MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
NEUROLOGICAL DISORDERS D. Ask if the patient is feeling either
anxious or depressed.
1. The nurse is caring for a
group of patients on a Patients with Parkinson's
medical unit. After receiving disease are instructed to rock
report, which patient should from side to side to stimulate
the nurse see first? balance mechanisms and
decrease akinesia.
A. A 42-year-old patient with
multiple sclerosis who was admitted 3. The nurse provides dietary
with sepsis instructions to the in-home
caregiver of a 45-year-old
B. A 72-year-old patient with man who has Huntington's
Parkinson's disease who has disease. The nurse is most
aspiration pneumonia concerned if the caregiver
C. A 38-year-old patient with makes which statement?
myasthenia gravis who declined A. "Depression is common and may
prescribed medications cause a decrease in appetite."
D. A 45-year-old patient with B. "If swallowing becomes difficult,
amyotrophic lateral sclerosis who a feeding tube may be needed."
refuses enteral feedings
C. "Calories should be restricted to
Patients with myasthenia prevent unnecessary weight gain."
gravis who discontinue
pyridostigmine (Mestinon) will D. "Muscles in the face are affected,
develop a myasthenic crisis. and chewing may become
Myasthenia crisis results in impossible."
severe muscle weakness and
can lead to a respiratory arrest. Patients with Huntington's
disease may require 4000 to
2. The nurse observes a 74-year- 5000 calories per day to
old man with Parkinson's maintain body weight. Weight
disease rocking side to side loss occurs in patients with
while sitting in the chair. Huntington's disease because
Which action by the nurse is of choreic movements, difficulty
most appropriate? swallowing, depression, and
mental deterioration.
A. Provide the patient with
diversional activities. 4. Which measure should the
nurse prioritize when
B. Document the activity in the providing care for a patient
patient's health record. with a diagnosis of multiple
C. Take the patient's blood pressure sclerosis (MS)?
sitting and standing. A. Vigilant infection control and
adherence to standard precautions
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
B. Careful monitoring of neurologic Nutritional support is a priority
assessment and frequent in the care of individuals with
reorientation PD. Such patients may benefit
from meals that are smaller
C. Maintenance of a calorie count and more frequent than normal
and hourly assessment of intake and and that are easy to chew and
output swallow.
D. Assessment of blood pressure and 6. Which nursing diagnosis is
monitoring for signs of orthostatic likely to be a priority in the
hypotension care of a patient with
Infection control is a priority in myasthenia gravis (MG)?
the care of patients with MS, A. Acute confusion
since infection is the most
common cause of an B. Bowel incontinence
exacerbation of the disease.
Decreases in cognitive function C. Activity intolerance
are less likely, and MS does not D. Disturbed sleep pattern
typically result in malnutrition,
hypotension, or fluid volume The primary feature of MG is
excess or deficit. fluctuating weakness of skeletal
muscle. Bowel incontinence
5. A male patient with a and confusion are unlikely
diagnosis of Parkinson's signs of MG, and although
disease (PD) has been sleep disturbance is likely,
admitted recently to a long- activity intolerance is usually
term care facility. Which of primary concern.
action should the health care
team take in order to 7. When establishing a
promote adequate nutrition diagnosis of MS, the nurse
for this patient? should teach the patient
about what diagnostic studies
A. Provide multivitamins with each (select all that apply)?
meal.
A. EEG
B. Provide a diet that is low in
complex carbohydrates and high in B. CT scan
protein.
C. Carotid duplex scan
C. Provide small, frequent meals
throughout the day that are easy to D. Evoked response testing
chew and swallow.
E. Cerebrospinal fluid analysis
D. Provide the patient with a minced
There is no definitive
or pureed diet that is high in
diagnostic test for MS. CT scan,
potassium and low in sodium.
evoked response testing,
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
cerebrospinal fluid analysis, A. searching the internet for
and MRI along with history educational videos
and physical examination are
used to establish a diagnosis B. evaluating the home for
for MS. EEG and carotid environmental safety
duplex scan are not used for C. promoting physical exercise and a
diagnosing MS well-balanced diet
8. A 48-year-old man was just D. designing an exercise program to
diagnosed with Huntington's strengthen and stretch specific
disease. His 20-year-old son is muscles
upset about his father's
diagnosis. How can the nurse 10. Social effects of a chronic
best help this young man? neurologic disease include
(select all that apply)
A. Provide emotional and
psychologic support. A. divorce
B. Encourage him to get diagnostic B. job loss
genetic testing done.
C. depression
C. Tell him the cognitive
deterioration will be treated with D. role changes
counseling.
