NCLEX Review Questions –
Guillain-Barre Syndrome |
Nursing Exam Prep PDF
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, Nclex Review Questions_ Guillain-Barre 2 2026-03-06
7. A patient with Guillain-Barré syndrome asks the nurse Correct Answer: B
what has caused the disease. In responding to the patient, Rationale: Guillain-Barré syndrome is believed to result from an immunologic
the nurse explains that Guillain-Barré syndrome reaction that damages the myelin sheath of the peripheral nerves. Acute infection
a. results from an acute infection and inflammation of the or inflammation of the nerves is not a cause. The peripheral nerves are not
peripheral nerves. destroyed and do not degenerate.
b. is due to an immune reaction that attacks the covering
of the peripheral nerves. Cognitive Level: Comprehension Text Reference: pp. 1585-1586
c. is caused by destruction of the peripheral nerves after Nursing Process: Implementation NCLEX: Physiological Integrity
exposure to a viral infection.
d. results from degeneration of the peripheral nerve
caused by viral attacks.
8. A 24-year-old patient is hospitalized with the onset of Correct Answer: D
Guillain-Barré syndrome. During this phase of the Rationale: The most serious complication of Guillain-Barré syndrome is
patient's illness, the most essential assessment for the respiratory failure, and the nurse should monitor respiratory function
nurse to carry out is continuously. The other assessments will also be included in nursing care, but they
a. monitoring the cardiac rhythm continuously. are not as important as respiratory assessment.
b. determining the level of consciousness q2hr.
c. evaluating sensation and strength of the extremities. Cognitive Level: Comprehension Text Reference: p. 1586
d. performing constant evaluation of respiratory function. Nursing Process: Assessment NCLEX: Physiological Integrity
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