NUR 2755 MDC4 FINAL EXAM 2026/2027 |
Multidimensional Care IV Actual Q&A
SECTION I: NEUROLOGICAL DISORDERS (Questions 1-20)
Question 1
When planning care for a client with myasthenia gravis, the nurse understands that the client is
at highest risk for which of the following?
A. Aspiration
B. Bladder dysfunction
C. Hypertension
D. Sensory loss
Answer: A
Rationale: Myasthenia gravis is an autoimmune disease of the neuromuscular junction
characterized by fluctuating weakness of certain skeletal muscle groups. Bulbar muscle
weakness affects swallowing, placing the patient at high risk for aspiration .
Question 2
A client with Parkinson's disease is prescribed levodopa therapy. Improvement in which area
indicates the therapy is effective?
A. Mood
B. Muscle rigidity
C. Appetite
D. Alertness
Answer: B
Rationale: Levodopa is a precursor to dopamine that helps replenish depleted dopamine levels
in the basal ganglia. Improvement in muscle rigidity, bradykinesia, and tremors indicates
therapeutic effectiveness .
Question 3
A client arrives at the ED with new-onset slurred speech and weakness. The nurse inquires
,when the client was last seen as normal. What priority assessment information does the
healthcare team need to know before stroke alert is initiated?
A. Client's weight
B. Glasgow Coma Scale
C. Blood glucose level
D. Temperature
Answer: C
Rationale: Blood glucose must be checked immediately in suspected stroke patients because
hypoglycemia can mimic stroke symptoms. Elevated blood glucose may also affect outcomes
and treatment decisions .
Question 4
A Glasgow Coma Scale is a screening tool used to assess level of consciousness in three major
areas. When analyzing a client's scores, the nurse identifies the three areas of assessment as
which of the following?
A. Verbal response, sensation reaction, motor function
B. Eye opening, best motor response, verbal response
C. Verbal response, pain reaction, reflexes
D. Eye opening, pain reaction, sensation
Answer: B
Rationale: The Glasgow Coma Scale assesses three areas: eye opening (1-4 points), best motor
response (1-6 points), and verbal response (1-5 points). Scores range from 3 (deep coma) to 15
(fully alert) .
Question 5
A nurse is caring for a client who has a closed head injury with intracranial pressure (ICP)
readings between 16-22 mm Hg. Which of the following actions should the nurse take to
decrease the potential for raising the client's ICP? (Select all that apply)
A. Suction the endotracheal tube frequently
B. Decrease the noise in the client's room
C. Elevate the client's head on two pillows
D. Administer a stool softener
E. Keep the client well hydrated
, Answer: B, D
Rationale: Decreasing environmental stimuli (noise) helps reduce ICP. Administering a stool
softener prevents straining during bowel movements, which increases ICP. Frequent suctioning
can increase ICP. Head elevation should be 30 degrees, not with two pillows. Overhydration can
increase ICP .
Question 6
Bradykinesia, muscle rigidity, and mask-like face are clinical manifestations of:
A. Multiple Sclerosis
B. Parkinson's Disease
C. Guillain-Barré Syndrome
D. Myasthenia Gravis
Answer: B
Rationale: Parkinson's Disease is characterized by the classic triad of bradykinesia (slowness of
movement), muscle rigidity, and resting tremor. The mask-like facial expression results from
decreased facial muscle mobility .
Question 7
A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia, and spasms.
What do you suspect?
A. Parkinson's Disease
B. Multiple Sclerosis
C. Guillain-Barré Syndrome
D. Myasthenia Gravis
Answer: B
Rationale: Multiple Sclerosis is an autoimmune demyelinating disease that can cause a wide
range of symptoms including double vision (diplopia), trigeminal neuralgia (facial pain), ataxia
(loss of coordination), and muscle spasms .
Question 8
What medication is often used to treat spasms in a patient with multiple sclerosis?
Multidimensional Care IV Actual Q&A
SECTION I: NEUROLOGICAL DISORDERS (Questions 1-20)
Question 1
When planning care for a client with myasthenia gravis, the nurse understands that the client is
at highest risk for which of the following?
A. Aspiration
B. Bladder dysfunction
C. Hypertension
D. Sensory loss
Answer: A
Rationale: Myasthenia gravis is an autoimmune disease of the neuromuscular junction
characterized by fluctuating weakness of certain skeletal muscle groups. Bulbar muscle
weakness affects swallowing, placing the patient at high risk for aspiration .
Question 2
A client with Parkinson's disease is prescribed levodopa therapy. Improvement in which area
indicates the therapy is effective?
A. Mood
B. Muscle rigidity
C. Appetite
D. Alertness
Answer: B
Rationale: Levodopa is a precursor to dopamine that helps replenish depleted dopamine levels
in the basal ganglia. Improvement in muscle rigidity, bradykinesia, and tremors indicates
therapeutic effectiveness .
Question 3
A client arrives at the ED with new-onset slurred speech and weakness. The nurse inquires
,when the client was last seen as normal. What priority assessment information does the
healthcare team need to know before stroke alert is initiated?
A. Client's weight
B. Glasgow Coma Scale
C. Blood glucose level
D. Temperature
Answer: C
Rationale: Blood glucose must be checked immediately in suspected stroke patients because
hypoglycemia can mimic stroke symptoms. Elevated blood glucose may also affect outcomes
and treatment decisions .
Question 4
A Glasgow Coma Scale is a screening tool used to assess level of consciousness in three major
areas. When analyzing a client's scores, the nurse identifies the three areas of assessment as
which of the following?
A. Verbal response, sensation reaction, motor function
B. Eye opening, best motor response, verbal response
C. Verbal response, pain reaction, reflexes
D. Eye opening, pain reaction, sensation
Answer: B
Rationale: The Glasgow Coma Scale assesses three areas: eye opening (1-4 points), best motor
response (1-6 points), and verbal response (1-5 points). Scores range from 3 (deep coma) to 15
(fully alert) .
Question 5
A nurse is caring for a client who has a closed head injury with intracranial pressure (ICP)
readings between 16-22 mm Hg. Which of the following actions should the nurse take to
decrease the potential for raising the client's ICP? (Select all that apply)
A. Suction the endotracheal tube frequently
B. Decrease the noise in the client's room
C. Elevate the client's head on two pillows
D. Administer a stool softener
E. Keep the client well hydrated
, Answer: B, D
Rationale: Decreasing environmental stimuli (noise) helps reduce ICP. Administering a stool
softener prevents straining during bowel movements, which increases ICP. Frequent suctioning
can increase ICP. Head elevation should be 30 degrees, not with two pillows. Overhydration can
increase ICP .
Question 6
Bradykinesia, muscle rigidity, and mask-like face are clinical manifestations of:
A. Multiple Sclerosis
B. Parkinson's Disease
C. Guillain-Barré Syndrome
D. Myasthenia Gravis
Answer: B
Rationale: Parkinson's Disease is characterized by the classic triad of bradykinesia (slowness of
movement), muscle rigidity, and resting tremor. The mask-like facial expression results from
decreased facial muscle mobility .
Question 7
A 30-year-old woman is experiencing double vision, trigeminal neuralgia, ataxia, and spasms.
What do you suspect?
A. Parkinson's Disease
B. Multiple Sclerosis
C. Guillain-Barré Syndrome
D. Myasthenia Gravis
Answer: B
Rationale: Multiple Sclerosis is an autoimmune demyelinating disease that can cause a wide
range of symptoms including double vision (diplopia), trigeminal neuralgia (facial pain), ataxia
(loss of coordination), and muscle spasms .
Question 8
What medication is often used to treat spasms in a patient with multiple sclerosis?
