Exam (Latest 2026/2027 Update) Questions
with Verified Answers & Detailed Rationale
| Grade A |100% Correct.
Question:
A young adult client complains of blurred vision and muscle spasms that
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come and go over the past several months. On what information from the
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client's history should the nurse focus to help identify this help problem?
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A) Family history of Parkinson disease
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B) Family history of epilepsy
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C) Is an immigrant from Germany
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D) Has been depressed?
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Answer:
C) Is an immigrant from Germany
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Multiple sclerosis is primarily a disease of people of northern European
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ancestry. The onset of multiple sclerosis is usually between the ages of 20
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and 50, with the peak at age 30. Family history of epilepsy, Parkinson
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disease, and depression are important items of the client's history but do
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not support a diagnosis of MS.
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,Question:
A client with relapsing-remitting multiple sclerosis tells the nurse that
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even though the primary symptoms of exacerbation are leg spasms and
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blurred vision, the hardest part is trying to get through the day because
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of being so tired. Which diagnosis should the nurse identify as a priority
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for this client?
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A) Fatigue
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B) Disturbed Sensory Perception
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C) Impaired Physical Mobility
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D) Self-Care Deficit?
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Answer:
A) Fatigue
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Question:
What are the early manifestations of Multiple Sclerosis??
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Answer:
-Blurred vision (usually first sign)
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-Optic neuritis (diplopia, blurry, dull grey vision, pain, dark spots,
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nystagmus)
-Fatigue/weakness
-Paresthesia (numbness, tingling) i,- i,-
-Dizziness/Clumsiness
-Spasms/Pain
, -Cognitive changes i,-
-Sexual dysfunction i,-
-Bladder issues. i,-
Question:
A client admitted with an exacerbation of multiple sclerosis is
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demonstrating frustration with eating because hand and arm spasmsi,- i,- i,- i,- i,- i,- i,- i,- i,-
prevent the proper use of utensils. What should the nurse do to assist this
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client?
A) Consult with Occupational Therapy regarding assistive devices for
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meals.
B) Counsel the client to select finger foods for meals.
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C) Plan time to feed the client.
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D) Consult with Physical Therapy regarding hand and arm exercises.?
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Answer:
A) Consult with Occupational Therapy regarding assistive devices for
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meals.
Since the ability to feed oneself is essential to positive self-concept and
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self-esteem, the nurse should consult with Occupational Therapy for
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devices that the client can use to maintain independence at meal times.
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The nurse should not counsel the client to select finger foods for meals,
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or feed the client. This would not support the client's self-concept and self-
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esteem needs. Physical Therapy might be consulted for hand splints, but
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hand and arm exercises might not be beneficial for this client.
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