NUR200 - M2 - Multiple Sclerosis -
NCLEX and ATI exam with solutions
1) A client diagnosed with multiple sclerosis has an acute onset of
| | | | | | | | | | |
visual changes, fatigue, and leg weakness. The client says that the last
| | | | | | | | | | | |
time this happened, recovery occurred in a few weeks. Which
| | | | | | | | | |
classification of multiple sclerosis is the client experiencing?
| | | | | | | | |
A) Progressive-relapsing
|
B) Secondary-progressive
|
C) Relapsing-remitting
|
D) Primary-progressive - Answer: C
| | | |
Explanation: A) There are four classifications of multiple sclerosis. The
| | | | | | | | |
client has an exacerbation of symptoms and has a history of full
| | | | | | | | | | | |
recovery. This is classified as relapsing-remitting and is the most
| | | | | | | | | |
common type. Primary-progressive is a steady worsening of the
| | | | | | | | |
disease with occasional minor recovery. Secondary-progressive begins
| | | | | | |
as relapsing-remitting but the disease becomes worse between
| | | | | | | |
exacerbations. Progressive-relapsing is rare, with the disease
| | | | | | |
progressing from the onset with periods of exacerbation.
| | | | | | | |
Page Ref: 877 | |
Cognitive Level: Analyzing | |
Client Need: Physiological Integrity
| | |
Nursing Process: Assessment
| |
, Learning Outcome: 1. Describe the pathophysiology, etiology, clinical
| | | | | | |
manifestations, and direct and indirect causes of multiple sclerosis.
| | | | | | | | |
2) A young adult client complains of blurred vision and muscle spasms
| | | | | | | | | | |
that come and go over the past several months. On what information
| | | | | | | | | | | |
from the client's history should the nurse focus to help identify this
| | | | | | | | | | | |
help problem?
| |
A) Family history of Parkinson disease
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B) Family history of epilepsy
| | | |
C) Is an immigrant from Germany
| | | | |
D) Has been depressed - Answer: C
| | | | | |
Explanation: A) Multiple sclerosis is primarily a disease of people of
| | | | | | | | | |
northern European ancestry. The onset of multiple sclerosis is usually
| | | | | | | | | |
between the ages of 20 and 50, with the peak at age 30. Family
| | | | | | | | | | | | | |
history of epilepsy, Parkinson disease, and depression are important
| | | | | | | | |
items of the client's history but do not support a diagnosis of MS.
| | | | | | | | | | | | |
Page Ref: 877
| |
Cognitive Level: Analyzing | |
Client Need: Physiological Integrity
| | |
Nursing Process: Assessment | |
Learning Outcome: 2. Identify risk factors and prevention methods
| | | | | | | |
associated with multiple sclerosis.
| | | |
3) A client with a history of relapsing-remitting multiple sclerosis is
| | | | | | | | | |
expecting her first child. What would be indicated for this client?
| | | | | | | | | | | |
NCLEX and ATI exam with solutions
1) A client diagnosed with multiple sclerosis has an acute onset of
| | | | | | | | | | |
visual changes, fatigue, and leg weakness. The client says that the last
| | | | | | | | | | | |
time this happened, recovery occurred in a few weeks. Which
| | | | | | | | | |
classification of multiple sclerosis is the client experiencing?
| | | | | | | | |
A) Progressive-relapsing
|
B) Secondary-progressive
|
C) Relapsing-remitting
|
D) Primary-progressive - Answer: C
| | | |
Explanation: A) There are four classifications of multiple sclerosis. The
| | | | | | | | |
client has an exacerbation of symptoms and has a history of full
| | | | | | | | | | | |
recovery. This is classified as relapsing-remitting and is the most
| | | | | | | | | |
common type. Primary-progressive is a steady worsening of the
| | | | | | | | |
disease with occasional minor recovery. Secondary-progressive begins
| | | | | | |
as relapsing-remitting but the disease becomes worse between
| | | | | | | |
exacerbations. Progressive-relapsing is rare, with the disease
| | | | | | |
progressing from the onset with periods of exacerbation.
| | | | | | | |
Page Ref: 877 | |
Cognitive Level: Analyzing | |
Client Need: Physiological Integrity
| | |
Nursing Process: Assessment
| |
, Learning Outcome: 1. Describe the pathophysiology, etiology, clinical
| | | | | | |
manifestations, and direct and indirect causes of multiple sclerosis.
| | | | | | | | |
2) A young adult client complains of blurred vision and muscle spasms
| | | | | | | | | | |
that come and go over the past several months. On what information
| | | | | | | | | | | |
from the client's history should the nurse focus to help identify this
| | | | | | | | | | | |
help problem?
| |
A) Family history of Parkinson disease
| | | | |
B) Family history of epilepsy
| | | |
C) Is an immigrant from Germany
| | | | |
D) Has been depressed - Answer: C
| | | | | |
Explanation: A) Multiple sclerosis is primarily a disease of people of
| | | | | | | | | |
northern European ancestry. The onset of multiple sclerosis is usually
| | | | | | | | | |
between the ages of 20 and 50, with the peak at age 30. Family
| | | | | | | | | | | | | |
history of epilepsy, Parkinson disease, and depression are important
| | | | | | | | |
items of the client's history but do not support a diagnosis of MS.
| | | | | | | | | | | | |
Page Ref: 877
| |
Cognitive Level: Analyzing | |
Client Need: Physiological Integrity
| | |
Nursing Process: Assessment | |
Learning Outcome: 2. Identify risk factors and prevention methods
| | | | | | | |
associated with multiple sclerosis.
| | | |
3) A client with a history of relapsing-remitting multiple sclerosis is
| | | | | | | | | |
expecting her first child. What would be indicated for this client?
| | | | | | | | | | | |
