multiple sclerosis (MS) Exam 2 Questions
With Complete Solutions
The nurse is teaching a patient newly diagnosed with multiple
sclerosis (MS). Which statement by the patient indicates a
correct understanding of the pathophysiology of the disease?
a)"I will die early."
b)"I will have gradual deterioration with no healthy times."
c)"Parts of my nervous system have plaques."
d)"This was caused by getting too many x-rays as a child correct
answer: c)"Parts of my nervous system have plaques."
A nurse prepares a patient for prescribed magnetic resonance
imaging (MRI). Which action should the nurse implement prior
to the test?
a)Implement nothing by mouth (NPO) status for 8 hours.
b)Withhold all daily medications until after the examination.
c)Administer morphine sulfate to prevent claustrophobia during
the test.
d)Place the patient in a gown that has cloth ties instead of metal
snaps. correct answer: d)Place the patient in a gown that has
cloth ties instead of metal snaps.
What are some expected findings with a patient who has
multiple sclerosis? (Select all that apply)
a)Fatigue
b)Muscle spasticity
c)Nocturia
d)Dysphagia correct answer: All of them
,Which laboratory or diagnostic test would reveal plaques of the
brain and spine?
a)Complete blood count
b)Basic metabolic panel
c)Magnetic resonance imaging
d)X-ray correct answer: c)Magnetic resonance imaging
A patient is prescribed prednisone to help reduce symptoms
during an acute exacerbation of multiple sclerosis. What type of
medication is prednisone?
a)immunosuppressive agent
b)Corticosteriod
c)Antispasmodic
d)Beta blocker correct answer: b)Corticosteriod
A patient with multiple sclerosis is experiencing constipation.
Which medication would best help this patient?
a)Azathioprine
b)Tizanidine
c)Clonazepam
d)Docusate sodium correct answer: d)Docusate sodium
Which nursing action does the nurse on the orthopedic unit plan
to delegate to unlicensed assistive personnel (UAP)?
a)Remove the wound drain for a patient who had an open
reduction of a hip fracture 3 days ago.
b)Assess for bruising on a patient who is receiving warfarin
(Coumadin) to prevent deep vein thrombosis.
c)Teach a patient with a right ankle fracture how to use crutches
when transferring and ambulating.
,d)Check the vital signs for a patient who was admitted after a
total knee replaceme correct answer: d)Check the vital signs for
a patient who was admitted after a total knee replacement 3
hours ago.
The nurse is instructing a local community group about ways to
reduce the risk for musculoskeletal injury. What information
does the nurse include in the teaching plan?
a)"Avoid contact sports."
b)"Avoid rigorous exercise."
c)"Wear helmets when riding a motorcycle."
d)"Avoid driving in inclement weather." correct answer:
c)"Wear helmets when riding a motorcycle."
An older adult patient has had an open reduction and internal
fixation of a fractured right hip. Which intervention does the
nurse implement for this patient?
a)Keep the patient's heels off the bed at all times.
b)Re-position the patient every 3 to 4 hours.
c)Administer pain medication if the patient is rating their pain
2/10
d)Prohibit the use of antiembolic stockings. correct answer:
a)Keep the patient's heels off the bed at all times.
A patient is admitted with a spinal cord injury at the seventh
cervical vertebra secondary to a gunshot wound. Which nursing
intervention is the priority for this patient's care?
a)Auscultating bowel sounds every 2 hours
b)Beginning a bladder retraining program
c)Monitoring nutritional status
, d)Positioning the patient to maximize ventilation potential
correct answer: d)Positioning the patient to maximize
ventilation potential
To prevent the leading cause of death for patients with spinal
cord injury, collaboration with which component of the health
care team is a nursing priority?
a)Nutritional therapy
b)Occupational therapy
c)Physical therapy
d)Respiratory therapy correct answer: d)Respiratory therapy
Which nursing intervention is best for preventing complications
of immobility when caring for a patient with spinal cord
problems?
a)Frequent ambulation
b)Encouraging nutrition
c)Regular turning and re-positioning
d)Special pressure-relief devices correct answer: c)Regular
turning and re-positioning
The nurse is working with a student nurse to teach her about
restraint use in patients. Which statement by the student nurse
indicates a learning need regarding restraints?
a)"Having all four side rails up on the bed is considered a
restraint."
b)"The use of restraints has been shown to decrease fall-related
injuries."
c)"Death has been associated with the use of restraints."
