(MSCS) Multiple Sclerosis Certified Specialist Exam (Latest 2026/2027 Update) Questions with Verified Answers & Rationale| Grade A |100% Correct.

(MSCS) Multiple Sclerosis Certified Specialist Exam
(Latest 2026/2027 Update) Questions with Verified
Answers & Rationale| Grade A |100% Correct.


Question:

The client newly diagnosed with multiple sclerosis (MS) states, "I don't
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understand how I got multiple sclerosis. Is it genetic?" On which
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statement should the nurse base the response? i,- i,- i,- i,- i,- i,-




1. Genetics may play a role in susceptibility to MS, but the disease may be
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caused by a virus. i,- i,- i,-




2. There is no evidence suggesting there is any chromosomal involvement
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in developing MS.
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3. Multiple sclerosis is caused by a recessive gene, so both parents had to
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have the gene for the client to get MS.
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4. Multiple sclerosis is caused by an autosomal dominant gene on the Y
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chromosome,so only fathers can pass it on.? i,- i,- i,- i,- i,- i,-




Answer:

1.



The exact cause of MS is not known,but there is a theory stating a slow
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virus is partially responsible. A failure of apart of the immune system may
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also beat fault. A genetic predisposition involving chromosomes 2, 3, 7,
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11, 17, 19, and X may be involved.
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,2. There is some evidence supporting a genetic component involved in
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developing MS. i,-




3. A specific gene has not been identified to know if the gene is recessive
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or dominant.
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4. The X chromosome, not the Y chromosome,may be involved.
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Question:

The 30-year-old female client is admitted with complaints of numbness,
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tingling, a crawling sensation affecting the extremities, and double vision
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which has occurred two(2) times in the month. Which question is most
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important for the nurse to ask the client?i,- i,- i,- i,- i,- i,- i,-




1. "Have you experienced any difficulty with your menstrual cycle?"
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2. "Have you noticed a rash across the bridge of your nose?"
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3. "Do you get tired easily and sometimes have problems swallowing?"
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4. "Are you taking birth control pills to prevent conception?"?
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Answer:

3.

These are clinical manifestation of MS and can go un diagnosed for years
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be-cause of the remitting-relapsing nature of the disease. Fatigue and
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difficulty swallowing are other symptoms of MS.
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,1. MS does not affect the menstrual cycle.
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2. A rash across the bridge of the nose suggests systemic lupus
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erythematosus

4. Taking birth control medications should not produce these symptoms
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or the pattern of occurrence.
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Question:

The nurse enters the room of a client diagnosed with acute exacerbation
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of multiple sclerosis and finds the client crying. Which statement is the
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most therapeutic response for the nurse to make?
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1. "Why are you crying?The medication will help the disease."
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2. "You seem upset. I will sit down and we can talk for awhile."
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3. "Multiple sclerosis is a disease that has good times and bad times."
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4. "I will have the chaplain come and stay with you for a while."?
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Answer:

2



This is stating a fact and offering self. Both are therapeutic techniques for
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conversations.

, 1. "Why" is requesting an explanation, and the client does not owe the
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nurse an explanation. i,- i,-




3. The client did not ask about the nature of MS. The client needs to be
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able to verbalize feelings.
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4. This is "passing the buck." Therapeutic communication is an integral
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part of nursing.i,- i,-




Question:

The client diagnosed with multiple sclerosis is scheduled for a magnetic
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resonanceimaging (MRI) scan of the head. Which information should the i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



nurse teach the client about the test?
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1. The client will have wires attached to the scalp and lights will flash off
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and on. i,-




2. The machine will be loud and the client must not move the head during
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the test. i,-




3. The client will drink a contrast medium 30 minutes to one (1) hour
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before the test. i,- i,-




4. The test will be repeated at intervals during a five (5)- to six (6)-hour
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period.?

Answer:

2