Parkinson's Disease Quiz Questions!

20 Questions | By Rnpedia | Updated: Mar 21, 2022 | Attempts: 11036

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Parkinsons Disease Quiz Questions! - Quiz

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1.

The nurse is assessing a patient and notes a Brudzinski’s sign and Kernig’s sign. These are two classic signs of which of the following disorders?
- A.
  
  Cerebrovascular accident (CVA)
- B.
  
  Meningitis
- C.
  
  Seizure disorder
- D.
  
  Parkinson’s disease
2.

The nurse should instruct the patient with Parkinson’s disease to avoid which of the following?
- A.
  
  Walking in an indoor shopping mall
- B.
  
  Sitting on the deck on a cool summer evening
- C.
  
  Walking to the car on a cold winter day
- D.
  
  Sitting on the beach in the sun on a summer day
3.

The nurse is teaching a client with Parkinson’s disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:
- A.
  
  Periodically lie prone without a neck pillow
- B.
  
  Sleep only in dorsal recumbent position
- C.
  
  Rest in supine position with his head elevated
- D.
  
  Sleep on either side but keep his back straight
4.

A shuffling gait is typically associated with the patient who has:
- A.
  
  Parkinson’s disease
- B.
  
  Multiple sclerosis
- C.
  
  Raynaud’s disease
- D.
  
  Myasthenia gravis
5.

Which of the following diseases is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of small patches of demyelination in the brain and spinal cord?
- A.
  
  Multiple sclerosis
- B.
  
  Parkinson’s disease
- C.
  
  Huntington’s disease
- D.
  
  Creutzfeldt-Jakob’s disease
6.

Which of the following diseases is associated with decreased levels of dopamine due to destruction of pigmented neuronal cells in the substantia nigra in the basal ganglia of the brain?
- A.
  
  Parkinson’s disease
- B.
  
  Multiple sclerosis
- C.
  
  Huntington’s disease
- D.
  
  Creutzfeldt-Jakob’s disease
7.

Mr. Perkson has a parkinson’s disease and he finds the resting tremor he is experiencing in his right hand very frustrating. The nurse advises him to:
- A.
  
  Take a warm bath
- B.
  
  Hold an object
- C.
  
  Practice deep breathing
- D.
  
  Take diazepam as needed
8.

SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The charge nurse is going to make an initial assessment.Which of the following is a characteristic of a patient with advanced Parkinson’s disease?
- A.
  
  Disturbed vision
- B.
  
  Forgetfulness
- C.
  
  Mask like facial expression
- D.
  
  Muscle atrophy
9.

SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The charge nurse is going to make an initial assessment. The onset of Parkinson’s disease is between 50-60 years old. This disorder is caused by
- A.
  
  Injurious chemical substances
- B.
  
  Hereditary factors
- C.
  
  Death of brain cells due to old age
- D.
  
  Impairment of dopamine producing cells in the brain
10.

SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The charge nurse is going to make an initial assessment.The patient was prescribed with levodopa. What is the action of this drug?
- A.
  
  Increase dopamine availability
- B.
  
  Activates dopaminergic receptors in the basal ganglia
- C.
  
  Decrease acetylcholine availability
- D.
  
  Release dopamine and other catecholamine from neurological storage sites
11.

SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The charge nurse is going to make an initial assessment.You are discussing with the dietician what food to avoid with patients taking levodopa?
- A.
  
  Vitamin C rich food
- B.
  
  Vitamin E rich food
- C.
  
  Thiamine rich food
- D.
  
  Vitamin B6 rich food
12.

SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The charge nurse is going to make an initial assessment.One day, the patient complained of difficulty in walking. Your response would be
- A.
  
  You will need a cane for support
- B.
  
  Walk erect with eyes on horizon
- C.
  
  I’ll get you a wheelchair
- D.
  
  Don’t force yourself to walk
13.

Nurse Carol is assessing a client with Parkinson’s disease. The nurse recognize bradykinesia when the client exhibits:
- A.
  
  Intentional tremor
- B.
  
  Paralysis of limbs
- C.
  
  Muscle spasm
- D.
  
  Lack of spontaneous movement
14.

A patient with Parkinson’s disease has a nursing diagnosis of Impaired Physical Mobility related to neuromuscular impairment. You observe a nursing assistant performing all of these actions. For which action must you intervene?
- A.
  
  The NA assists the patient to ambulate to the bathroom and back to bed.
- B.
  
  The NA reminds the patient not to look at his feet when he is walking.
- C.
  
  The NA performs the patient’s complete bath and oral care.
- D.
  
  The NA sets up the patient’s tray and encourages patient to feed himself.
15.

All of these nursing activities are included in the care plan for a 78-year-old man with Parkinson’s disease who has been referred to your home health agency. Which ones will you delegate to a nursing assistant (NA)? (Choose all that apply).
- A.
  
  Check for orthostatic changes in pulse and bloods pressure.
- B.
  
  Monitor for improvement in tremor after levodopa (L-dopa) is given.
- C.
  
  Remind the patient to allow adequate time for meals.
- D.
  
  Monitor for abnormal involuntary jerky movements of extremities.
- E.
  
  Assist the patient with prescribed strengthening exercises.
- F.
  
  Adapt the patient’s preferred activities to his level of function.
16.

A nurse is assigned to care to a client with Parkinson’s disease. What interventions are important if the nurse wants to improve nutrition and promote effective swallowing of the client?
- A.
  
  Eat solid food
- B.
  
  Give liquids with meals
- C.
  
  Feed the client
- D.
  
  Sit in an upright position to eat
17.

A client has been placed on levodopa to treat Parkinson’s disease. Which of the following is a common side effects of levodopa that the nurse should include in the client’s teaching plan?
- A.
  
  Pancytopenia
- B.
  
  Peptic ulcer
- C.
  
  Postural hypotension
- D.
  
  Weight loss
18.

Which of the following is the most common cause of dementia among elderly persons?
- A.
  
  Parkinson’s disease
- B.
  
  Multiple sclerosis
- C.
  
  Amyotrophic lateral sclerosis (Lou Gerhig’s disease)
- D.
  
  Alzheimer’s disease
19.

Levodopa is ordered for a client with Parkinson’s disease. Before starting the medication, the nurse should know that:
- A.
  
  Levodopa is inadequately absorbed if given with meals.
- B.
  
  Levodopa may cause the side effects of orthostatic hypotension
- C.
  
  Levodopa must be monitored by weekly laboratory tests.
- D.
  
  Levodopa causes an initial euphoria followed by depression.
20.

A nurse is caring for a client with Parkinson's disease who has been taking carbidopa/levodopa (Sinemet) for a year. Which of the following adverse reactions will the nurse monitor the client for?
- A.
  
  Dykinesia
- B.
  
  Glaucoma
- C.
  
  Hypotension
- D.
  
  Respiratory depression