Guillain-Barré Syndrome NCLEX Questions
Guillain-Barré Syndrome NCLEX Questions
Study online at https://quizlet.com/_eya4gt
1. True or False: Guillain-Barré Syn- False
drome occurs when the body's im- Rationale: Guillain-Barré Syndrome is an autoimmune
mune system attacks the myelin neuro condition where the immune system attacks the
sheath on the nerves in the central nerves in the PERIPHERAL NERVOUS SYSTEM and cranial
nervous system nerves. This condition does NOT occur in the central
nervous system (CNS).
2. During nursing report you learn D
that the patient you will be caring
for has Guillain-Barré Syndrome. As Rationale: GBS signs and symptoms will most likely
the nurse you know that this dis- start in the lower extremities (ex: feet), be symmetrical,
ease tends to present with: and will gradually spread upward (ascending) to the
head. There are various forms of Guillain-Barré Syn-
A. signs and symptoms that are uni- drome. Acute inflammatory demyelinating polyradicu-
lateral and descending that start in loneuropathy (AIDP) is the most common type in the
the lower extremities U.S. and this is how this syndrome tends to present.
B. signs and symptoms that are
symmetrical and ascending that
start in the upper extremities
C. signs and symptoms that are
asymmetrical and ascending that
start in the upper extremities
D. signs and symptoms that are
symmetrical and ascending that
start in the lower extremities
3. You're assessing a patient's health A, C, E
history for risk factors associated
with developing Guillain-Barré Syn-
drome. Select all the risk factors be-
1/6
actualstudy 1
, Guillain-Barré Syndrome NCLEX Questions
Guillain-Barré Syndrome NCLEX Questions
Study online at https://quizlet.com/_eya4gt
low:
A. Recent upper respiratory infec-
tion
B. Patient's age: 3 years old
C. Positive stool culture Campy-
lobacter Jejuni
D. Hyperthermia
E. Epstein-Barr
F. Diabetes
G. Myasthenia Gravis
4. A 25 year-old presents to the ER B
with unexplained paralysis from
the hips downward. The patient ex- Rationale:
plains that a few days ago her feetThe patient's signs and symptoms in this scenario are
were feeling weird and she had typical with Guillain-Barré Syndrome. The syndrome
trouble walking and now she is un- tends to start in the lower extremities (with paresthesia
able to move her lower extremities.that will progress to paralysis) and migrate upward.
The respiratory system can be affected leading to res-
The patient reports suffering an ill-
ness about 2 weeks ago, but has piratory failure. Therefore, the nurse should assess for
no other health history. The physi-any signs and symptoms that the respiratory system
cian suspects Guillain-Barré Syn- may be compromised (ex: weak cough, shortness of
drome and orders some diagnostic breath, dyspnea...patient says it is hard to breath etc.).
tests. Which finding below during The nurse should immediately report this to the MD
your assessment requires immedi- because the patient may need mechanical ventilation.
ate nursing action? Absent reflexes is common in GBS and paresthesia can
extend to the upper extremities as the syndrome pro-
A. The patient reports a headache. gresses. A headache is not common.
B. The patient has a weak cough.
C. The patient has absent reflexes
in the lower extremities.
2/6
actualstudy 2
Guillain-Barré Syndrome NCLEX Questions
Study online at https://quizlet.com/_eya4gt
1. True or False: Guillain-Barré Syn- False
drome occurs when the body's im- Rationale: Guillain-Barré Syndrome is an autoimmune
mune system attacks the myelin neuro condition where the immune system attacks the
sheath on the nerves in the central nerves in the PERIPHERAL NERVOUS SYSTEM and cranial
nervous system nerves. This condition does NOT occur in the central
nervous system (CNS).
2. During nursing report you learn D
that the patient you will be caring
for has Guillain-Barré Syndrome. As Rationale: GBS signs and symptoms will most likely
the nurse you know that this dis- start in the lower extremities (ex: feet), be symmetrical,
ease tends to present with: and will gradually spread upward (ascending) to the
head. There are various forms of Guillain-Barré Syn-
A. signs and symptoms that are uni- drome. Acute inflammatory demyelinating polyradicu-
lateral and descending that start in loneuropathy (AIDP) is the most common type in the
the lower extremities U.S. and this is how this syndrome tends to present.
B. signs and symptoms that are
symmetrical and ascending that
start in the upper extremities
C. signs and symptoms that are
asymmetrical and ascending that
start in the upper extremities
D. signs and symptoms that are
symmetrical and ascending that
start in the lower extremities
3. You're assessing a patient's health A, C, E
history for risk factors associated
with developing Guillain-Barré Syn-
drome. Select all the risk factors be-
1/6
actualstudy 1
, Guillain-Barré Syndrome NCLEX Questions
Guillain-Barré Syndrome NCLEX Questions
Study online at https://quizlet.com/_eya4gt
low:
A. Recent upper respiratory infec-
tion
B. Patient's age: 3 years old
C. Positive stool culture Campy-
lobacter Jejuni
D. Hyperthermia
E. Epstein-Barr
F. Diabetes
G. Myasthenia Gravis
4. A 25 year-old presents to the ER B
with unexplained paralysis from
the hips downward. The patient ex- Rationale:
plains that a few days ago her feetThe patient's signs and symptoms in this scenario are
were feeling weird and she had typical with Guillain-Barré Syndrome. The syndrome
trouble walking and now she is un- tends to start in the lower extremities (with paresthesia
able to move her lower extremities.that will progress to paralysis) and migrate upward.
The respiratory system can be affected leading to res-
The patient reports suffering an ill-
ness about 2 weeks ago, but has piratory failure. Therefore, the nurse should assess for
no other health history. The physi-any signs and symptoms that the respiratory system
cian suspects Guillain-Barré Syn- may be compromised (ex: weak cough, shortness of
drome and orders some diagnostic breath, dyspnea...patient says it is hard to breath etc.).
tests. Which finding below during The nurse should immediately report this to the MD
your assessment requires immedi- because the patient may need mechanical ventilation.
ate nursing action? Absent reflexes is common in GBS and paresthesia can
extend to the upper extremities as the syndrome pro-
A. The patient reports a headache. gresses. A headache is not common.
B. The patient has a weak cough.
C. The patient has absent reflexes
in the lower extremities.
2/6
actualstudy 2