NUR 257 CHRONIC EXAM 5 - GALEN
COLLEGE COMPREHENSIVE REVIEW
QUESTIONS AND ANSWERS | 2026/2027
UPDATE | 100% CORRECT-GALEN.
1. A patient with Multiple Sclerosis (MS) is experiencing severe muscle spasticity. Which
medication should the nurse anticipate the healthcare provider will prescribe?
A. Pyridostigmine
B. Baclofen
C. Methylprednisolone
D. Donepezil
Answer: B
Conceptual Explanation: Baclofen is a muscle relaxant frequently used to treat spasticity
in MS patients. Pyridostigmine is for Myasthenia Gravis, Methylprednisolone is for acute
exacerbations, and Donepezil is for Alzheimer’s.
2. The nurse is caring for a patient with Amyotrophic Lateral Sclerosis (ALS) who is
experiencing difficulty swallowing. What is the nurse’s priority intervention?
A. Encourage the patient to drink thin liquids to prevent dehydration.
B. Advise the patient to tuck their chin when swallowing.
,C. Perform a bedside swallow screen and maintain NPO status until evaluated by speech
therapy.
D. Request a referral for a permanent feeding tube immediately.
Answer: C
Conceptual Explanation: Patient safety and prevention of aspiration are the priorities.
The nurse must keep the patient NPO until a formal assessment by a speech-language
pathologist is completed.
3. A patient is undergoing a Tensilon (Edrophonium) test to diagnose Myasthenia Gravis.
Which medication should the nurse have readily available as an antidote?
A. Naloxone
B. Atropine sulfate
C. Protamine sulfate
D. Vitamin K
Answer: B
Conceptual Explanation: Atropine is the antidote for cholinergic crisis or side effects
induced by edrophonium during the Tensilon test.
4. When educating a patient with Parkinson’s disease about Carbidopa-Levodopa therapy,
which side effect should the nurse emphasize as a sign of drug toxicity?
A. Darkening of the urine and sweat
, B. Dyskinesia (uncontrolled movements)
C. Orthostatic hypotension
D. Dry mouth and constipation
Answer: B
Conceptual Explanation: Dyskinesias, such as head bobbing or involuntary movements,
often indicate that the dose of levodopa is too high or the therapeutic window is narrowing.
5. A patient who had a right-sided stroke is being transferred to the rehabilitation unit. Which
clinical manifestation should the nurse expect to observe?
A. Aphasia and slow, cautious behavior
B. Impulsivity and lack of awareness of deficits
C. Right-sided hemiplegia
D. Depression and anxiety regarding physical limitations
Answer: B
Conceptual Explanation: Right-brain damage often leads to impulsivity, rapid
performance, and impaired judgment or safety awareness. Left-brain damage usually
results in aphasia and cautious behavior.
6. A nurse is teaching a patient with Systemic Lupus Erythematosus (SLE) about managing the
disease. Which instruction is most important to include?
A. Wear sunscreen with an SPF of at least 30 and protective clothing when outdoors.
COLLEGE COMPREHENSIVE REVIEW
QUESTIONS AND ANSWERS | 2026/2027
UPDATE | 100% CORRECT-GALEN.
1. A patient with Multiple Sclerosis (MS) is experiencing severe muscle spasticity. Which
medication should the nurse anticipate the healthcare provider will prescribe?
A. Pyridostigmine
B. Baclofen
C. Methylprednisolone
D. Donepezil
Answer: B
Conceptual Explanation: Baclofen is a muscle relaxant frequently used to treat spasticity
in MS patients. Pyridostigmine is for Myasthenia Gravis, Methylprednisolone is for acute
exacerbations, and Donepezil is for Alzheimer’s.
2. The nurse is caring for a patient with Amyotrophic Lateral Sclerosis (ALS) who is
experiencing difficulty swallowing. What is the nurse’s priority intervention?
A. Encourage the patient to drink thin liquids to prevent dehydration.
B. Advise the patient to tuck their chin when swallowing.
,C. Perform a bedside swallow screen and maintain NPO status until evaluated by speech
therapy.
D. Request a referral for a permanent feeding tube immediately.
Answer: C
Conceptual Explanation: Patient safety and prevention of aspiration are the priorities.
The nurse must keep the patient NPO until a formal assessment by a speech-language
pathologist is completed.
3. A patient is undergoing a Tensilon (Edrophonium) test to diagnose Myasthenia Gravis.
Which medication should the nurse have readily available as an antidote?
A. Naloxone
B. Atropine sulfate
C. Protamine sulfate
D. Vitamin K
Answer: B
Conceptual Explanation: Atropine is the antidote for cholinergic crisis or side effects
induced by edrophonium during the Tensilon test.
4. When educating a patient with Parkinson’s disease about Carbidopa-Levodopa therapy,
which side effect should the nurse emphasize as a sign of drug toxicity?
A. Darkening of the urine and sweat
, B. Dyskinesia (uncontrolled movements)
C. Orthostatic hypotension
D. Dry mouth and constipation
Answer: B
Conceptual Explanation: Dyskinesias, such as head bobbing or involuntary movements,
often indicate that the dose of levodopa is too high or the therapeutic window is narrowing.
5. A patient who had a right-sided stroke is being transferred to the rehabilitation unit. Which
clinical manifestation should the nurse expect to observe?
A. Aphasia and slow, cautious behavior
B. Impulsivity and lack of awareness of deficits
C. Right-sided hemiplegia
D. Depression and anxiety regarding physical limitations
Answer: B
Conceptual Explanation: Right-brain damage often leads to impulsivity, rapid
performance, and impaired judgment or safety awareness. Left-brain damage usually
results in aphasia and cautious behavior.
6. A nurse is teaching a patient with Systemic Lupus Erythematosus (SLE) about managing the
disease. Which instruction is most important to include?
A. Wear sunscreen with an SPF of at least 30 and protective clothing when outdoors.
