EXAM 3
Spinal Cord Injury and Neurodegenerative Disorders
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. During care: A client with Parkinson disease has bradykinesia and rigidity. Which nursing response is most appropriate?
A. Use restraints for all transfers
B. Discourage all movement
C. Allow extra time and support safe mobility
D. Rush the client through tasks
Rationale: Slowness and rigidity affect movement; safe pacing supports independence.
2. Teaching and care planning: A client with Parkinson disease has bradykinesia and rigidity. Which statement shows the
best understanding of care?
A. Discourage all movement
B. Allow extra time and support safe mobility
C. Rush the client through tasks
D. Use restraints for all transfers
Rationale: Slowness and rigidity affect movement; safe pacing supports independence.
3. A client with multiple sclerosis is planning activity. Which action is the nurse's priority?
A. Balance exercise with rest and energy conservation
B. Schedule all demanding tasks together
C. Avoid all movement
D. Remain on strict bed rest indefinitely
Rationale: Energy conservation reduces fatigue while maintaining function.
4. Client scenario: A client with multiple sclerosis reports worsening fatigue in hot weather. Which instruction should the
nurse reinforce?
A. Ignore temperature-related symptom changes
B. Exercise intensely in heat
C. Plan rest periods and avoid overheating
D. Use hot baths to improve symptoms
Rationale: Heat can temporarily worsen MS symptoms.
5. Client scenario: A client with dementia becomes agitated in a noisy room. Which instruction should the nurse reinforce?
A. Give several complex instructions at once
B. Increase noise to distract the client
C. Reduce stimulation and use calm, simple communication
D. Argue about the client's mistaken belief
Rationale: A calm environment and simple cues can reduce distress.
, 6. Clinical review: A client with Parkinson disease is at risk for falls. Which finding or action best fits this situation?
A. Encourage rushing to the bathroom
B. Use slippery footwear
C. Remove clutter, improve lighting, and assist with transfers
D. Place rugs in walking paths
Rationale: Environmental modifications and assistance reduce falls.
7. Complication prevention: A client with Parkinson disease has bradykinesia and rigidity. Which complication or risk should
the nurse address first?
A. Rush the client through tasks
B. Allow extra time and support safe mobility
C. Discourage all movement
D. Use restraints for all transfers
Rationale: Slowness and rigidity affect movement; safe pacing supports independence.
8. At the bedside, a client with dementia wanders in the unit. What should the nurse do next?
A. Rely only on verbal warnings
B. Use a safe environment, identification, and structured supervision
C. Lock the client alone in an unsafe room
D. Remove all staff observation
Rationale: Safety planning is essential for wandering risk.
9. Safety check: A client with dementia wanders in the unit. Which action best promotes client safety?
A. Use a safe environment, identification, and structured supervision
B. Lock the client alone in an unsafe room
C. Rely only on verbal warnings
D. Remove all staff observation
Rationale: Safety planning is essential for wandering risk.
10. Client scenario: A client with Parkinson disease coughs while eating. Which instruction should the nurse reinforce?
A. Encourage talking while chewing
B. Offer thin liquids without assessment
C. Request swallowing assessment and use prescribed aspiration precautions
D. Feed while lying flat
Rationale: Dysphagia increases aspiration risk.
11. Teaching and care planning: A client with multiple sclerosis is planning activity. Which statement shows the best
understanding of care?
A. Avoid all movement
B. Schedule all demanding tasks together
C. Remain on strict bed rest indefinitely
D. Balance exercise with rest and energy conservation
Rationale: Energy conservation reduces fatigue while maintaining function.
12. Teaching and care planning: A client with dementia wanders in the unit. Which statement shows the best understanding
of care?
A. Use a safe environment, identification, and structured supervision
B. Rely only on verbal warnings
C. Remove all staff observation
D. Lock the client alone in an unsafe room
Rationale: Safety planning is essential for wandering risk.
Spinal Cord Injury and Neurodegenerative Disorders
75 Multiple-Choice Questions • Correct Answers Highlighted • Brief Rationales
Instructions: Choose the single best answer for each question. The correct option is highlighted in yellow, followed by a brief
rationale.
