Lewis Med-Surg: Chapter 63 Advanced Neurology Nursing
Examination: Pathophysiology, Assessment, Clinical Manifestations,
Diagnostics, Pharmacology, Complications, Therapeutic Interventions,
and Evidence-Based Management of Multiple Sclerosis, Parkinson’s
Disease, Myasthenia Gravis, Guillain-Barré Syndrome, Huntington’s
Disease, Amyotrophic Lateral Sclerosis, Trigeminal Neuralgia, and
Bell’s Palsy Exam Questions Verified and Provided with Complete A+
Graded Rationales Latest Updated 2026
A patient who is having an acute exacerbation of multiple sclerosis has a prescription for
methylprednisolone (Solu-Medrol) 160 mg IV. The label on the vial reads: methylprednisolone 125 mg in
2 mL.
How many mL will the nurse administer?
2.56. With a concentration of 125 mg/2 mL, the nurse will need to administer 2.56 mL to obtain 160 mg
of methylprednisolone.
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.
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."
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
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.
Examination: Pathophysiology, Assessment, Clinical Manifestations,
Diagnostics, Pharmacology, Complications, Therapeutic Interventions,
and Evidence-Based Management of Multiple Sclerosis, Parkinson’s
Disease, Myasthenia Gravis, Guillain-Barré Syndrome, Huntington’s
Disease, Amyotrophic Lateral Sclerosis, Trigeminal Neuralgia, and
Bell’s Palsy Exam Questions Verified and Provided with Complete A+
Graded Rationales Latest Updated 2026
A patient who is having an acute exacerbation of multiple sclerosis has a prescription for
methylprednisolone (Solu-Medrol) 160 mg IV. The label on the vial reads: methylprednisolone 125 mg in
2 mL.
How many mL will the nurse administer?
2.56. With a concentration of 125 mg/2 mL, the nurse will need to administer 2.56 mL to obtain 160 mg
of methylprednisolone.
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.
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."
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
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.
