Multiple Sclerosis Practice Questions
1. Which of the following state- 1,2
ments made by a patient di-
agnosed with multiple sclerosis The patient should be taught about fac-
(MS) would alert the healthcare tors that can exacerbate symptoms, such
provider that the patient requires as heat and stress. In addition, the patient
additional instruction about the is at risk for burns due to impaired periph-
disease? Select all that apply. eral sensation, so bathing temperatures
should be carefully monitored.
1. "A hot bath in the evenings
will help relax my muscles and
relieve pain."
2. "I will avoid foods that are high
in fiber to prevent problems with
my bowels."
3. "It's important for me to in-
spect my skin daily make sure
there aren't any injuries."
4. "Use of stress reduction
strategies can decrease the
severity of my symptoms."
2. The healthcare provider is teach- 2, 4, 6
ing a group of patients di-
agnosed with multiple sclero- MS heightens a patient's risk of urinary
sis (MS) about common bladder tract infections. Patients should plan to
problems. Which of the following void on a regular basis. Voiding at least
will the healthcare provider in- every 2 hours will decrease urine stasis.
clude? Select all that apply.
1. "Drinking caffeinated bever-
ages can help you empty your
bladder completely."
2. "MS may cause the bladder to
contract and empty more often
than usual."
3. "You should not attempt to uri-
nate until you feel that your blad-
der is full."
4. "Drink 1.5 - 2 liters of water
, Multiple Sclerosis Practice Questions
each day so your urine isn't too
concentrated."
5. "Drinking lots of citrus juices
will decrease the amount of bac-
teria in your urinary tract."
6. "Patients with MS are at in-
creased risk of developing uri-
nary tract infections."
3. When assessing a patient di- 4
agnosed with multiple sclero-
sis (MS), which of the following These are all signs and symptoms of
would require immediate action MS, but some can be more serious than
by the healthcare provider? others. Select the clinical manifestations
1) Fatigue and depression of MS that may result in a serious sec-
2) Paresthesia and tremor ondary problem for the patient.Dyspha-
3) Nystagmus and diplopia gia puts the patient at risk for aspiration
4) Dysphagia and congested pneumonia, and the congested cough is
cough an indication that aspiration has already
occurred.
4. The healthcare provider is plan- 1
ning care for a patient diag-
nosed with multiple sclerosis Problems related to dysphagia (such as
(MS). Which of the following is aspiration) can be minimized if the patient
the priority intervention? drinks liquids through a straw. Sensitivity
1) Advise the patient to drink liq- to heat is a concern with MS, but monitor-
uids through a straw ing the patient's temperature is not nec-
2) Monitor the patient's tempera- essary.
ture to avoid overheating
3) Teach the patient's family how
to meet the patient's needs
4) Encourage bed rest in order to
conserve strength
5. The client newly diagnosed with 1.
multiple sclerosis (MS) states,
"I don't understand how I got The exact cause of MS is not known,but
multiple sclerosis. Is it genetic?" there is a theory stating a slow virus is
, Multiple Sclerosis Practice Questions
On which statement should the partially responsible. A failure of apart of
nurse base the response? the immune system may also beat fault. A
genetic predisposition involving chromo-
1. Genetics may play a role in somes 2, 3, 7, 11, 17, 19, and X may be
susceptibility to MS, but the dis- involved.
ease may be caused by a virus.
2. There is no evidence suggest-
ing there is any chromosomal in- 2. There is some evidence supporting a
volvement in developing MS. genetic component involved in develop-
3. Multiple sclerosis is caused by ing MS.
a recessive gene, so both par- 3. A specific gene has not been identified
ents had to have the gene for the to know if the gene is recessive or domi-
client to get MS. nant.
4. Multiple sclerosis is caused 4. The X chromosome, not the Y chromo-
by an autosomal dominant gene some,may be involved.
on the Y chromosome,so only fa-
thers can pass it on.
6. The 30-year-old female client 3.
is admitted with complaints of These are clinical manifestation of MS
numbness, tingling, a crawling and can go un diagnosed for years
sensation affecting the extrem- be-cause of the remitting-relapsing na-
ities, and double vision which ture of the disease. Fatigue and difficulty
has occurred two(2) times in the swallowing are other symptoms of MS.
month. Which question is most
important for the nurse to ask
the client?
1. MS does not affect the menstrual cycle.
1. "Have you experienced any 2. A rash across the bridge of the nose
difficulty with your menstrual cy- suggests systemic lupus erythematosus
cle?" 4. Taking birth control medications should
2. "Have you noticed a rash not produce these symptoms or the pat-
across the bridge of your nose?" tern of occurrence.
3. "Do you get tired easily and
sometimes have problems swal-
lowing?"
4. "Are you taking birth control
pills to prevent conception?"