Study resource: Original practice questions based on the working assumption that NR-252 covers Adult Health II /
medical-surgical nursing. This is not an official Chamberlain exam; verify topics against your current syllabus.
1. During care: A client with Parkinson disease has bradykinesia and rigidity. Which nursing response is most appropriate?
A. Use restraints for all transfers
B. Discourage all movement
C. Allow extra time and support safe mobility
D. Rush the client through tasks
Rationale: Slowness and rigidity affect movement; safe pacing supports independence.
2. Teaching and care planning: A client with Parkinson disease has bradykinesia and rigidity. Which statement shows the
best understanding of care?
A. Discourage all movement
B. Allow extra time and support safe mobility
C. Rush the client through tasks
D. Use restraints for all transfers
Rationale: Slowness and rigidity affect movement; safe pacing supports independence.
3. A client with multiple sclerosis is planning activity. Which action is the nurse's priority?
A. Balance exercise with rest and energy conservation
B. Schedule all demanding tasks together
C. Avoid all movement
D. Remain on strict bed rest indefinitely
Rationale: Energy conservation reduces fatigue while maintaining function.
4. Client scenario: A client with multiple sclerosis reports worsening fatigue in hot weather. Which instruction should the
nurse reinforce?
A. Ignore temperature-related symptom changes
B. Exercise intensely in heat
C. Plan rest periods and avoid overheating
D. Use hot baths to improve symptoms
Rationale: Heat can temporarily worsen MS symptoms.
5. Client scenario: A client with dementia becomes agitated in a noisy room. Which instruction should the nurse reinforce?
A. Give several complex instructions at once
B. Increase noise to distract the client
C. Reduce stimulation and use calm, simple communication
D. Argue about the client's mistaken belief
Rationale: A calm environment and simple cues can reduce distress.
, 6. Clinical review: A client with Parkinson disease is at risk for falls. Which finding or action best fits this situation?
A. Encourage rushing to the bathroom
B. Use slippery footwear
C. Remove clutter, improve lighting, and assist with transfers
D. Place rugs in walking paths
Rationale: Environmental modifications and assistance reduce falls.
7. Complication prevention: A client with Parkinson disease has bradykinesia and rigidity. Which complication or risk should
the nurse address first?
A. Rush the client through tasks
B. Allow extra time and support safe mobility
C. Discourage all movement
D. Use restraints for all transfers
Rationale: Slowness and rigidity affect movement; safe pacing supports independence.
8. At the bedside, a client with dementia wanders in the unit. What should the nurse do next?
A. Rely only on verbal warnings
B. Use a safe environment, identification, and structured supervision
C. Lock the client alone in an unsafe room
D. Remove all staff observation
Rationale: Safety planning is essential for wandering risk.
9. Safety check: A client with dementia wanders in the unit. Which action best promotes client safety?
A. Use a safe environment, identification, and structured supervision
B. Lock the client alone in an unsafe room
C. Rely only on verbal warnings
D. Remove all staff observation
Rationale: Safety planning is essential for wandering risk.
10. Client scenario: A client with Parkinson disease coughs while eating. Which instruction should the nurse reinforce?
A. Encourage talking while chewing
B. Offer thin liquids without assessment
C. Request swallowing assessment and use prescribed aspiration precautions
D. Feed while lying flat
Rationale: Dysphagia increases aspiration risk.
11. Teaching and care planning: A client with multiple sclerosis is planning activity. Which statement shows the best
understanding of care?
A. Avoid all movement
B. Schedule all demanding tasks together
C. Remain on strict bed rest indefinitely
D. Balance exercise with rest and energy conservation
Rationale: Energy conservation reduces fatigue while maintaining function.
12. Teaching and care planning: A client with dementia wanders in the unit. Which statement shows the best understanding
of care?
A. Use a safe environment, identification, and structured supervision
B. Rely only on verbal warnings
C. Remove all staff observation
D. Lock the client alone in an unsafe room
Rationale: Safety planning is essential for wandering risk.
