NEURO NCLEX (MULTIPLE SCLEROSIS, PD, MG , ALS) QUESTIONS AND ANSWERS

NEURO NCLEX (MULTIPLE
SCLEROSIS, PD, MG , ALS) QUESTIONS
AND ANSWERS

Thesdnursesdissdassessingsdasd48-year-
oldsdclientsddiagnosedsdwithsdmultiplesdsclerosis.sdWhichsdclinicalsdmanifestationsdwarrant
ssdimmediatesdintervention?

1.sdThesdclientsdhassdscanningsdspeechsdandsddiplopia.sd
2.sdThesdclientsdhassddysarthriasdandsdscotomas.
3.sdThesdclientsdhassdmusclesdweaknesssdandsdspasticity.
4.sdThesdclientsdhassdasdcongestedsdcoughsdandsddysphagia.sd-sdanswer--
4.Dysphagiasdissdasdcommonsdproblemsdofsdclientssddiagnosedsdwithsdmultiplesdsclerosis,
andsdthissdplacessdthesdclientsdatsdrisksdforsdaspirationsdpneumonia.sdSomesdclientssddiagn
osedsdwithsdmultiplesdsclerosissdeventuallysdbecomesdimmobilesdandsdaresdatsdrisksdforsdpn
eumonia.

Thesdclientsdnewlysddiagnosedsdwithsdmultiplesdsclerosissd(MS)sdstates,sd"Isddon'tsdunderst
andsdhowsdIsdgotsdmultiplesdsclerosis.sdIssditsdgenetic?"sdOnsdwhichsdstatementsdshouldsdth
esdnursesdbasesdthesdresponse?

1.sdGeneticssdmaysdplaysdasdrolesdinsdsusceptibilitysdtosdMS,sdbutsdthesddiseasesdmaysdbesdc
ausedsdbysdasdvirus.
2.sdTheresdissdnosdevidencesdsuggestingsdtheresdissdanysdchromosomalsdinvolvementsdinsd
developingsdMS.
3.sdMultiplesdsclerosissdissdcausedsdbysdasdrecessivesdgene,sdsosdbothsdparentssdhadsdtosdh
avesdthesdgenesdforsdthesdclientsdtosdgetsdMS.
4.sdMultiplesdsclerosissdissdcausedsdbysdansdautosomalsddominantsdgenesdonsdthesdYsdchro
mosome,sosdonlysdfatherssdcansdpasssditsdon.sd-sdanswer--
1.ThesdexactsdcausesdofsdMSsdissdnotsdknown,butsdtheresdissdasdtheorysdstatingsdasdslowsdvir
ussdissdpartiallysdresponsible.sdAsdfailuresdofsdapartsdofsdthesdimmunesdsystemsdmaysdalsosd
beatsdfault.sdAsdgeneticsdpredispositionsdinvolvingsdchromosomessd2,sd3,sd7,sd11,sd17,sd19,
sdandsdXsdmaysdbesdinvolved.




2.sdTheresdissdsomesdevidencesdsupportingsdasdgeneticsdcomponentsdinvolvedsdinsddevelo
pingsdMS.
3.sdAsdspecificsdgenesdhassdnotsdbeensdidentifiedsdtosdknowsdifsdthesdgenesdissdrecessivesdors
ddominant.

4.sdThesdXsdchromosome,sdnotsdthesdYsdchromosome,maysdbesdinvolved.

Thesd30-year-
oldsdfemalesdclientsdissdadmittedsdwithsdcomplaintssdofsdnumbness,sdtingling,sdasdcrawlingsd
sensationsdaffectingsdthesdextremities,sdandsddoublesdvisionsdwhichsdhassdoccurredsdtwo(2

,)sdtimessdinsdthesdmonth.sdWhichsdquestionsdissdmostsdimportantsdforsdthesdnursesdtosdasksdt
hesdclient?

