Which symptoms occurs initially in Parkinson disease?

Aspiration

Dementia

Akinesia

Pill-rolling movements of the hand

Answer and Explanation

The Correct Answer is D

A. Aspiration can occur in later stages of Parkinson disease due to impaired swallowing and muscle coordination, but it is not an initial symptom.
B. Dementia may develop as the disease progresses, but it is not typically seen in the early stages.
C. Akinesia, or the absence or loss of voluntary movement, may appear later but is not usually the first sign.
D. Pill-rolling movements of the hand (a type of resting tremor) are often one of the earliest signs of Parkinson disease and commonly prompt individuals to seek medical evaluation.

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Correct Answer is A

Explanation

A. Using a wrist support pad while typinghelps maintain the wrist in a neutral position, reducing compression on the median nerve and helping to prevent carpal tunnel syndrome (CTS).
B. Repetitive wrist flexioncan actually worsen or contributeto the development of CTS, rather than prevent it.
C. Wrapping wrists with elastic bandages is not a preventive strategyfor CTS and may restrict circulation or movementunnecessarily.
D. Warm compresses may soothe discomfortif symptoms occur but do not preventthe development of CTS.

A. Ask the patient to touch the tip of the tongue to each cheek B. Check air movement through each nostril separately. C. Ask the patient to shrug the shoulders, D. Ask the patient to wrinkle the forehead.

Correct Answer is A

Explanation

A. The hypoglossal nerve (cranial nerve XII) controls tongue movements, so asking the patient to move the tongue side to side tests its function.
B. Checking air movement through each nostril assesses the olfactory nerve (cranial nerve I).
C. Asking the patient to shrug the shoulders tests the accessory nerve (cranial nerve XI).
D. Asking the patient to wrinkle the forehead tests the facial nerve (cranial nerve VII).

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Which symptoms occurs initially in Parkinson disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who works as a legal secretary. The patient asks the nurse about ways to avoid developing carpal tunnel syndrome (CTS). Which action should the nurse suggest?

Correct Answer is A

Explanation

The nurse is performing a neurologic assessment on a patient. Which action should the nurse take to adequately test the effectiveness for the hypoglossal nerve?

Correct Answer is A

Explanation

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