CNRN Neurodegenerative Disorders Nursing 2

Question 1

The Uhthoff phenomenon in multiple sclerosis refers to:

Accepted Answer

Temporary worsening of neurological symptoms with increased body temperature

Answer

Sudden severe spasticity triggered by a urinary tract infection

Answer

Paroxysmal tonic spasms of the limbs during remission

Answer

Monocular vision loss lasting more than 24 hours

Question 2

A patient with Parkinson's disease is prescribed carbidopa-levodopa. Which nursing teaching point is MOST important?

Accepted Answer

Avoid taking the medication within 30–60 minutes of a high-protein meal

Answer

Take the medication with a high-protein meal to enhance GI absorption

Answer

Take the medication only when tremor symptoms become severe

Answer

Expect complete elimination of all tremors after the first dose

Question 3

When assessing a patient with ALS for respiratory compromise, which measurement is MOST critical for determining the need for ventilatory support?

Accepted Answer

Forced vital capacity (FVC)

Answer

Oxygen saturation by pulse oximetry

Answer

Arterial blood pH

Answer

Resting respiratory rate

Question 4

Which symptom is typically the FIRST neurological manifestation of multiple sclerosis?

Accepted Answer

Optic neuritis causing painful unilateral visual loss

Answer

Significant cognitive impairment and memory loss

Answer

Complete paraplegia of both lower extremities

Answer

Intractable focal seizures

Question 5

Dementia with Lewy bodies (DLB) is distinguished from Alzheimer's disease primarily by the presence of:

Accepted Answer

Fluctuating cognition with recurrent vivid visual hallucinations and parkinsonism

Answer

Memory loss as the predominant early symptom

Answer

Stepwise cognitive deterioration following ischemic events

Answer

Prominent personality and behavioral changes preceding memory loss

Question 6

A patient with Parkinson's disease reports difficulty swallowing. Which nursing intervention is MOST appropriate?

Accepted Answer

Thicken liquids to nectar consistency and refer to speech-language pathology

Answer

Encourage the patient to drink thin liquids rapidly to clear the throat

Answer

Position the patient supine during all meals to reduce aspiration risk

Answer

Provide large bites of food to stimulate the swallowing reflex

Question 7

In Guillain-Barré syndrome, which pattern of weakness is MOST characteristic?

Accepted Answer

Ascending symmetrical weakness beginning in the legs and progressing upward

Answer

Descending weakness beginning in the facial and bulbar muscles

Answer

Isolated proximal muscle weakness with distal sparing

Answer

Unilateral hemiparesis corresponding to a focal cerebral lesion