Multiple Sclerosis NCLEX Review
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical
manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia. - CORRECT ANSWER- ✔✔4.Dysphagia
is a common problem of clients diagnosed with multiple sclerosis,and this places the client at
risk for aspiration pneumonia. Some clients diagnosed with multiple sclerosis eventually
become immobile and are at risk for pneumonia.
1. These are clinical manifestations of multiple sclerosis and are expected.
2. These are expected clinical manifestations of multiple sclerosis.
3. These are expected clinical manifestations of multiple sclerosis.
The client newly diagnosed with multiple sclerosis (MS) states, "I don't understand how I got
multiple sclerosis. Is it genetic?" On which statement should the nurse base the response?
1. Genetics may play a role in susceptibility to MS, but the disease may be caused by a virus.
2. There is no evidence suggesting there is any chromosomal involvement in developing MS.
3. Multiple sclerosis is caused by a recessive gene, so both parents had to have the gene for
the client to get MS.
4. Multiple sclerosis is caused by an autosomal dominant gene on the Y chromosome,so only
fathers can pass it on. - CORRECT ANSWER- ✔✔1.The exact cause of MS is not known,but
there is a theory stating a slow virus is partially responsible. A failure of apart of the immune
system may also beat fault. A genetic predisposition involving chromosomes 2, 3, 7, 11, 17,
19, and X may be involved.
, 2. There is some evidence supporting a genetic component involved in developing MS.
3. A specific gene has not been identified to know if the gene is recessive or dominant.
4. The X chromosome, not the Y chromosome,may be involved.
The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling
sensation affecting the extremities, and double vision which has occurred two(2) times in the
month. Which question is most important for the nurse to ask the client?
1. "Have you experienced any difficulty with your menstrual cycle?"
2. "Have you noticed a rash across the bridge of your nose?"
3. "Do you get tired easily and sometimes have problems swallowing?"
4. "Are you taking birth control pills to prevent conception?" - CORRECT ANSWER-
✔✔3.These are clinical manifestation of MS and can go un diagnosed for years be-cause of
the remitting-relapsing nature of the disease. Fatigue and difficulty swallowing are other
symptoms of MS.
1. MS does not affect the menstrual cycle.
2. A rash across the bridge of the nose suggests systemic lupus erythematosus
4. Taking birth control medications should not produce these symptoms or the pattern of
occurrence.
The nurse enters the room of a client diagnosed with acute exacerbation of multiple sclerosis
and finds the client crying. Which statement is the most therapeutic response for the nurse to
make?
1. "Why are you crying?The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while." - CORRECT ANSWER-
✔✔2.This is stating a fact and offering self. Both are therapeutic techniques for
conversations.
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical
manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia. - CORRECT ANSWER- ✔✔4.Dysphagia
is a common problem of clients diagnosed with multiple sclerosis,and this places the client at
risk for aspiration pneumonia. Some clients diagnosed with multiple sclerosis eventually
become immobile and are at risk for pneumonia.
1. These are clinical manifestations of multiple sclerosis and are expected.
2. These are expected clinical manifestations of multiple sclerosis.
3. These are expected clinical manifestations of multiple sclerosis.
The client newly diagnosed with multiple sclerosis (MS) states, "I don't understand how I got
multiple sclerosis. Is it genetic?" On which statement should the nurse base the response?
1. Genetics may play a role in susceptibility to MS, but the disease may be caused by a virus.
2. There is no evidence suggesting there is any chromosomal involvement in developing MS.
3. Multiple sclerosis is caused by a recessive gene, so both parents had to have the gene for
the client to get MS.
4. Multiple sclerosis is caused by an autosomal dominant gene on the Y chromosome,so only
fathers can pass it on. - CORRECT ANSWER- ✔✔1.The exact cause of MS is not known,but
there is a theory stating a slow virus is partially responsible. A failure of apart of the immune
system may also beat fault. A genetic predisposition involving chromosomes 2, 3, 7, 11, 17,
19, and X may be involved.
, 2. There is some evidence supporting a genetic component involved in developing MS.
3. A specific gene has not been identified to know if the gene is recessive or dominant.
4. The X chromosome, not the Y chromosome,may be involved.
The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling
sensation affecting the extremities, and double vision which has occurred two(2) times in the
month. Which question is most important for the nurse to ask the client?
1. "Have you experienced any difficulty with your menstrual cycle?"
2. "Have you noticed a rash across the bridge of your nose?"
3. "Do you get tired easily and sometimes have problems swallowing?"
4. "Are you taking birth control pills to prevent conception?" - CORRECT ANSWER-
✔✔3.These are clinical manifestation of MS and can go un diagnosed for years be-cause of
the remitting-relapsing nature of the disease. Fatigue and difficulty swallowing are other
symptoms of MS.
1. MS does not affect the menstrual cycle.
2. A rash across the bridge of the nose suggests systemic lupus erythematosus
4. Taking birth control medications should not produce these symptoms or the pattern of
occurrence.
The nurse enters the room of a client diagnosed with acute exacerbation of multiple sclerosis
and finds the client crying. Which statement is the most therapeutic response for the nurse to
make?
1. "Why are you crying?The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while." - CORRECT ANSWER-
✔✔2.This is stating a fact and offering self. Both are therapeutic techniques for
conversations.
