NUR200 - M2 - Multiple Sclerosis -
NCLEX and ATI Exam 2025 Questions
and Answers 100% Solved
1) A client diagnosed with multiple sclerosis has an acute onset of visual changes,
fatigue, and leg weakness. The client says that the last time this happened, recovery
occurred in a few weeks. Which classification of multiple sclerosis is the client
experiencing?
A) Progressive-relapsing
B) Secondary-progressive
C) Relapsing-remitting
D) Primary-progressive - ....ANSWER ...-Answer: C
Explanation: A) There are four classifications of multiple sclerosis. The client has
an exacerbation of symptoms and has a history of full recovery. This is classified as
relapsing-remitting and is the most common type. Primary-progressive is a steady
worsening of the disease with occasional minor recovery. Secondary-progressive
begins as relapsing-remitting but the disease becomes worse between
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,exacerbations. Progressive-relapsing is rare, with the disease progressing from the
onset with periods of exacerbation.
Page Ref: 877
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 1. Describe the pathophysiology, etiology, clinical
manifestations, and direct and indirect causes of multiple sclerosis.
2) A young adult client complains of blurred vision and muscle spasms that come
and go over the past several months. On what information from the client's history
should the nurse focus to help identify this help problem?
A) Family history of Parkinson disease
B) Family history of epilepsy
C) Is an immigrant from Germany
D) Has been depressed - ....ANSWER ...-Answer: C
Explanation: A) Multiple sclerosis is primarily a disease of people of northern
European ancestry. The onset of multiple sclerosis is usually between the ages of
20 and 50, with the peak at age 30. Family history of epilepsy, Parkinson disease,
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, and depression are important items of the client's history but do not support a
diagnosis of MS.
Page Ref: 877
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 2. Identify risk factors and prevention methods associated with
multiple sclerosis.
3) A client with a history of relapsing-remitting multiple sclerosis is expecting her
first child. What would be indicated for this client?
A) Suggest reproductive counseling, as multiple sclerosis can be genetic.
B) Instruct to expect a period of remission after delivery of the baby.
C) Instruct to expect an exacerbation of symptoms while pregnant.
D) Discuss pain control during labor, as contractions will be severe. -
....ANSWER ...-Answer: A
Explanation: A) A definite genetic factor has not been established; however,
studies suggest that genetic factors make some individuals more susceptible to the
disorder than others. Reproductive counseling would be recommended for this
client. Pregnancy often brings about remission of multiple sclerosis, but with a
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
NCLEX and ATI Exam 2025 Questions
and Answers 100% Solved
1) A client diagnosed with multiple sclerosis has an acute onset of visual changes,
fatigue, and leg weakness. The client says that the last time this happened, recovery
occurred in a few weeks. Which classification of multiple sclerosis is the client
experiencing?
A) Progressive-relapsing
B) Secondary-progressive
C) Relapsing-remitting
D) Primary-progressive - ....ANSWER ...-Answer: C
Explanation: A) There are four classifications of multiple sclerosis. The client has
an exacerbation of symptoms and has a history of full recovery. This is classified as
relapsing-remitting and is the most common type. Primary-progressive is a steady
worsening of the disease with occasional minor recovery. Secondary-progressive
begins as relapsing-remitting but the disease becomes worse between
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,exacerbations. Progressive-relapsing is rare, with the disease progressing from the
onset with periods of exacerbation.
Page Ref: 877
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 1. Describe the pathophysiology, etiology, clinical
manifestations, and direct and indirect causes of multiple sclerosis.
2) A young adult client complains of blurred vision and muscle spasms that come
and go over the past several months. On what information from the client's history
should the nurse focus to help identify this help problem?
A) Family history of Parkinson disease
B) Family history of epilepsy
C) Is an immigrant from Germany
D) Has been depressed - ....ANSWER ...-Answer: C
Explanation: A) Multiple sclerosis is primarily a disease of people of northern
European ancestry. The onset of multiple sclerosis is usually between the ages of
20 and 50, with the peak at age 30. Family history of epilepsy, Parkinson disease,
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, and depression are important items of the client's history but do not support a
diagnosis of MS.
Page Ref: 877
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 2. Identify risk factors and prevention methods associated with
multiple sclerosis.
3) A client with a history of relapsing-remitting multiple sclerosis is expecting her
first child. What would be indicated for this client?
A) Suggest reproductive counseling, as multiple sclerosis can be genetic.
B) Instruct to expect a period of remission after delivery of the baby.
C) Instruct to expect an exacerbation of symptoms while pregnant.
D) Discuss pain control during labor, as contractions will be severe. -
....ANSWER ...-Answer: A
Explanation: A) A definite genetic factor has not been established; however,
studies suggest that genetic factors make some individuals more susceptible to the
disorder than others. Reproductive counseling would be recommended for this
client. Pregnancy often brings about remission of multiple sclerosis, but with a
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
