ALS PRACTICE EXAM Questions and
Answers
1.Which assessment data would make the nurse suspect that the client
has ALS?
1. history of a cold or GI upset in the last month
2. Complaints of double vision and drooping eyelids
3. Fatigue, progressive muscle weakness, and twitching.
4. Loss of sensation below the level of the umbilicus.
1. Wrong. Guillan-Barre.
2. Wrong. Myasthenia Gravis
3. Answer Correct.
4. Wrong. Spinal cord injury.
2. Which intervention should the nurse take with the client recently diagnosed
with ALS?
1. Discuss a percutaneous gastrostomy tube.
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, 2. Explain how a fistula is accessed.
3. Provide an advance directive.
4. Refer to a PT for leg braces.
Answer 3. It is never too early to discuss advance directives with a client
diagnosed with a terminal illness.
3. Which diagnostic test is used to confirm ALS?
1. Electromyelogram (EMG).
2. Muscle biopsy.
3. Serum creatine kinase enzyme (CK).
4. Pulmonary function test.
1. Wrong. EMG differentiates neuropathy from myopathy.
2.Answer Correct. Biopsy confirms changes consistent with atrophy and
loss of muscle fiber, characteristics of ALS.
3.Wrong. CK may or may not be elevated.
4.Wrong. This only confirms pulmonary involvement, not a diagnosis.
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Answers
1.Which assessment data would make the nurse suspect that the client
has ALS?
1. history of a cold or GI upset in the last month
2. Complaints of double vision and drooping eyelids
3. Fatigue, progressive muscle weakness, and twitching.
4. Loss of sensation below the level of the umbilicus.
1. Wrong. Guillan-Barre.
2. Wrong. Myasthenia Gravis
3. Answer Correct.
4. Wrong. Spinal cord injury.
2. Which intervention should the nurse take with the client recently diagnosed
with ALS?
1. Discuss a percutaneous gastrostomy tube.
1/
6
, 2. Explain how a fistula is accessed.
3. Provide an advance directive.
4. Refer to a PT for leg braces.
Answer 3. It is never too early to discuss advance directives with a client
diagnosed with a terminal illness.
3. Which diagnostic test is used to confirm ALS?
1. Electromyelogram (EMG).
2. Muscle biopsy.
3. Serum creatine kinase enzyme (CK).
4. Pulmonary function test.
1. Wrong. EMG differentiates neuropathy from myopathy.
2.Answer Correct. Biopsy confirms changes consistent with atrophy and
loss of muscle fiber, characteristics of ALS.
3.Wrong. CK may or may not be elevated.
4.Wrong. This only confirms pulmonary involvement, not a diagnosis.
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6
