NUR 1700 Q7 TEST QUESTIONS WITH
CORRRECT ANSWERS
The nurse caring for a client with Guillain-Barr syndrome has identified
the priority client problem of decreased mobility for the client. What
actions by the nurse are best? (Select all that apply.)
a. Ask occupational therapy to help the client with activities of daily
living.
b. Consult with the provider about a physical therapy consult.
c. Provide the client with information on support groups.
d. Refer the client to a medical social worker or chaplain.
e. Work with speech therapy to design a high-protein diet. -
CORRECT ANSWER- ANS: A, B, E
Improving mobility and strength involves the collaborative assistance of
occupational therapy, physical therapy, and speech therapy. While
support groups, social work, or chaplain referrals may be needed, they
do not help with mobility.
To assess the functioning of the trigeminal and facial nerves (CNs V and
VII), the nurse should
a. shine a light into the patients pupil.
b. check for unilateral eyelid drooping.
c. touch a cotton wisp strand to the cornea.
d. have the patient read a magazine or book. - CORRECT ANSWER-
ANS: A
The trigeminal and facial nerves are responsible for the corneal reflex.
The optic nerve is tested by having the
patient read a Snellen chart or a newspaper. Assessment of pupil
response to light and ptosis are used to check function of the oculomotor
nerve.
,When obtaining a health history and physical assessment for a 36-year-
old female patient with possible
multiple sclerosis (MS), the nurse should
a. assess for the presence of chest pain.
b. inquire about urinary tract problems.
c. inspect the skin for rashes or discoloration.
d. ask the patient about any increase in libido. - CORRECT
ANSWER- ANS: B
Urinary tract problems with incontinence or retention are common
symptoms of MS. Chest pain and skin
rashes are not symptoms of MS. A decrease in libido is common with
MS.
A 31-year-old woman who has multiple sclerosis (MS) asks the nurse
about risks associated with pregnancy. Which response by the nurse is
accurate?
a. MS symptoms may be worse after the pregnancy.
b. Women with MS frequently have premature labor.
c. MS is associated with an increased risk for congenital defects.
d. Symptoms of MS are likely to become worse during pregnancy. -
CORRECT ANSWER- ANS: A
During the postpartum period, women with MS are at greater risk for
exacerbation of symptoms. There is no
increased risk for congenital defects in infants born of mothers with MS.
Symptoms of MS may improve
during pregnancy. Onset of labor is not affected by MS.
A 49-year-old patient with multiple sclerosis (MS) is to begin treatment
with glatiramer acetate (Copaxone). Which information will the nurse
include in patient teaching?
a. Recommendation to drink at least 4 L of fluid daily
b. Need to avoid driving or operating heavy machinery
c. How to draw up and administer injections of the medication
d. Use of contraceptive methods other than oral contraceptives -
CORRECT ANSWER- ANS: C
, Copaxone is administered by self-injection. Oral contraceptives are an
appropriate choice for birth control. There is no need to avoid driving or
drink large fluid volumes when taking glatiramer.
Which information about a 60-year-old patient with MS indicates that the
nurse should consult with the health care provider before giving the
prescribed dose of dalfampridine (Ampyra)?
a. The patient has relapsing-remitting MS.
b. The patient walks a mile a day for exercise.
c. The patient complains of pain with neck flexion.
d. The patient has an increased serum creatinine level. - CORRECT
ANSWER- ANS: D
Dalfampridine should not be given to patients with impaired renal
function. The other information will not
impact whether the dalfampridine should be administered.
Which action will the nurse plan to take for a 40-year-old patient with
multiple sclerosis (MS) who has urinary retention caused by a flaccid
bladder?
a. Decrease the patients evening fluid intake.
b. Teach the patient how to use the Cred method.
c. Suggest the use of adult incontinence briefs for nighttime only.
d. Assist the patient to the commode every 2 hours during the day -
CORRECT ANSWER- ANS: B
The Cred method can be used to improve bladder emptying. Decreasing
fluid intake will not improve bladder emptying and may increase risk for
urinary tract infection (UTI) and dehydration. The use of incontinence
briefs and frequent toileting will not improve bladder emptying.
A 73-year-old patient with Parkinsons disease has a nursing diagnosis of
impaired physical mobility related to bradykinesia. Which action will the
nurse include in the plan of care?
a. Instruct the patient in activities that can be done while lying or sitting.
b. Suggest that the patient rock from side to side to initiate leg
movement.