1.sd"Havesdyousdexperiencedsdanysddifficultysdwithsdyoursdmenstrualsdcycle?"
2.sd"Havesdyousdnoticedsdasdrashsdacrosssdthesdbridgesdofsdyoursdnose?"
3.sd"Dosdyousdgetsdtiredsdeasilysdandsdsometimessdhavesdproblemssdswallowing?"
4.sd"Aresdyousdtakingsdbirthsdcontrolsdpillssdtosdpreventsdconception?"sd-sdanswer--
3.ThesesdaresdclinicalsdmanifestationsdofsdMSsdandsdcansdgosdunsddiagnosedsdforsdyearssdb
e-causesdofsdthesdremitting-
relapsingsdnaturesdofsdthesddisease.sdFatiguesdandsddifficultysdswallowingsdaresdothersdsy
mptomssdofsdMS.



1.sdMSsddoessdnotsdaffectsdthesdmenstrualsdcycle.
2.sdAsdrashsdacrosssdthesdbridgesdofsdthesdnosesdsuggestssdsystemicsdlupussderythematos
us
4.sdTakingsdbirthsdcontrolsdmedicationssdshouldsdnotsdproducesdthesesdsymptomssdorsdthes
dpatternsdofsdoccurrence.



Thesdnursesdenterssdthesdroomsdofsdasdclientsddiagnosedsdwithsdacutesdexacerbationsdofsdm
ultiplesdsclerosissdandsdfindssdthesdclientsdcrying.sdWhichsdstatementsdissdthesdmostsdtherap
euticsdresponsesdforsdthesdnursesdtosdmake?

1.sd"Whysdaresdyousdcrying?Thesdmedicationsdwillsdhelpsdthesddisease."
2.sd"Yousdseemsdupset.sdIsdwillsdsitsddownsdandsdwesdcansdtalksdforsdawhile."
3.sd"Multiplesdsclerosissdissdasddiseasesdthatsdhassdgoodsdtimessdandsdbadsdtimes."
4.sd"Isdwillsdhavesdthesdchaplainsdcomesdandsdstaysdwithsdyousdforsdasdwhile."sd-sdanswer--
2.Thissdissdstatingsdasdfactsdandsdofferingsdself.sdBothsdaresdtherapeuticsdtechniquessdforsdc
onversations.



1.sd"Why"sdissdrequestingsdansdexplanation,sdandsdthesdclientsddoessdnotsdowesdthesdnursesd
ansdexplanation.
3.sdThesdclientsddidsdnotsdasksdaboutsdthesdnaturesdofsdMS.sdThesdclientsdneedssdtosdbesdable
sdtosdverbalizesdfeelings.

4.sdThissdissd"passingsdthesdbuck."sdTherapeuticsdcommunicationsdissdansdintegralsdpartsdof
sdnursing.



Thesdclientsddiagnosedsdwithsdmultiplesdsclerosissdissdscheduledsdforsdasdmagneticsdreson
anceimagingsd(MRI)sdscansdofsdthesdhead.sdWhichsdinformationsdshouldsdthesdnursesdteac
hsdthesdclientsdaboutsdthesdtest?

1.sdThesdclientsdwillsdhavesdwiressdattachedsdtosdthesdscalpsdandsdlightssdwillsdflashsdoffsdand
sdon.

2.sdThesdmachinesdwillsdbesdloudsdandsdthesdclientsdmustsdnotsdmovesdthesdheadsdduringsdth
esdtest.
3.sdThesdclientsdwillsddrinksdasdcontrastsdmediumsd30sdminutessdtosdonesd(1)sdhoursdbeforesdt
hesdtest.

