Multiple Sclerosis, Myastheṇia Gravis, GBS Exam Study
Guide Questioṇs aṇd 100% Correct Aṇswers 2026/2027
1. 1. The nurse is assessing a 48-year-old client diagnosed with multiple sclero- sis.
Which clinical manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia.: 4. Dysphagia is a common problem of clients
diagnosed with multiple sclerosis, and this places the client at risk for aspiration pneumonia. Some clients diagnosed with
multiple sclerosis eventually become immobile and are at risk for pneumonia.
2. 2. 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 th
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 chro-
mosome, so only fathers can pass it on.: 2. 1. The exact cause of MS is not known, but there is
a theory stating a slow virus is partially responsible. A failure of a part of the immune system may also be at fault. A genetic
predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may be involved.
3. 3. 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?": 3. These are clinical
manifestation of MS and can go undiagnosed for years be cause of the remitting-relapsing nature of the disease. Fatigue
and diflculty swallowing are other symptoms of MS.
, 4. 4. The nurse enters the room of a client diagnosed with acute exacerbation of
multiple sclerosis and finds the client crying. Which statement is the most therapeutic
response for the nurse to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while.": 2. This is stating a fact and
ottering self. Both are therapeutic techniques for conversations.
5. 5. The client diagnosed with multiple sclerosis is scheduled for a magnetic
resonance imaging (MRI) scan of the head. Which information should the nurse teach
the client about the test?
1. The client will have wires attached to the scalp and lights will flash off and on.
2. The machine will be loud and the client must not move the head during the test.
3. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
4. The test will be repeated at intervals during a five (5)- to six (6)-hour period.: 2. MRI scans
require the client to lie still and not move the body; the client should be warned about the loud noise.
Guide Questioṇs aṇd 100% Correct Aṇswers 2026/2027
1. 1. The nurse is assessing a 48-year-old client diagnosed with multiple sclero- sis.
Which clinical manifestation warrants immediate intervention?
1. The client has scanning speech and diplopia.
2. The client has dysarthria and scotomas.
3. The client has muscle weakness and spasticity.
4. The client has a congested cough and dysphagia.: 4. Dysphagia is a common problem of clients
diagnosed with multiple sclerosis, and this places the client at risk for aspiration pneumonia. Some clients diagnosed with
multiple sclerosis eventually become immobile and are at risk for pneumonia.
2. 2. 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 th
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 chro-
mosome, so only fathers can pass it on.: 2. 1. The exact cause of MS is not known, but there is
a theory stating a slow virus is partially responsible. A failure of a part of the immune system may also be at fault. A genetic
predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may be involved.
3. 3. 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?": 3. These are clinical
manifestation of MS and can go undiagnosed for years be cause of the remitting-relapsing nature of the disease. Fatigue
and diflculty swallowing are other symptoms of MS.
, 4. 4. The nurse enters the room of a client diagnosed with acute exacerbation of
multiple sclerosis and finds the client crying. Which statement is the most therapeutic
response for the nurse to make?
1. "Why are you crying? The medication will help the disease."
2. "You seem upset. I will sit down and we can talk for awhile."
3. "Multiple sclerosis is a disease that has good times and bad times."
4. "I will have the chaplain come and stay with you for a while.": 2. This is stating a fact and
ottering self. Both are therapeutic techniques for conversations.
5. 5. The client diagnosed with multiple sclerosis is scheduled for a magnetic
resonance imaging (MRI) scan of the head. Which information should the nurse teach
the client about the test?
1. The client will have wires attached to the scalp and lights will flash off and on.
2. The machine will be loud and the client must not move the head during the test.
3. The client will drink a contrast medium 30 minutes to one (1) hour before the test.
4. The test will be repeated at intervals during a five (5)- to six (6)-hour period.: 2. MRI scans
require the client to lie still and not move the body; the client should be warned about the loud noise.
