Practice Question
The nurse is educating the family about anticipated changes during the late stages of amyotrophic lateral sclerosis (ALS) for their father. What teaching point is most important for the nurse to include?
Answer Choices:
Correct Answer:
The person's cognitive and mental capacity will most likely remain intact throughout the disease progression.
Rationale:
🔶 In ALS, motor neurons degenerate but cognitive function remains unaffected in most cases.
🔶 Patients progressively lose control over voluntary muscles, including breathing and speech.
🔶 Families often fear cognitive decline, so it’s critical to clarify this distinction.
🔶 Preserved cognition allows the patient to participate in decision-making and care planning.
🔶 As respiratory muscles weaken, mechanical ventilation may be needed in late stages.
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This question is from Massbay Community College Med Surg exam 2 which contains 44 questions.
More Questions from This Exam
Which early symptoms in a focused assessment by the nurse may indicate the presence of a brain tumor?
Answer Choices:
A. Sudden unconsciousness, unresponsiveness, and apnea.
B. Increased temperature, blood pressure, heart rate, and respirations.
C. Changes in vision and personality, and headache upon awakening.
D. Fever, increased white blood cell count, and decreased appetite.
The nurse is evaluating the cranial nerves of a person with Parkinson disease who has difficulty swallowing foods. The nurse asks the patient to stick out their tongue and move it rapidly from side to side. The nurse is assessing which cranial nerve?
Answer Choices:
A. Hypoglossal - Cranial Nerve XII
B. Trigeminal - Cranial Nerve V
C. Facial - Cranial Nerve VII
D. Vestibulocochlear - Cranial Nerve VIII
The nurse assesses a patient who potentially may have meningitis. The patient demonstrates a positive Brudzinski's sign with which changes in position.
Answer Choices:
A. Flexion of the hip causes resistance to extension of the leg.
B. Flexion of the neck causes flexion of the hips and knees.
C. Flexion of the ankle causes upward fanning of the toes.
D. Flexion of the neck causes pain and spasm in the leg muscles.
The nurse is caring for a 9-year-old undergoing chemotherapy to treat leukemia. Select the priority nursing goal for the child's plan of care.
Answer Choices:
A. Encourage intake of favorite foods to increase weight and promote normal growth.
B. Utilize approaches to minimize risk of infection and bleeding episodes.
C. Provide age-appropriate activities to promote optimum cognitive and motor skills development.
D. Provide emotional support for the child and family members that relieve stress.
The nurse is caring for a patient with anemia. Their medical history includes diabetes mellitus Type 1, hypertension, chronic kidney disease, and peripheral vascular disease. Which condition most likely contributes to their anemia?
Answer Choices:
A. Diabetes mellitus Type 1
B. Peripheral vascular disease
C. chronic kidney disease
D. Hypertension
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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