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Question 1
Free
Multiple Choice

The nurse instructs a group of nursing students that the pathologic changes that occur in the brain of a person with dementia of Alzheimer's disease include

Choose correct answer/s
A

abnormal accumulation of proteins.

B

damage to the myelin sheath of neurons.

C

destruction of neurons.

D

increase in production of cerebrospinal fluid (CSF).

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Question 2
Free
Multiple Choice

A client is assessed as being in the mild stage of Alzheimer's disease (AD). The nurse recognizes the complaint made by the client's family that is most closely related to the diagnosis is that the client

Choose correct answer/s
A

"has difficulty using simple things, such as her toothbrush or comb."

B

"seems to have lost control over her bowels."

C

"seems indifferent about things she used to care about."

D

"uses words in the wrong context."

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Question 3
Free
Multiple Choice

A client with AD begins to tell the nurse about his early-married life. The nurse should

Choose correct answer/s
A

assess orientation to time and place.

B

distract the client from this activity.

C

encourage the client to talk about recent memories.

D

listen to his stories.

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Question 4
Free
Multiple Choice

The nurse reminds a group of students about the major component of pathophysiology in multiple sclerosis (MS), which is

Choose correct answer/s
A

damage occurs primarily to the dendrites and oligodendrites.

B

once damaged, myelin cannot regenerate at all.

C

plaques occur anywhere in the white matter of the central nervous system (CNS).

D

Schwann cells are destroyed slowly but relentlessly.

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Question 5
Free
Multiple Choice

A client is being treated in the clinic for an exacerbation of multiple sclerosis. The nurse would anticipate administering which drug?

Choose correct answer/s
A

Diazepam (Valium)

B

Interferon b1b (Betaseron)

C

Lioresal (Baclofen)

D

Methylprednisolone (Solu-Cortef)

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Question 6
Multiple Choice

A client with MS is being taught self-care measures to prevent constipation. The nurse would realize goals for teaching had been met when the client states he/she will avoid

Choose correct answer/s
A
a high-fiber diet.
B
citrus fruits.
C
laxatives.
D
stool softeners.
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Question 7
Multiple Choice

The nurse formulates the following nursing diagnosis for a client with MS: Impaired Physical Mobility related to muscle weakness. Useful interventions the nurse could plan include

Choose correct answer/s
A
encouraging long naps or rest periods.
B
encouraging strengthening exercises for affected muscles every 4 hours.
C
having the client perform ROM exercises at least two times daily.
D
performing all the activities of daily living (ADLs) for the client.
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Question 8
Multiple Choice

A client tells the nurse that he is experiencing some leg stiffness when walking and slowness when performing ADLs. Occasionally he has noted slight tremors in his hands at rest. This information leads the nurse to suspect

Choose correct answer/s
A
amyotrophic lateral sclerosis (ALS).
B
Huntington's disease.
C
myasthenia gravis (MG).
D
Parkinson's disease (PD).
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Question 9
Multiple Choice

The most helpful intervention by the nurse for a client experiencing a parkinsonian crisis would be to

Choose correct answer/s
A
administer oxygen by nasal catheter.
B
give the client IV fluids that contain potassium.
C
place the client in a nonstimulating environment.
D
provide the client with foods high in calcium.
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Question 10
Multiple Choice

To assist the client with Parkinson's disease to reduce tremor, the nurse suggests that the client

Choose correct answer/s
A
clasp arms about self and squeeze.
B
sleep on the non-tremorous side.
C
tightly hold change in the pocket.
D
visualize stilling the tremor.
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Question 11
Multiple Choice

A nurse is performing an assessment on a client who is suspected of having MG. The complaint made by the client that reflects a manifestation commonly seen in clients with this disease is

Choose correct answer/s
A
"By the end of the day, my eyelids usually are drooping."
B
"I have a great deal of difficulty getting up after I rest for a while."
C
"I perspire more then I ever have in the past."
D
"When I have a cold, I usually have a strong cough with it."
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Question 12
Multiple Choice

A client with MG began to experience a sudden worsening of her condition with difficulty in breathing. The nurse explains that this complication of MG is usually initially treated with

Choose correct answer/s
A
admission and administration of IV corticosteroids.
B
an increased dose of anticholinesterase drugs.
C
bolus doses of atropine titrated to effect.
D
rest and increased sleep.
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Question 13
Multiple Choice

A client with advanced ALS is admitted to the hospital. Because of manifestations that are common in clients with ALS, the nurse should

Choose correct answer/s
A
attempt to institute bowel-training activities.
B
provide the client with small, frequent feedings.
C
obtain an order for intermittent catheterization.
D
orient the client to his or her surroundings frequently.
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Question 14
Multiple Choice

The nurse explains that the pathology of Huntington's disease involves

Choose correct answer/s
A
a decrease in the neurotransmitter norepinephrine.
B
an excess of the neurotransmitter dopamine.
C
destruction of white matter in the brain.
D
formation of neurofibrillary tangles and plaques.
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Question 15
Multiple Choice

To prevent complications caused by a common problem of Huntington's disease, the nurse should

Choose correct answer/s
A
institute seizure precautions.
B
pad wheelchairs and beds.
C
start an exercise regimen.
D
teach different communication signals.
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Question 16
Multiple Choice

When a client is admitted to the hospital with Guillain-Barré syndrome (GBS), the most important assessment the nurse should make is for

Choose correct answer/s
A
decreasing alertness.
B
respiratory difficulty.
C
seizure activity.
D
urinary retention.
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Question 17
Multiple Choice

A client is receiving donepezil (Aricept) for moderate Alzheimer's disease. The nurse would assess that teaching goals for this medication have been met when the client's spouse says

Choose correct answer/s
A
"Aricept works by blocking oxygen free radicals in the brain."
B
" Depression has been the worst part so I'm glad this pill will control it."
C
"I'm anxious to see how much improvement the medications allows."
D
"This medicine will prevent further deterioration in condition."
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Question 18
Multiple Choice

Health promotion activities the nurse could suggest to a community group for Huntington's disease include

Choose correct answer/s
A
Eating foods high in omega-3 fatty acids.
B
genetic screening for high-risk individuals.
C
limiting exposure to heavy metals.
D
taking 400 International Units of vitamin E daily.
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Question 19
Multiple Choice

A nurse is caring for a client diagnosed with Creutzfeldt-Jakob Disease (CJD). Appropriate nursing care includes

Choose correct answer/s
A
administering broad-spectrum antibiotics until culture results are known.
B
giving the client anti-viral medications as ordered.
C
placing the client in contact and airborne isolation.
D
using standard precautions when handling body fluids.
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Question 20
Multiple Choice

Nursing activities for a client with ALS and family include helping them

Choose correct answer/s
A
decide on an acceptable level of care early in the course of the disease.
B
determine if they want to share the diagnosis to allow genetic testing.
C
incorporate nonpharmacologic pain control techniques in the plan of care.
D
plan for extensive rehabilitation after exacerbations.
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