Myasthenia Gravis (MG) High-Yield NCLEX Practice Quiz

Question 1

A nurse is caring for a client with Myasthenia Gravis. Which clinical manifestation should the nurse expect to observe during the physical assessment?

Accepted Answer

Ptosis and diplopia that worsen at the end of the day

Answer

Hyperactive deep tendon reflexes and spasticity

Answer

Ascending paralysis and loss of deep tendon reflexes

Answer

Constant muscle rigidity and tremors

Question 2

The nurse is preparing to administer Pyridostigmine to a client with Myasthenia Gravis. What is the most important consideration for the timing of this medication?

Accepted Answer

Administer 30 to 60 minutes before meals.

Answer

Administer the medication at bedtime to prevent nocturnal weakness.

Answer

Give the medication only when the client reports significant fatigue.

Answer

Administer with a high-fat meal to increase absorption.

Question 3

A client with Myasthenia Gravis is suspected of having a Myasthenic crisis. Which diagnostic test does the nurse anticipate the provider will order to confirm this?

Accepted Answer

Tensilon (Edrophonium) test

Answer

Serum potassium level

Answer

C-reactive protein (CRP)

Answer

Lumbar puncture

Question 4

During a Tensilon test, the client's respiratory effort decreases and muscle weakness increases. Which medication should the nurse have immediately available?

Accepted Answer

Atropine sulfate

Answer

Protamine sulfate

Answer

Epinephrine

Answer

Naloxone

Question 5

The nurse is providing discharge teaching to a client with Myasthenia Gravis. Which environmental modification should be prioritized?

Accepted Answer

Ensuring the bedroom and primary living areas are on the ground floor.

Answer

Increasing the home temperature to prevent muscle stiffness.

Answer

Installing a security system for safety.

Answer

Replacing all carpet with hardwood floors.

Question 6

A nurse is assessing a client with Myasthenia Gravis who is experiencing a Myasthenic crisis. What is the priority nursing diagnosis?

Accepted Answer

Ineffective Airway Clearance

Answer

Impaired Physical Mobility

Answer

Risk for Falls

Answer

Imbalanced Nutrition: Less than body requirements

Question 7

A client with Myasthenia Gravis asks why they are undergoing plasmapheresis. What is the nurse's best response?

Accepted Answer

It removes the abnormal antibodies from your blood that are attacking your nerves.

Answer

It is a permanent cure for the disease.

Answer

It helps your body absorb medications more effectively.

Answer

It is used to stimulate the production of new acetylcholine receptors.

Question 8

Which instruction should the nurse include for a client with Myasthenia Gravis to help manage dysphagia?

Accepted Answer

Schedule meal times to coincide with the peak effect of medications.

Answer

Tilt the head back while swallowing to let gravity help.

Answer

Use a straw to drink thin liquids quickly.

Answer

Eat large, infrequent meals to save energy.

Question 9

A client with Myasthenia Gravis is being discharged. Which of the following should the nurse teach the client to avoid, as it may trigger an exacerbation?

Accepted Answer

Emotional stress and vigorous physical exercise.

Answer

Getting a yearly flu vaccination.

Answer

Maintaining a consistent sleep schedule.

Answer

Eating a diet high in protein.

Question 10

The nurse notes that a client with Myasthenia Gravis has a very weak cough and difficulty clearing secretions. Which action is most appropriate?

Accepted Answer

Suction the client's airway as needed and monitor pulse oximetry.

Answer

Place the client in a side-lying position.

Answer

Encourage the client to drink more water.

Answer

Perform chest physiotherapy immediately.

Myasthenia Gravis (MG) High-Yield NCLEX Practice Quiz

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Quiz Questions & Answers

Question 1: A nurse is caring for a client with Myasthenia Gravis. Which clinical manifestation should the nurse expect to observe during the physical assessment?

Question 2: The nurse is preparing to administer Pyridostigmine to a client with Myasthenia Gravis. What is the most important consideration for the timing of this medication?

Question 3: A client with Myasthenia Gravis is suspected of having a Myasthenic crisis. Which diagnostic test does the nurse anticipate the provider will order to confirm this?

Question 4: During a Tensilon test, the client's respiratory effort decreases and muscle weakness increases. Which medication should the nurse have immediately available?

Question 5: The nurse is providing discharge teaching to a client with Myasthenia Gravis. Which environmental modification should be prioritized?

Question 6: A nurse is assessing a client with Myasthenia Gravis who is experiencing a Myasthenic crisis. What is the priority nursing diagnosis?

Question 7: A client with Myasthenia Gravis asks why they are undergoing plasmapheresis. What is the nurse's best response?

Question 8: Which instruction should the nurse include for a client with Myasthenia Gravis to help manage dysphagia?

Question 9: A client with Myasthenia Gravis is being discharged. Which of the following should the nurse teach the client to avoid, as it may trigger an exacerbation?

Question 10: The nurse notes that a client with Myasthenia Gravis has a very weak cough and difficulty clearing secretions. Which action is most appropriate?

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