E. loss of self-esteem
D. Tell him the chorea and
11. The home care nurse is doing
psychiatric disorders can be treated
an admission assessment on a
with haloperidol (Haldol).
client discharged from the
The patient's son will first need hospital with a diagnosis of
emotional and psychologic PD. When assessing the
support. He should be taught client's neurological status,
about diagnostic genetic testing the nurse would find a client
for himself but should decide with:
for himself with a genetic
A. Impaired mental acuity
counselor if and when he wants
this done. The treatment plan B. A shuffling and propulsive gait
for his father will be
determined depending on his C. An intention tremor
father's needs.
D. Droopy eyelids
9. A 65 year old woman was just
12. The nurse is taking care of a
diagnosed with PD. The
client diagnosed with MS.
priority nursing intervention
The client i concerned about
is?
the recurrent exacerbations
and fatigue. The nurse
suggests which of the
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
following interventions to nerve damage that will change your
help at home? personality"
A. ask client's mother help with the D. " it is common for people with
children in the evening MS to have an acute attack of
weakness and then not have any
B. limit activities and take morning other symptoms for years"
and afternoon naps
15. During assessment of a
C. Identify where assistive devices patient admitted to the
can be obtained at reasonable prices hospital with an acute
D. space activities throughout the excerbation of MS, what
day with opportunities for rest. should the nurse expect to
find?
13. Which chronic neurologic
disorder involves a deficiency A. tremors, dysphasia, and ptosis
of the neurotransmitters B. bowel and bladder incontinence
acetylcholine and and loss of memory
aminobutyric acid (GABA) in
the basal ganglia and C. motor impairment, visual
extrapyramidal system? disturbances, paresthesias
A. myasthenia gravis D. excessive involuntary movements,
hearing loss, ataxia
B. Parkinson's disease
16. The nurse explains to a
C. Huntington's disease patient newly diagnosed with
D. ALS MS that the diagnosis is made
primarily by
14. A 38 year woman has newly
diagnosed MS and asks the A. spinal x-ray findings
nurse what is going to happen B. T-cell analysis of the blood
to her. What is the best
response by the nurse? C. analysis of cerebrospinal fluid
A. "you will have either periods of D. history and clinical
attacks and remission or progression manifestations
of nerve damage over time"
There is no specific diagnostic
B. "you need to plan for a test for MS.
continuous loss of movement,
sensory functions, and mental 17. A patient with MS has a
capabilities" nursing diagnosis of self-care
deficit related to muscle
C. "you will most likely have a spasticity and neuromuscular
steady course of chronic progressive deficits. In providing care for
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
NEUROLOGICAL DISORDERS D. Ask if the patient is feeling either
anxious or depressed.
1. The nurse is caring for a
group of patients on a Patients with Parkinson's
medical unit. After receiving disease are instructed to rock
report, which patient should from side to side to stimulate
the nurse see first? balance mechanisms and
decrease akinesia.
A. A 42-year-old patient with
multiple sclerosis who was admitted 3. The nurse provides dietary
with sepsis instructions to the in-home
caregiver of a 45-year-old
B. A 72-year-old patient with man who has Huntington's
Parkinson's disease who has disease. The nurse is most
aspiration pneumonia concerned if the caregiver
C. A 38-year-old patient with makes which statement?
myasthenia gravis who declined A. "Depression is common and may
prescribed medications cause a decrease in appetite."
D. A 45-year-old patient with B. "If swallowing becomes difficult,
amyotrophic lateral sclerosis who a feeding tube may be needed."
refuses enteral feedings
C. "Calories should be restricted to
Patients with myasthenia prevent unnecessary weight gain."
gravis who discontinue
pyridostigmine (Mestinon) will D. "Muscles in the face are affected,
develop a myasthenic crisis. and chewing may become
Myasthenia crisis results in impossible."
severe muscle weakness and
can lead to a respiratory arrest. Patients with Huntington's
disease may require 4000 to
2. The nurse observes a 74-year- 5000 calories per day to
old man with Parkinson's maintain body weight. Weight
disease rocking side to side loss occurs in patients with
while sitting in the chair. Huntington's disease because
Which action by the nurse is of choreic movements, difficulty
most appropriate? swallowing, depression, and
mental deterioration.
A. Provide the patient with
diversional activities. 4. Which measure should the
nurse prioritize when
B. Document the activity in the providing care for a patient
patient's health record. with a diagnosis of multiple
C. Take the patient's blood pressure sclerosis (MS)?
sitting and standing. A. Vigilant infection control and
adherence to standard precautions
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
B. Careful monitoring of neurologic Nutritional support is a priority
assessment and frequent in the care of individuals with
reorientation PD. Such patients may benefit
from meals that are smaller
C. Maintenance of a calorie count and more frequent than normal
and hourly assessment of intake and and that are easy to chew and
output swallow.
D. Assessment of blood pressure and 6. Which nursing diagnosis is
monitoring for signs of orthostatic likely to be a priority in the
hypotension care of a patient with
Infection control is a priority in myasthenia gravis (MG)?
the care of patients with MS, A. Acute confusion
since infection is the most
common cause of an B. Bowel incontinence
exacerbation of the disease.
