A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

What kind of work do you do?

Do you have any family members with Parkinson’s disease?

How much coffee do you drink every day?

When did you have your last physical?

None

Answer and Explanation

The Correct Answer is A

Choice A rationale: Occupational exposure to pesticides, heavy metals, and industrial toxins is a known environmental risk factor for Parkinson’s disease. Work history helps identify neurotoxic exposure linked to disease onset.

Choice B rationale: Family history may suggest genetic predisposition, but idiopathic Parkinson’s is more often linked to environmental factors. Genetics play a role, but exposure history is more actionable during assessment.

Choice C rationale: Coffee intake has been inversely associated with Parkinson’s risk, but it’s not a diagnostic or causative factor. This question does not guide clinical assessment or identify potential exposures.

Choice D rationale: Timing of last physical may inform general health status but does not address etiology or risk factors specific to Parkinson’s disease. It lacks relevance to environmental or occupational exposure.

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Correct Answer is A

Explanation

Choice A rationale
A Computerized Tomography Angiography (CTA) scan is often used to diagnose a Transient Ischemic Attack (TIA). This imaging test can provide detailed images of blood vessels in the brain and neck, allowing healthcare providers to identify blockages or other abnormalities that could have caused the TIA12.
Choice B rationale
A Transesophageal Echocardiogram (TEE) is a type of echocardiogram that uses a probe passed down the esophagus to obtain detailed images of the heart. While it can be useful in diagnosing certain heart conditions, it is not typically the first-line diagnostic test for a TIA12.
Choice C rationale
A Complete Blood Count (CBC) is a blood test that measures different components of the blood, including red and white blood cells and platelets. While it can provide useful information about a person’s overall health, it is not typically used to diagnose a TIA12.
Choice D rationale
Prothrombin Time (PT) is a blood test that measures how long it takes for your blood to clot. While it can provide information about clotting disorders, it is not typically used to diagnose a

A. Trigeminal neuralgia B. Lhermitte’s sign C. MS hug D. Paroxysmal spasms

Correct Answer is C

Explanation

Choice A rationale
Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which carries sensation from your face to your brain. It does not cause a sensation of tightness around the torso.
Choice B rationale

Lhermitte’s sign is a symptom of multiple sclerosis and other neurological conditions where a person feels an electric shock-like sensation running down the spine and into the limbs. It does not cause a sensation of tightness around the torso.
Choice C rationale
The sensation of tightness around the torso in a patient with multiple sclerosis is often referred to as the “MS hug”. It is caused by a lesion or an area of active inflammation within the spinal cord.
Choice D rationale
Paroxysmal spasms are a type of muscle spasm experienced by some people with multiple sclerosis. These spasms are usually painful and involve the muscles of the legs, but they do not cause a sensation of tightness around the torso.

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A nurse is caring for a client newly diagnosed with Parkinson’s disease. The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?

Nursing Test Bank

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A nurse is providing care for a patient in the emergency department who has been preliminarily diagnosed with a transient ischemic attack (TIA). Which diagnostic test should the nurse expect the healthcare provider to order?

Correct Answer is A

Explanation

A nurse is attending to a client with multiple sclerosis who reports a sensation of tightness around their torso. What condition should the nurse identify this symptom as indicating?

Correct Answer is C

Explanation

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A nurse is caring for a client newly diagnosed with Parkinson’s disease.
The client states, “I have no idea why I got this.”. What is the most important he nurse should ask this client while performing the assessment?