDS EXAMINATION 3 NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIC AND PSYCHOLOGICAL ALTERATIONS (PART C) GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions 2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set. 5. Write the subject title “NURSING PRACTICE I” on the box provided Situation: You are exploring the related illnesses of the senses. 1. A patient presents with episodic vertigo, a sensation of fullness in the ear, and ringing in the ears. The nurse suspects Ménière’s disease. Which of the following additional findings would most strongly support this diagnosis? A. Conductive hearing loss B. Fluctuating sensorineural hearing loss C. Purulent ear discharge D. Absence of nystagmus during vertigo episodes 2. The client reports having difficulty with the sense of smell. Which cranial nerve is most likely affected? A. Cranial Nerve I – Olfactory B. Cranial Nerve II – Optic C. Cranial Nerve V – Trigeminal D. Cranial Nerve VII – Facial 3. The nurse is reinforcing dietary teaching to a client with Ménière’s disease. Which of the following statements by the client indicates a need for further teaching? A. "I will avoid processed and canned foods as much as possible." B. "I’ll limit my caffeine and alcohol intake to help reduce vertigo." C. "I can take aspirin if I feel a headache coming on." D. "I will try to eat at regular times and drink plenty of water daily." 4. A patient scheduled for cataract surgery asks the nurse, “Can I just use new glasses or eye drops instead of surgery?” What is the best response by the nurse? A. “no nonsurgical treatments can cure or prevent age related cataract” B. “Using dark glasses will help delay the cataract formation.” C. “Eye drops are the first line of treatment before surgery.” D. “Yes, surgery is optional if you wear protective lenses.” 5. A 21-year-old boxer is brought to the ER after being struck in the eye. The nurse observes visible blood pooling in the anterior chamber. Which eye injury best describes this condition? A. Retinal detachment B. Hyphema C. Conjunctivitis D. Vitreous hemorrhage Situation: You are a nurse taking care of patients with neurological problems. 6. Which of the following neurotransmitters is primarily affected in a client with Alzheimer’s disease, contributing to memory impairment? A. Dopamine B. Serotonin C. Norepinephrine D. Acetylcholine 7. What nursing intervention can help manage sundowning in a patient with Alzheimer's Disease? A. Turn off all lights to promote rest B. Increase activity during the night C. Provide nightlights and a quiet environment D. Keep the patient isolated from others 8. What is one effective nursing intervention to help reduce disorientation in patients with Alzheimer's Disease? A. Use of restraints to limit movement B. Giving complex instructions to maintain brain stimulation C. Providing a calm, predictable environment with memory aids D. Encouraging full independence without supervision 9. A client with Parkinson’s disease exhibits a "pill-rolling" tremor of the hands. The nurse understands that this symptom is due to? A. Increased acetylcholine levels in the cerebral cortex B. Loss of dopamine-producing cells in the substantia nigra C. Stimulation of the pyramidal tract pathways D. Cerebellar degeneration related to aging 10. Which of the following is a cardinal symptom of Parkinson’s disease? A. Diplopia B. Resting tremor C. Seizure activity D. Muscle atrophy 11. Nurse is assessing a client with Parkinson’s disease. Which of the following manifestations indicates postural instability? A. A propulsive gait with rapid, uncontrolled steps B. Cogwheel rigidity of the upper extremities C. Masklike facial expression D. Pill-rolling tremors of the fingers 12. A client diagnosed with Parkinson’s disease states, “I feel like I’m choking every time I eat.” Which nursing intervention is a priority? A. Refer the client to a psychiatrist B. Instruct the client to increase fluid intake C. Evaluate the client for dysphagia D. Administer an anticholinergic medication 13. A nurse is planning care for a patient with Parkinson’s disease. Which of the following nursing diagnoses is most appropriate due to the patient’s risk for falls? A. Risk for fluid volume deficit B. Risk for injury related to postural instability C. Risk for impaired skin integrity D. Risk for ineffective airway clearance 14. The family of a client with Alzheimer’s disease expresses concern that their father has forgotten how to pay bills and cook his usual meals. The nurse recognizes these as signs of impairment in: A. Agnosia B. Aphasia C. Executive functioning D. Apraxia * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY *