NR 462 EXAM 4 QUESTIONS AND ANSWERS | NR 462 EXAM 4
STUDY GUIDE & PRACTICE TEST 2026/2027
multiple sclerosis - ANS ✔✔inflammation and destruction of the Myelin sheath in the CNS
multiple sclerosis may effect - ANS ✔✔visual field, muscle strength, energy/fatigue, gait, coordination,
paresthesia’s
multiple sclerosis nursing hypotheses - ANS ✔✔self-care deficit, anxiety, fear, grieving, powerlessness,
risk for falls/injury, risk for ineffective relationship
Multiple sclerosis nursing solutions - ANS ✔✔chronic: assistive devices, fatigue, safety, strain, self-care
Exacerbation/acute: stressors(environmental, emotional, physical, illness/condition)
Chronic MS action - ANS ✔✔health promotion(illness, lifestyle), independence promotion(mobility,
activity planning)
Exacerbation/Acute MS action - ANS ✔✔ADL assistance, Dignity promotion, plan for discharge
Chronic MS evaluation - ANS ✔✔decreased in exacerbation, delayed progression of disease
Exacerbation/acute MS evaluation - ANS ✔✔shorten duration(steroids), return to near-baseline, plan for
next exacerbation
SUPER important - ANS ✔✔early disease recognition, early diagnosis, long term plan for
success/management
Parkinson's disease - ANS ✔✔Loss of dopamine producing neurons in the basal ganglia, imbalance
between dopamine and acetylcholine.
Parkinson's cues - ANS ✔✔TRAP(Tremor, Rigidity, Akinesia, Postural instability) depression, fatigue, pain,
urinary retention, memory changes
Parkinson's nursing hypotheses - ANS ✔✔unbalanced nutrition, self care deficit, risk for compromised
human dignity, risk for disturbed personal identity
Chronic/stable Parkinson's - ANS ✔✔maximize independed, DRUS!
exacerbation of parkinson's - ANS ✔✔identify the cause(illness, exhaustion, dietary changes, medication
toleralce
Parkinsons Evaluation - ANS ✔✔Evaluate client's level of disability regularly
Assess emotional status
Determine if there are any therapy changes needed
STUDY GUIDE & PRACTICE TEST 2026/2027
multiple sclerosis - ANS ✔✔inflammation and destruction of the Myelin sheath in the CNS
multiple sclerosis may effect - ANS ✔✔visual field, muscle strength, energy/fatigue, gait, coordination,
paresthesia’s
multiple sclerosis nursing hypotheses - ANS ✔✔self-care deficit, anxiety, fear, grieving, powerlessness,
risk for falls/injury, risk for ineffective relationship
Multiple sclerosis nursing solutions - ANS ✔✔chronic: assistive devices, fatigue, safety, strain, self-care
Exacerbation/acute: stressors(environmental, emotional, physical, illness/condition)
Chronic MS action - ANS ✔✔health promotion(illness, lifestyle), independence promotion(mobility,
activity planning)
Exacerbation/Acute MS action - ANS ✔✔ADL assistance, Dignity promotion, plan for discharge
Chronic MS evaluation - ANS ✔✔decreased in exacerbation, delayed progression of disease
Exacerbation/acute MS evaluation - ANS ✔✔shorten duration(steroids), return to near-baseline, plan for
next exacerbation
SUPER important - ANS ✔✔early disease recognition, early diagnosis, long term plan for
success/management
Parkinson's disease - ANS ✔✔Loss of dopamine producing neurons in the basal ganglia, imbalance
between dopamine and acetylcholine.
Parkinson's cues - ANS ✔✔TRAP(Tremor, Rigidity, Akinesia, Postural instability) depression, fatigue, pain,
urinary retention, memory changes
Parkinson's nursing hypotheses - ANS ✔✔unbalanced nutrition, self care deficit, risk for compromised
human dignity, risk for disturbed personal identity
Chronic/stable Parkinson's - ANS ✔✔maximize independed, DRUS!
exacerbation of parkinson's - ANS ✔✔identify the cause(illness, exhaustion, dietary changes, medication
toleralce
Parkinsons Evaluation - ANS ✔✔Evaluate client's level of disability regularly
Assess emotional status
Determine if there are any therapy changes needed