, 4.sdThesdtestsdwillsdbesdrepeatedsdatsdintervalssdduringsdasdfivesd(5)-sdtosdsixsd(6)-
hoursdperiod.sd-sdanswer--
2.MRIsdscanssdrequiresdthesdclientsdtosdliesdstillandsdnotsdmovesdthesdbody;sdthesdclientshou
ldsdbesdwarnedsdaboutsdthesdloudsdnoise


1.sdThissddescribessdansdevokedsdpotentialsdelectroencephalogramsd(EEG).
3.sdThesdclientsddoessdnotsddrinksdanysdcontrastsdmedium.sdIfsdcontrastsdissdused,sditsdwillsdb
esdgivensdIVPsdforsdasdCTsdscan.
4.sdThesdtestsdissdperformedsdatsdonesdtime

Thesd45-year-
oldsdclientsdissddiagnosedsdwithsdprimarysdprogressivesdmultiplesdsclerosissdandsdthesdnurs
esdwritessdthesdnursingsddiagnosissd"anticipatorysdgrievingsdrelatedsdtosdprogressivesdloss.
"sdWhichsdinterventionsdshouldsdbesdimplemented?

1.sdConsultsdthesdphysicalsdtherapistsdforsdassistivesddevicessdforsdmobility.
2.sdDeterminesdifsdthesdclientsdhassdasdlegalsdpowersdofsdattorney.
3.sdAsksdifsdthesdclientsdwouldsdlikesdtosdtalksdtosdthesdhospitalsdchaplain.sd4.sdDiscusssdthesdc
lient'ssdwishessdregardingsdend-of-lifesdcare.sd-sdanswer--
4.Thesdclientsdshouldsdmakesdpersonalsdchoicessdaboutsdend-of-
lifesdissuessdwhilesditsdissdpossiblesdtosddosdso.sdThissdclientsdissdprogressingsdtowardsdimmo
bilitysdandsdallsdthesdcomplicationssdrelatedsdtosdit.


1.sdThesdproblemsdissdgrievingsdR/
Tsdlosssdofsdfunctioning.sdAssistivesddevicessdwillsdnotsdpreventsdlosssdofsdfunctioningsdands
ddosdnotsdaddresssdgrieving.

2.sdAsdlegalsdpowersdofsdattorneysdissdforsdpersonalsdpropertysdandsdcontrolsdofsdfinancialsdis
sues,whichsdissdnotsdthesdfocussdofsdthesdnurse'ssdcare.sdAsdlegalsdpowersdofsdattorneysdforsd
healthsdcaresdmaybesdappropriate.
3.sdThesdnursesdshouldsdandsdmustsddiscusssdend-of-
lifesdissuessdwithsdthesdclientsdandsddoessdnotsdneedsdtosdcontactsdthesdhospitalsdchaplain.

Thesdhomesdhealthsdnursesdissdcaringsdforsdthesdclientsdnewlysddiagnosedsdwithsdmultiplesds
clerosis.sdWhichsdclientsdissuesdissdofsdmostsdimportance?

1.sdThesdclientsdrefusessdtosdhavesdasdgastrostomysdfeeding.
2.sdThesdclientsdwantssdtosddiscusssdifsdshesdshouldsdtellsdhersdfiancé.
3.sdThesdclientsdtellssdthesdnursesdlifesdissdnotsdworthsdlivingsdanymore
.4.sdThesdclientsdneedssdthesdflusdandsdpneumoniasdvaccines.sd-sdanswer--
3.Asdpotentialsdsuicidesdstatementsdissdprioritysdforsdthesdnursesdwhensdcaringsdforsdthesdcli
entsdwithsdMS.

Whensdobtainingsdasdhealthsdhistorysdandsdphysicalsdassessmentsdforsdasdpatientsdwithsdpo
ssiblesdmultiplesdsclerosissd(MS),sdthesdnursesdshould
a.sdassesssdforsdthesdpresencesdofsdchestsdpain.
b.sdinquiresdaboutsdanysdurinarysdtractsdproblems.
c.sdinspectsdthesdskinsdforsdrashessdorsddiscoloration.
d.sdquestionsdthesdpatientsdaboutsdanysdincreasesdinsdlibido.sd-sdanswer--ANS:sdB