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Multiple Sclerosis (NCLEX) Review Test Questions Fully Answered.
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The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical manifestation warrants immediate intervention? 1. The client has scanning speech and diplopia. 2. The client has dysarthria and scotomas. 3. The client has muscle weakness and spasticity. 4. The cli...

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  • August 7, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • clinical manifestations of multiple sclerosis

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  • Multiple Sclerosis
  • Multiple Sclerosis

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Multiple Sclerosis (NCLEX) Review Test
Questions Fully Answered.
The nurse is assessing a 48-year-old client diagnosed with multiple sclerosis. Which clinical manifestation
warrants immediate intervention?



1. The client has scanning speech and diplopia.

2. The client has dysarthria and scotomas.

3. The client has muscle weakness and spasticity.

4. The client has a congested cough and dysphagia. - Answer 4.Dysphagia is a common problem of
clients diagnosed with multiple sclerosis,and this places the client at risk for aspiration pneumonia. Some
clients diagnosed with multiple sclerosis eventually become immobile and are at risk for pneumonia.




1. These are clinical manifestations of multiple sclerosis and are expected.

2. These are expected clinical manifestations of multiple sclerosis.

3. These are expected clinical manifestations of multiple sclerosis.



The client newly diagnosed with multiple sclerosis (MS) states, "I don't understand how I got multiple
sclerosis. Is it genetic?" On which statement should the nurse base the response?



1. Genetics may play a role in susceptibility to MS, but the disease may be caused by a virus.

2. There is no evidence suggesting there is any chromosomal involvement in developing MS.

3. Multiple sclerosis is caused by a recessive gene, so both parents had to have the gene for the client to
get MS.

4. Multiple sclerosis is caused by an autosomal dominant gene on the Y chromosome,so only fathers can
pass it on. - Answer 1.The exact cause of MS is not known,but there is a theory stating a slow virus is
partially responsible. A failure of apart of the immune system may also beat fault. A genetic
predisposition involving chromosomes 2, 3, 7, 11, 17, 19, and X may be involved.

, 2. There is some evidence supporting a genetic component involved in developing MS.

3. A specific gene has not been identified to know if the gene is recessive or dominant.

4. The X chromosome, not the Y chromosome,may be involved.



The 30-year-old female client is admitted with complaints of numbness, tingling, a crawling sensation
affecting the extremities, and double vision which has occurred two(2) times in the month. Which
question is most important for the nurse to ask the client?



1. "Have you experienced any difficulty with your menstrual cycle?"

2. "Have you noticed a rash across the bridge of your nose?"

3. "Do you get tired easily and sometimes have problems swallowing?"

4. "Are you taking birth control pills to prevent conception?" - Answer 3.These are clinical manifestation
of MS and can go un diagnosed for years be-cause of the remitting-relapsing nature of the disease.
Fatigue and difficulty swallowing are other symptoms of MS.




1. MS does not affect the menstrual cycle.

2. A rash across the bridge of the nose suggests systemic lupus erythematosus

4. Taking birth control medications should not produce these symptoms or the pattern of occurrence.



The nurse enters the room of a client diagnosed with acute exacerbation of multiple sclerosis and finds
the client crying. Which statement is the most therapeutic response for the nurse to make?



1. "Why are you crying?The medication will help the disease."

2. "You seem upset. I will sit down and we can talk for awhile."

3. "Multiple sclerosis is a disease that has good times and bad times."

4. "I will have the chaplain come and stay with you for a while." - Answer 2.This is stating a fact and
offering self. Both are therapeutic techniques for conversations.

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