100% Real NCLEC Q&A (Verified)
Instructions
All answers are underlined.
Questions
A 23-year-old woman is admitted to the infusion clinic
after a Multiple Sclerosis Exacerbation. The physician
orders methylprednisolone infusions (Solu-Medrol).
The nurse would expect which of the following
outcomes after administration of this medication?
1. A decrease in muscle spasticity and involuntary
movements
2. A slowed progression of Multiple Sclerosis related
plaques
3. A decrease in the length of the exacerbation
4. A stabilization of mood and sleep <answer>1. A
decrease in muscle spasticity and involuntary movements
,Incorrect - While muscle spasticity and involuntary
movements can be symptoms of MS, a corticosteroid
infusion is not meant to directly treat these symptoms.
2. A slowed progression of Multiple Sclerosis related
plaques
Incorrect - Special drugs like Interferon Beta,
Natalizumab, or Glatiramer acetate are used as first-line
treatments to slow the progression of MS. While
corticosteroids can be used in conjunction with these
drugs on a long-term basis, they would not be infused.
They would be taken orally.
3. A decrease in the length of the exacerbation
CORRECT - A methylprednisolone infusion is the first line
of treatment during an acute exacerbation and is used to
decrease the length and severity of a relapse.
4. A stabilization of mood and sleep
Incorrect - Some of the frequent side effects of a
Methylprednisolone infusion are anxiety, insomnia, and
mood swings.
A 30-year-old Caucasian woman who works the night
shift has been found to have early bone loss and has
a high risk for osteomalacia and bone degradation.
She asks the nurse exactly why she should take
,Vitamin D supplements. What is the nurse's best
response?
1. "It's a standard part of the overall nutritional
treatment for the prevention of osteomalacia"
2. "It helps your intestines absorb calcium, which is
important for bone formation."
3. "It stimulates skin cells to produce calcium, which
is then released into the bloodstream to be used for
bone formation."
4. "Vitamin D supplements should not be taken by
someone of your age." <answer>1. "It's a standard part
of the overall nutritional treatment for the prevention of
osteomalacia"
Incorrect - While this is true, it doesn't answer the
woman's question.
2. "It helps your intestines absorb calcium, which is
important for bone formation."
CORRECT - This is the correct mechanism of action for
Vitamin D
3. "It stimulates skin cells to produce calcium, which is
then released into the bloodstream to be used for bone
formation."
Incorrect- This is not the correct mechanism of action for
Vitamin D
, 4. "Vitamin D supplements should not be taken by
someone of your age."
Incorrect - Vitamin D supplements should be taken for
patients who are homebound, institutionalized, or by some
other limitations, unable to meet daily requirements. This
woman works the night shift, which may limit her ability to
absorb Vitamin D naturally.
A 45-year-old woman is prescribed ropinirole
(Reequip) for Parkinson's Disease. The patient is
living at home with her daughter. The nurse is most
concerned about which side effect of ropinirole?
1. Slurred speech
2. Sudden dizziness
3. Masklike facial expression
4. Stooped Posture <answer>1. Slurred speech
Incorrect - Slurred speech is a common symptom of PD,
not a side effect of this drug.
2. Sudden dizziness
CORRECT - Dizziness and orthostatic hypotension are
serious adverse effects of this drug that can lead to an
increased risk of falls. Ropinirole's drug class is a
Instructions
All answers are underlined.
Questions
A 23-year-old woman is admitted to the infusion clinic
after a Multiple Sclerosis Exacerbation. The physician
orders methylprednisolone infusions (Solu-Medrol).
The nurse would expect which of the following
outcomes after administration of this medication?
1. A decrease in muscle spasticity and involuntary
movements
2. A slowed progression of Multiple Sclerosis related
plaques
3. A decrease in the length of the exacerbation
4. A stabilization of mood and sleep <answer>1. A
decrease in muscle spasticity and involuntary movements
,Incorrect - While muscle spasticity and involuntary
movements can be symptoms of MS, a corticosteroid
infusion is not meant to directly treat these symptoms.
2. A slowed progression of Multiple Sclerosis related
plaques
Incorrect - Special drugs like Interferon Beta,
Natalizumab, or Glatiramer acetate are used as first-line
treatments to slow the progression of MS. While
corticosteroids can be used in conjunction with these
drugs on a long-term basis, they would not be infused.
They would be taken orally.
3. A decrease in the length of the exacerbation
CORRECT - A methylprednisolone infusion is the first line
of treatment during an acute exacerbation and is used to
decrease the length and severity of a relapse.
4. A stabilization of mood and sleep
Incorrect - Some of the frequent side effects of a
Methylprednisolone infusion are anxiety, insomnia, and
mood swings.
A 30-year-old Caucasian woman who works the night
shift has been found to have early bone loss and has
a high risk for osteomalacia and bone degradation.
She asks the nurse exactly why she should take
,Vitamin D supplements. What is the nurse's best
response?
1. "It's a standard part of the overall nutritional
treatment for the prevention of osteomalacia"
2. "It helps your intestines absorb calcium, which is
important for bone formation."
3. "It stimulates skin cells to produce calcium, which
is then released into the bloodstream to be used for
bone formation."
4. "Vitamin D supplements should not be taken by
someone of your age." <answer>1. "It's a standard part
of the overall nutritional treatment for the prevention of
osteomalacia"
Incorrect - While this is true, it doesn't answer the
woman's question.
2. "It helps your intestines absorb calcium, which is
important for bone formation."
CORRECT - This is the correct mechanism of action for
Vitamin D
3. "It stimulates skin cells to produce calcium, which is
then released into the bloodstream to be used for bone
formation."
Incorrect- This is not the correct mechanism of action for
Vitamin D
, 4. "Vitamin D supplements should not be taken by
someone of your age."
Incorrect - Vitamin D supplements should be taken for
patients who are homebound, institutionalized, or by some
other limitations, unable to meet daily requirements. This
woman works the night shift, which may limit her ability to
absorb Vitamin D naturally.
A 45-year-old woman is prescribed ropinirole
(Reequip) for Parkinson's Disease. The patient is
living at home with her daughter. The nurse is most
concerned about which side effect of ropinirole?
1. Slurred speech
2. Sudden dizziness
3. Masklike facial expression
4. Stooped Posture <answer>1. Slurred speech
Incorrect - Slurred speech is a common symptom of PD,
not a side effect of this drug.
2. Sudden dizziness
CORRECT - Dizziness and orthostatic hypotension are
serious adverse effects of this drug that can lead to an
increased risk of falls. Ropinirole's drug class is a
