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Concepts Final Exam Review Quiz

Older clients with Parkinson Disease are more susceptible to the complications of immobility. Which of the following is NOT a complication of immobility?
Dysphagia
Contractures
Constipation
Pneumonia
What safety instructions should be provided to a client with Parkinson's learning to use a wheeled walker?
Maintain a constant pace
Keep the walker a full arm’s length in front.
Pick up the walker when taking a step
Stand straight with head up
Clients with Parkinson’s may have difficulty swallowing. What should be done to promote nutrition and reduce risk for aspiration? Select all that apply.
Modify the texture and consistency of the food
Have the client flex the chin when swallowing
Encourage frequent sips of water to help swallowing
Allow ample time for consuming meals
Which of the following is a priority assessment for a client with a suspected head injury?
Mental status and BP
Resps and verbal response
LOC and pupil response
Peripheral neurovascular function
Which of the following goals is most appropriate for a client a entering a rehabilitation facility?
The client will maintain adequate nutritional status
The client will not exhibit skin breakdown or contractures
The client not exhibit signs of clinical depression
The client will function using all extremities
Which method is best for assessing the circulation of a recently casted arm?
Ask the client if they can move their fingers.
Depress the nail bed and note the time it takes for colour to return
Feel the cast to determine if it is unusually hot or cold
See if there is enough room to insert a finger between the cast and the arm
When planning care for a client with rheumatoid arthritis, when should the nurse expect that the client will need more time to complete ADLs?
After lunch time
In the evening
In the late afternoon
Early in the morning
What advise can the practical nurse offer a client to help reduce the pain of osteoarthritis?
Apply topical analgesic cream
Become more physically active
Maintain a normal weight
Soak in a warm tub of water
A client presents with the following vital signs: T 38.2, P 88, R 32, BP 160/84. Upon physical exam the client is also experiencing dyspnea. What is the most appropriate action to take first?
Prepare o2 and suction
Instruct client to take slow deep breaths
Report findings to care provider
Apply pulse oximeter to clients finger
Which of the following would be most important to include in health teaching a client with asthma?
Peak flow meter
Pursed lip breathing
Incentive spirometer
Deep breathing and coughing
Where would the practical nurse place a meal tray for a client with right hemianopia?
Directly in front of the client to avoid confusion
On the client’s right side to allow for self-feeding
On the client’s left side to allow for better vision
Near the nurse as the client will most likely need assistance
A client with a leaking cerebral aneurysm is being treated with complete bedrest. Which of the following requires the practical nurses immediate attention?
The client is not sleeping well
The client is constipated
A diminished appetite
Complains of a sore throat
A elderly bedridden client frequently slides down to the bottom of the bed requiring the practical nurse to reposition them. Which of the following is the client most at risk of?
Traumatic fracture if a fall occurs
Hypothermia due to frequent skin exposure
Bruising bc of contact with beds footboard
Skin impairment due to shearing forces
A client with type I diabetes is being assessed in a clinic. Which of the following best indicates the practical nurse is assessing for complications?
What does your bp usually run?
Have you had any heart palpitations?
What is the colour of your urine?
Have you had your eyes checked recently?
Which of the following are signs of hypoglycemia? Select all that apply.
Diaphoresis
Confusion
Drowsiness
Hunger
Thirst
Tremors
A client with type 1 diabetes has the stomach flu and is vomiting. Should they take their morning insulin as usual?
Yes, blood sugar will raise due to stress on the body
Yes, otherwise dehydration may occur
No, insulin will not work without eating
No, they are not eating and will go into hypoglycemia
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