CORRRECT ANSWERS
The nurse caring for a client with Guillain-Barr syndrome has identified
the priority client problem of decreased mobility for the client. What
actions by the nurse are best? (Select all that apply.)
a. Ask occupational therapy to help the client with activities of daily
living.
b. Consult with the provider about a physical therapy consult.
c. Provide the client with information on support groups.
d. Refer the client to a medical social worker or chaplain.
e. Work with speech therapy to design a high-protein diet. -
CORRECT ANSWER- ANS: A, B, E
Improving mobility and strength involves the collaborative assistance of
occupational therapy, physical therapy, and speech therapy. While
support groups, social work, or chaplain referrals may be needed, they
do not help with mobility.
To assess the functioning of the trigeminal and facial nerves (CNs V and
VII), the nurse should
a. shine a light into the patients pupil.
b. check for unilateral eyelid drooping.
c. touch a cotton wisp strand to the cornea.
d. have the patient read a magazine or book. - CORRECT ANSWER-
ANS: A
The trigeminal and facial nerves are responsible for the corneal reflex.
The optic nerve is tested by having the
patient read a Snellen chart or a newspaper. Assessment of pupil
response to light and ptosis are used to check function of the oculomotor
nerve.
,When obtaining a health history and physical assessment for a 36-year-
old female patient with possible
multiple sclerosis (MS), the nurse should
a. assess for the presence of chest pain.
b. inquire about urinary tract problems.
c. inspect the skin for rashes or discoloration.
d. ask the patient about any increase in libido. - CORRECT
ANSWER- ANS: B
Urinary tract problems with incontinence or retention are common
symptoms of MS. Chest pain and skin
rashes are not symptoms of MS. A decrease in libido is common with
MS.
A 31-year-old woman who has multiple sclerosis (MS) asks the nurse
about risks associated with pregnancy. Which response by the nurse is
accurate?
a. MS symptoms may be worse after the pregnancy.
b. Women with MS frequently have premature labor.
c. MS is associated with an increased risk for congenital defects.
d. Symptoms of MS are likely to become worse during pregnancy. -
CORRECT ANSWER- ANS: A
During the postpartum period, women with MS are at greater risk for
exacerbation of symptoms. There is no
increased risk for congenital defects in infants born of mothers with MS.
Symptoms of MS may improve
during pregnancy. Onset of labor is not affected by MS.
A 49-year-old patient with multiple sclerosis (MS) is to begin treatment
with glatiramer acetate (Copaxone). Which information will the nurse
include in patient teaching?
a. Recommendation to drink at least 4 L of fluid daily
b. Need to avoid driving or operating heavy machinery
c. How to draw up and administer injections of the medication
d. Use of contraceptive methods other than oral contraceptives -
CORRECT ANSWER- ANS: C
, Copaxone is administered by self-injection. Oral contraceptives are an
appropriate choice for birth control. There is no need to avoid driving or
drink large fluid volumes when taking glatiramer.
Which information about a 60-year-old patient with MS indicates that the
nurse should consult with the health care provider before giving the
prescribed dose of dalfampridine (Ampyra)?
a. The patient has relapsing-remitting MS.
b. The patient walks a mile a day for exercise.
c. The patient complains of pain with neck flexion.
d. The patient has an increased serum creatinine level. - CORRECT
ANSWER- ANS: D
Dalfampridine should not be given to patients with impaired renal
function. The other information will not
impact whether the dalfampridine should be administered.
Which action will the nurse plan to take for a 40-year-old patient with
multiple sclerosis (MS) who has urinary retention caused by a flaccid
bladder?
a. Decrease the patients evening fluid intake.
b. Teach the patient how to use the Cred method.
c. Suggest the use of adult incontinence briefs for nighttime only.
d. Assist the patient to the commode every 2 hours during the day -
CORRECT ANSWER- ANS: B
The Cred method can be used to improve bladder emptying. Decreasing
fluid intake will not improve bladder emptying and may increase risk for
urinary tract infection (UTI) and dehydration. The use of incontinence
briefs and frequent toileting will not improve bladder emptying.
A 73-year-old patient with Parkinsons disease has a nursing diagnosis of
impaired physical mobility related to bradykinesia. Which action will the
nurse include in the plan of care?
a. Instruct the patient in activities that can be done while lying or sitting.
b. Suggest that the patient rock from side to side to initiate leg
movement.
