Page 1 of 31
CERTIFIED MULTIPLE SCLEROSIS PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
Which of the following statements made by a patient diagnosed with multiple
sclerosis (MS) would alert the healthcare provider that the patient requires
additional instruction about the disease? Select all that apply.
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 inspect my skin daily make sure there aren't any
injuries."
4. "Use of stress reduction strategies can decrease the severity of my
symptoms." - ANSWER-1,2
The patient should be taught about factors that can exacerbate symptoms, such
as heat and stress. In addition, the patient is at risk for burns due to impaired
peripheral sensation, so bathing temperatures should be carefully monitored.
The healthcare provider is teaching a group of patients diagnosed with multiple
sclerosis (MS) about common bladder problems. Which of the following will the
healthcare provider include? Select all that apply.
1. "Drinking caffeinated beverages can help you empty your bladder
completely."
,Page 2 of 31
2. "MS may cause the bladder to contract and empty more often than usual."
3. "You should not attempt to urinate until you feel that your bladder is full."
4. "Drink 1.5 - 2 liters of water each day so your urine isn't too concentrated."
5. "Drinking lots of citrus juices will decrease the amount of bacteria in your
urinary tract."
6. "Patients with MS are at increased risk of developing urinary tract infections."
- ANSWER-2, 4, 6
MS heightens a patient's risk of urinary tract infections. Patients should plan to
void on a regular basis. Voiding at least every 2 hours will decrease urine stasis.
When assessing a patient diagnosed with multiple sclerosis (MS), which of the
following would require immediate action by the healthcare provider?
1) Fatigue and depression
2) Paresthesia and tremor
3) Nystagmus and diplopia
4) Dysphagia and congested cough - ANSWER-4
These are all signs and symptoms of MS, but some can be more serious than
others. Select the clinical manifestations of MS that may result in a serious
secondary problem for the patient.Dysphagia puts the patient at risk for
aspiration pneumonia, and the congested cough is an indication that aspiration
has already occurred.
The healthcare provider is planning care for a patient diagnosed with multiple
sclerosis (MS). Which of the following is the priority intervention?
,Page 3 of 31
1) Advise the patient to drink liquids through a straw
2) Monitor the patient's temperature 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 - ANSWER-1
Problems related to dysphagia (such as aspiration) can be minimized if the
patient drinks liquids through a straw. Sensitivity to heat is a concern with MS,
but monitoring the patient's temperature is not necessary.
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. - 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.
, Page 4 of 31
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?" - 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
CERTIFIED MULTIPLE SCLEROSIS PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
Which of the following statements made by a patient diagnosed with multiple
sclerosis (MS) would alert the healthcare provider that the patient requires
additional instruction about the disease? Select all that apply.
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 inspect my skin daily make sure there aren't any
injuries."
4. "Use of stress reduction strategies can decrease the severity of my
symptoms." - ANSWER-1,2
The patient should be taught about factors that can exacerbate symptoms, such
as heat and stress. In addition, the patient is at risk for burns due to impaired
peripheral sensation, so bathing temperatures should be carefully monitored.
The healthcare provider is teaching a group of patients diagnosed with multiple
sclerosis (MS) about common bladder problems. Which of the following will the
healthcare provider include? Select all that apply.
1. "Drinking caffeinated beverages can help you empty your bladder
completely."
,Page 2 of 31
2. "MS may cause the bladder to contract and empty more often than usual."
3. "You should not attempt to urinate until you feel that your bladder is full."
4. "Drink 1.5 - 2 liters of water each day so your urine isn't too concentrated."
5. "Drinking lots of citrus juices will decrease the amount of bacteria in your
urinary tract."
6. "Patients with MS are at increased risk of developing urinary tract infections."
- ANSWER-2, 4, 6
MS heightens a patient's risk of urinary tract infections. Patients should plan to
void on a regular basis. Voiding at least every 2 hours will decrease urine stasis.
When assessing a patient diagnosed with multiple sclerosis (MS), which of the
following would require immediate action by the healthcare provider?
1) Fatigue and depression
2) Paresthesia and tremor
3) Nystagmus and diplopia
4) Dysphagia and congested cough - ANSWER-4
These are all signs and symptoms of MS, but some can be more serious than
others. Select the clinical manifestations of MS that may result in a serious
secondary problem for the patient.Dysphagia puts the patient at risk for
aspiration pneumonia, and the congested cough is an indication that aspiration
has already occurred.
The healthcare provider is planning care for a patient diagnosed with multiple
sclerosis (MS). Which of the following is the priority intervention?
,Page 3 of 31
1) Advise the patient to drink liquids through a straw
2) Monitor the patient's temperature 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 - ANSWER-1
Problems related to dysphagia (such as aspiration) can be minimized if the
patient drinks liquids through a straw. Sensitivity to heat is a concern with MS,
but monitoring the patient's temperature is not necessary.
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. - 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.
, Page 4 of 31
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?" - 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