Decreases in cognitive function C. Activity intolerance
are less likely, and MS does not D. Disturbed sleep pattern
typically result in malnutrition,
hypotension, or fluid volume The primary feature of MG is
excess or deficit. fluctuating weakness of skeletal
muscle. Bowel incontinence
5. A male patient with a and confusion are unlikely
diagnosis of Parkinson's signs of MG, and although
disease (PD) has been sleep disturbance is likely,
admitted recently to a long- activity intolerance is usually
term care facility. Which of primary concern.
action should the health care
team take in order to 7. When establishing a
promote adequate nutrition diagnosis of MS, the nurse
for this patient? should teach the patient
about what diagnostic studies
A. Provide multivitamins with each (select all that apply)?
meal.
A. EEG
B. Provide a diet that is low in
complex carbohydrates and high in B. CT scan
protein.
C. Carotid duplex scan
C. Provide small, frequent meals
throughout the day that are easy to D. Evoked response testing
chew and swallow.
E. Cerebrospinal fluid analysis
D. Provide the patient with a minced
There is no definitive
or pureed diet that is high in
diagnostic test for MS. CT scan,
potassium and low in sodium.
evoked response testing,
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
cerebrospinal fluid analysis, A. searching the internet for
and MRI along with history educational videos
and physical examination are
used to establish a diagnosis B. evaluating the home for
for MS. EEG and carotid environmental safety
duplex scan are not used for C. promoting physical exercise and a
diagnosing MS well-balanced diet
8. A 48-year-old man was just D. designing an exercise program to
diagnosed with Huntington's strengthen and stretch specific
disease. His 20-year-old son is muscles
upset about his father's
diagnosis. How can the nurse 10. Social effects of a chronic
best help this young man? neurologic disease include
(select all that apply)
A. Provide emotional and
psychologic support. A. divorce
B. Encourage him to get diagnostic B. job loss
genetic testing done.
C. depression
C. Tell him the cognitive
deterioration will be treated with D. role changes
counseling.
E. loss of self-esteem
D. Tell him the chorea and
11. The home care nurse is doing
psychiatric disorders can be treated
an admission assessment on a
with haloperidol (Haldol).
client discharged from the
The patient's son will first need hospital with a diagnosis of
emotional and psychologic PD. When assessing the
support. He should be taught client's neurological status,
about diagnostic genetic testing the nurse would find a client
for himself but should decide with:
for himself with a genetic
A. Impaired mental acuity
counselor if and when he wants
this done. The treatment plan B. A shuffling and propulsive gait
for his father will be
determined depending on his C. An intention tremor
father's needs.
D. Droopy eyelids
9. A 65 year old woman was just
12. The nurse is taking care of a
diagnosed with PD. The
client diagnosed with MS.
priority nursing intervention
The client i concerned about
is?
the recurrent exacerbations
and fatigue. The nurse
suggests which of the
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
, MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
following interventions to nerve damage that will change your
help at home? personality"
A. ask client's mother help with the D. " it is common for people with
children in the evening MS to have an acute attack of
weakness and then not have any
B. limit activities and take morning other symptoms for years"
and afternoon naps
15. During assessment of a
C. Identify where assistive devices patient admitted to the
can be obtained at reasonable prices hospital with an acute
D. space activities throughout the excerbation of MS, what
day with opportunities for rest. should the nurse expect to
find?
13. Which chronic neurologic
disorder involves a deficiency A. tremors, dysphasia, and ptosis
of the neurotransmitters B. bowel and bladder incontinence
acetylcholine and and loss of memory
aminobutyric acid (GABA) in
the basal ganglia and C. motor impairment, visual
extrapyramidal system? disturbances, paresthesias
A. myasthenia gravis D. excessive involuntary movements,
hearing loss, ataxia
B. Parkinson's disease
16. The nurse explains to a
C. Huntington's disease patient newly diagnosed with
D. ALS MS that the diagnosis is made
primarily by
14. A 38 year woman has newly
diagnosed MS and asks the A. spinal x-ray findings
nurse what is going to happen B. T-cell analysis of the blood
to her. What is the best
response by the nurse? C. analysis of cerebrospinal fluid
A. "you will have either periods of D. history and clinical
attacks and remission or progression manifestations
of nerve damage over time"
There is no specific diagnostic
B. "you need to plan for a test for MS.
continuous loss of movement,
sensory functions, and mental 17. A patient with MS has a
capabilities" nursing diagnosis of self-care
deficit related to muscle
C. "you will most likely have a spasticity and neuromuscular
steady course of chronic progressive deficits. In providing care for
MEDICAL SURGICAL NURSING SAMPLE QUESTIONNAIRE REVIEWER