With Complete Solutions
The nurse is teaching a patient newly diagnosed with multiple
sclerosis (MS). Which statement by the patient indicates a
correct understanding of the pathophysiology of the disease?
a)"I will die early."
b)"I will have gradual deterioration with no healthy times."
c)"Parts of my nervous system have plaques."
d)"This was caused by getting too many x-rays as a child correct
answer: c)"Parts of my nervous system have plaques."
A nurse prepares a patient for prescribed magnetic resonance
imaging (MRI). Which action should the nurse implement prior
to the test?
a)Implement nothing by mouth (NPO) status for 8 hours.
b)Withhold all daily medications until after the examination.
c)Administer morphine sulfate to prevent claustrophobia during
the test.
d)Place the patient in a gown that has cloth ties instead of metal
snaps. correct answer: d)Place the patient in a gown that has
cloth ties instead of metal snaps.
What are some expected findings with a patient who has
multiple sclerosis? (Select all that apply)
a)Fatigue
b)Muscle spasticity
c)Nocturia
d)Dysphagia correct answer: All of them
,Which laboratory or diagnostic test would reveal plaques of the
brain and spine?
a)Complete blood count
b)Basic metabolic panel
c)Magnetic resonance imaging
d)X-ray correct answer: c)Magnetic resonance imaging
A patient is prescribed prednisone to help reduce symptoms
during an acute exacerbation of multiple sclerosis. What type of
medication is prednisone?
a)immunosuppressive agent
b)Corticosteriod
c)Antispasmodic
d)Beta blocker correct answer: b)Corticosteriod
A patient with multiple sclerosis is experiencing constipation.
Which medication would best help this patient?
a)Azathioprine
b)Tizanidine
c)Clonazepam
d)Docusate sodium correct answer: d)Docusate sodium
Which nursing action does the nurse on the orthopedic unit plan
to delegate to unlicensed assistive personnel (UAP)?
a)Remove the wound drain for a patient who had an open
reduction of a hip fracture 3 days ago.
b)Assess for bruising on a patient who is receiving warfarin
(Coumadin) to prevent deep vein thrombosis.
c)Teach a patient with a right ankle fracture how to use crutches
when transferring and ambulating.
,d)Check the vital signs for a patient who was admitted after a
total knee replaceme correct answer: d)Check the vital signs for
a patient who was admitted after a total knee replacement 3
hours ago.
The nurse is instructing a local community group about ways to
reduce the risk for musculoskeletal injury. What information
does the nurse include in the teaching plan?
a)"Avoid contact sports."
b)"Avoid rigorous exercise."
c)"Wear helmets when riding a motorcycle."
d)"Avoid driving in inclement weather." correct answer:
c)"Wear helmets when riding a motorcycle."
An older adult patient has had an open reduction and internal
fixation of a fractured right hip. Which intervention does the
nurse implement for this patient?
a)Keep the patient's heels off the bed at all times.
b)Re-position the patient every 3 to 4 hours.
c)Administer pain medication if the patient is rating their pain
2/10
d)Prohibit the use of antiembolic stockings. correct answer:
a)Keep the patient's heels off the bed at all times.
A patient is admitted with a spinal cord injury at the seventh
cervical vertebra secondary to a gunshot wound. Which nursing
intervention is the priority for this patient's care?
a)Auscultating bowel sounds every 2 hours
b)Beginning a bladder retraining program
c)Monitoring nutritional status
, d)Positioning the patient to maximize ventilation potential
correct answer: d)Positioning the patient to maximize
ventilation potential
To prevent the leading cause of death for patients with spinal
cord injury, collaboration with which component of the health
care team is a nursing priority?
a)Nutritional therapy
b)Occupational therapy
c)Physical therapy
d)Respiratory therapy correct answer: d)Respiratory therapy
Which nursing intervention is best for preventing complications
of immobility when caring for a patient with spinal cord
problems?
a)Frequent ambulation
b)Encouraging nutrition
c)Regular turning and re-positioning
d)Special pressure-relief devices correct answer: c)Regular
turning and re-positioning
The nurse is working with a student nurse to teach her about
restraint use in patients. Which statement by the student nurse
indicates a learning need regarding restraints?
a)"Having all four side rails up on the bed is considered a
restraint."
b)"The use of restraints has been shown to decrease fall-related
injuries."
c)"Death has been associated with the use of restraints."
