#1
Which of the following is a common symptom of ALS?
Persistent cough
Muscle weakness and atrophy
Visual disturbances
Increased appetite
#2
What is the primary nursing goal for a patient with ALS?
Promote independence in activities of daily living (ADLs)
Increase physical activity levels
Ensure complete bed rest
Encourage aggressive exercise routines
#3
Which healthcare professional plays a key role in coordinating care for ALS patients and their families?
Psychologist
Dietitian
Social worker
Pharmacist
#4
What is a potential complication of immobility in ALS patients?
Increased muscle strength
Pressure ulcers
Improved respiratory function
Enhanced mobility
#5
What is the primary cause of death in ALS patients?
Heart failure
Respiratory failure
Kidney failure
Liver failure
#6
What is the role of palliative care in ALS management?
To cure the disease
To provide comfort and improve quality of life
To delay disease progression
To promote aggressive treatment
#7
Which interdisciplinary team member is essential for communication support in ALS?
Occupational therapist
Speech-language pathologist
Physical therapist
Case manager
#8
Which of the following is a characteristic feature of ALS?
Rapidly progressive muscle weakness
Slowly improving sensory deficits
Intermittent memory loss
Acute abdominal pain
#9
Which medication is commonly prescribed to manage ALS symptoms?
Antibiotics
Anti-seizure medications
Rheumatoid arthritis drugs
Riluzole (Rilutek)
#10
How does nursing care typically adapt to address swallowing difficulties in ALS patients?
Encouraging large, fast bites of food
Administering thickened liquids
Avoiding mealtime supervision
Encouraging rapid eating to minimize discomfort
#11
What is the average life expectancy for individuals diagnosed with ALS?
10-15 years
5-10 years
1-3 years
20-25 years
#12
How can nurses assist ALS patients in managing emotional distress?
By avoiding discussions about the disease
By encouraging social isolation
By providing emotional support and counseling
By minimizing communication with family members
#13
Which assistive device can help ALS patients communicate effectively as the disease progresses?
Walking cane
Wheelchair
Gastric tube
Augmentative and alternative communication (AAC) device
#14
Which type of exercise is typically recommended for ALS patients?
High-intensity interval training
Resistance training
Prolonged endurance exercise
No exercise is recommended
#15
What role does nutrition play in the management of ALS?
Nutrition has no impact on ALS progression
A high-calorie diet is recommended
Reducing calorie intake is advised
Supplements are not beneficial
#16
Which symptom is NOT commonly associated with ALS?
Fasciculations
Dysphagia
Visual disturbances
Spasticity
#17
Which of the following is NOT a potential complication of ALS?
Muscle cramps
Respiratory infections
Osteoporosis
Hypertension
#18
What is the role of occupational therapy in ALS management?
To prescribe medications
To perform surgical procedures
To optimize performance of daily activities
To provide emotional support
#19
Which assistive device can help ALS patients maintain mobility?
Respirator
Feeding tube
Orthopedic shoes
Walkers and canes
#20
What is the main goal of respiratory management in ALS?
To completely avoid using mechanical ventilation
To delay the need for mechanical ventilation
To initiate mechanical ventilation immediately
To encourage rapid breathing
#21
What is the primary focus of nursing care for ALS patients in the terminal stage?
Providing extensive physical therapy
Offering emotional support and comfort measures
Administering aggressive treatments to prolong life
Focusing solely on pain management
#22
Which symptom might indicate the need for feeding tube placement in ALS patients?
Increased appetite
Difficulty swallowing
Weight gain
Improved energy levels
#23
What is the rationale behind positioning changes in ALS patients?
To accelerate disease progression
To reduce risk of contractures and pressure ulcers
To induce muscle spasms
To increase fatigue
#24
Which assessment finding suggests respiratory muscle involvement in ALS?
Normal respiratory rate and effort
Decreased breath sounds
Increased peak expiratory flow rate
Elevated oxygen saturation levels
#25
Which nursing intervention is crucial to prevent complications in ALS patients with respiratory muscle weakness?
Encouraging shallow breathing techniques
Administering oxygen only when absolutely necessary
Providing education on pursed lip breathing
Initiating mechanical ventilation as soon as possible