Multiple Sclerosis Final Exam Questions
Correctly Answered.
Which statements reflect accurate information related to multiple sclerosis? Select all that apply.
Acute disorder of the peripheral nervous system
Chronic, progressive autoimmune disorder
Equal presentation in males and females
Increased prevalence seen in colder climates
Seen more in Caucasians as compared with Hispanic-Americans - Answer
Which findings are consistent with the relapsing-remitting type of multiple sclerosis? Select all that
apply.
Exacerbations with development of new symptoms
Symptoms that present continuously without remission
Temporary plateaus during exacerbation states
Relapses last days or months
Progression toward general deterioration during exacerbations - Answer
The nurse is observing a patient with a history of multiple sclerosis. Which of the following findings
would the nurse note as being associated with the disease process?
Hypertension
Ankle clonus
Steady gait
Blurred vision - Answer Blurred vision
When performing laboratory testing, which test would be ordered to rule out the possibility of other
infectious or inflammatory disorders in the differential diagnosis of multiple sclerosis?
Angiotensin-converting enzyme to detect the presence of Lyme disease
Antinuclear antibodies to confirm the presence of sarcoidosis
, Erythrocyte sedimentation rate to detect vitamin B12deficiency
Rapid plasma reagin to detect neurosyphilis - Answer
Sharon, a 58-year-old female client, presents to the hospital with an exacerbation of multiple sclerosis
(MS) symptoms. She was diagnosed with the disease 4 years ago after noticing some unusual muscle
movement and weakness. She continues to work full-time so that she can maintain her health insurance
coverage for herself and her two sons in college. In performing the health admission assessment, the
nurse identifies several abnormalities. Which clinical symptoms are associated with MS? Select all that
apply.
Migraine headache
Bladder infection
Hypertension
Numbness in legs
Increased thirst - Answer Bladder infection
Numbness in legs
Clients with MS are likely to experience alterations in bladder function that can lead to an infection. The
disease's demyelination process can cause sensory deficits, including numbness in the extremities. The
other choices are not usually associated directly with MS.
Sharon has been taking beta interferon to manage the disease. What is the purpose of this medication?
Modifies the course of disease progression
Provides pain relief
Supports immune function to help normalize bowel function
Helps normalize glucose levels - Answer Modifies the course of disease progression
Beta interferon is used to slow the progression of disease. It does not provide pain relief or normalize
glucose levels. This medication has no direct effect on bowel function.
Sharon is now experiencing increased muscle spasticity. Which medication can be added to the
treatment plan to help alleviate this clinical symptom?
Corticosteroids
Correctly Answered.
Which statements reflect accurate information related to multiple sclerosis? Select all that apply.
Acute disorder of the peripheral nervous system
Chronic, progressive autoimmune disorder
Equal presentation in males and females
Increased prevalence seen in colder climates
Seen more in Caucasians as compared with Hispanic-Americans - Answer
Which findings are consistent with the relapsing-remitting type of multiple sclerosis? Select all that
apply.
Exacerbations with development of new symptoms
Symptoms that present continuously without remission
Temporary plateaus during exacerbation states
Relapses last days or months
Progression toward general deterioration during exacerbations - Answer
The nurse is observing a patient with a history of multiple sclerosis. Which of the following findings
would the nurse note as being associated with the disease process?
Hypertension
Ankle clonus
Steady gait
Blurred vision - Answer Blurred vision
When performing laboratory testing, which test would be ordered to rule out the possibility of other
infectious or inflammatory disorders in the differential diagnosis of multiple sclerosis?
Angiotensin-converting enzyme to detect the presence of Lyme disease
Antinuclear antibodies to confirm the presence of sarcoidosis
, Erythrocyte sedimentation rate to detect vitamin B12deficiency
Rapid plasma reagin to detect neurosyphilis - Answer
Sharon, a 58-year-old female client, presents to the hospital with an exacerbation of multiple sclerosis
(MS) symptoms. She was diagnosed with the disease 4 years ago after noticing some unusual muscle
movement and weakness. She continues to work full-time so that she can maintain her health insurance
coverage for herself and her two sons in college. In performing the health admission assessment, the
nurse identifies several abnormalities. Which clinical symptoms are associated with MS? Select all that
apply.
Migraine headache
Bladder infection
Hypertension
Numbness in legs
Increased thirst - Answer Bladder infection
Numbness in legs
Clients with MS are likely to experience alterations in bladder function that can lead to an infection. The
disease's demyelination process can cause sensory deficits, including numbness in the extremities. The
other choices are not usually associated directly with MS.
Sharon has been taking beta interferon to manage the disease. What is the purpose of this medication?
Modifies the course of disease progression
Provides pain relief
Supports immune function to help normalize bowel function
Helps normalize glucose levels - Answer Modifies the course of disease progression
Beta interferon is used to slow the progression of disease. It does not provide pain relief or normalize
glucose levels. This medication has no direct effect on bowel function.
Sharon is now experiencing increased muscle spasticity. Which medication can be added to the
treatment plan to help alleviate this clinical symptom?
Corticosteroids