1. Which of the following state- 1,2
ments made by a patient di-
agnosed with multiple sclerosis The patient should be taught about fac-
(MS) would alert the healthcare tors that can exacerbate symptoms, such
provider that the patient requires as heat and stress. In addition, the patient
additional instruction about the is at risk for burns due to impaired periph-
disease? Select all that apply. eral sensation, so bathing temperatures
should be carefully monitored.
1. "A hot bath in the evenings
will help relax my muscles and
relieve pain."
2. "I will avoid foods that are high
in fiber to prevent problems with
my bowels."
3. "It's important for me to in-
spect my skin daily make sure
there aren't any injuries."
4. "Use of stress reduction
strategies can decrease the
severity of my symptoms."
2. The healthcare provider is teach- 2, 4, 6
ing a group of patients di-
agnosed with multiple sclero- MS heightens a patient's risk of urinary
sis (MS) about common bladder tract infections. Patients should plan to
problems. Which of the following void on a regular basis. Voiding at least
will the healthcare provider in- every 2 hours will decrease urine stasis.
clude? Select all that apply.
1. "Drinking caffeinated bever-
ages can help you empty your
bladder completely."
2. "MS may cause the bladder to
contract and empty more often
than usual."
3. "You should not attempt to uri-
nate until you feel that your blad-
der is full."
4. "Drink 1.5 - 2 liters of water
, Multiple Sclerosis Practice Questions
each day so your urine isn't too
concentrated."
5. "Drinking lots of citrus juices
will decrease the amount of bac-
teria in your urinary tract."
6. "Patients with MS are at in-
creased risk of developing uri-
nary tract infections."
3. When assessing a patient di- 4
agnosed with multiple sclero-
sis (MS), which of the following These are all signs and symptoms of
would require immediate action MS, but some can be more serious than
by the healthcare provider? others. Select the clinical manifestations
1) Fatigue and depression of MS that may result in a serious sec-
2) Paresthesia and tremor ondary problem for the patient.Dyspha-
3) Nystagmus and diplopia gia puts the patient at risk for aspiration
4) Dysphagia and congested pneumonia, and the congested cough is
cough an indication that aspiration has already
occurred.
4. The healthcare provider is plan- 1
ning care for a patient diag-
nosed with multiple sclerosis Problems related to dysphagia (such as
(MS). Which of the following is aspiration) can be minimized if the patient
the priority intervention? drinks liquids through a straw. Sensitivity
1) Advise the patient to drink liq- to heat is a concern with MS, but monitor-
uids through a straw ing the patient's temperature is not nec-
2) Monitor the patient's tempera- essary.
ture to avoid overheating
3) Teach the patient's family how
to meet the patient's needs
4) Encourage bed rest in order to
conserve strength
5. The client newly diagnosed with 1.
multiple sclerosis (MS) states,
"I don't understand how I got The exact cause of MS is not known,but
multiple sclerosis. Is it genetic?" there is a theory stating a slow virus is
, Multiple Sclerosis Practice Questions
On which statement should the partially responsible. A failure of apart of
nurse base the response? the immune system may also beat fault. A
genetic predisposition involving chromo-
1. Genetics may play a role in somes 2, 3, 7, 11, 17, 19, and X may be
susceptibility to MS, but the dis- involved.
ease may be caused by a virus.
2. There is no evidence suggest-
ing there is any chromosomal in- 2. There is some evidence supporting a
volvement in developing MS. genetic component involved in develop-
3. Multiple sclerosis is caused by ing MS.
a recessive gene, so both par- 3. A specific gene has not been identified
ents had to have the gene for the to know if the gene is recessive or domi-
client to get MS. nant.
4. Multiple sclerosis is caused 4. The X chromosome, not the Y chromo-
by an autosomal dominant gene some,may be involved.
on the Y chromosome,so only fa-
thers can pass it on.
6. The 30-year-old female client 3.
is admitted with complaints of These are clinical manifestation of MS
numbness, tingling, a crawling and can go un diagnosed for years
sensation affecting the extrem- be-cause of the remitting-relapsing na-
ities, and double vision which ture of the disease. Fatigue and difficulty
has occurred two(2) times in the swallowing are other symptoms of MS.
month. Which question is most
important for the nurse to ask
the client?
1. MS does not affect the menstrual cycle.
1. "Have you experienced any 2. A rash across the bridge of the nose
difficulty with your menstrual cy- suggests systemic lupus erythematosus
cle?" 4. Taking birth control medications should
2. "Have you noticed a rash not produce these symptoms or the pat-
across the bridge of your nose?" tern of occurrence.
3. "Do you get tired easily and
sometimes have problems swal-
lowing?"
4. "Are you taking birth control
pills to prevent conception?"
