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75 Free NCLEX Questions – BrilliantNurse: Practice & Review

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Boost your NCLEX preparation with 75 free practice questions from BrilliantNurse. Includes rationales, key nursing concepts, and review materials to strengthen knowledge and improve exam readiness.

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75 Free NCLEX Questions - c_o BrilliantNurse Questions and Answers


A 23-year-old woman is admitted to the infusion clinic 1. A decrease in muscle spasticity and involuntary movements
after a Multiple Sclerosis Exacerbation. The physician Incorrect - While muscle spasticity and involuntary movements can be
orders methylprednisolone infusions (Solu-Medrol). symptoms of MS, a corticosteroid infusion is not meant to directly treat these
The nurse would expect which of the following symptoms.
outcomes after administration of this medication?
2. A slowed progression of Multiple Sclerosis related plaques
1. A decrease in muscle spasticity and involuntary Incorrect - Special drugs like Interferon Beta, Natalizumab, or Glatiramir
movements acetate are used as first-line treatments to slow the progression of MS. While
2. A slowed progression of Multiple Sclerosis related corticosteroids can be used in conjunction with these drugs on a long-term
plaques basis, they would not be infused. They would be taken orally.
3. A decrease in the length of the exacerbation
4. A stabilization of mood and sleep 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.




2026

,75 Free NCLEX Questions - c_o BrilliantNurse Questions and Answers

A 30-year old Caucasian woman who works the night 1. "It's a standard part of the overall nutritional treatment for the prevention
shift has been found to have early bone loss and has of osteomalacia"
a high risk for osteomalacia and bone degradation. Incorrect - While this is true, it doesn't answer the woman's question.
She asks the nurse exactly why she should take
Vitamin D supplements. What is the nurse's best 2. "It helps your intestines absorb calcium, which is important for bone
response? formation."
Correct - This is the correct mechanism of action for Vitamin D
1. "It's a standard part of the overall nutritional
treatment for the prevention of osteomalacia" 3. "It stimulates skin cells to produce calcium, which is then released into the
bloodstream to be used for bone formation."
2. "It helps your intestines absorb calcium, which is Incorrect- This is not the correct mechanism of action for Vitamin D
important for bone formation."
4. "Vitamin D supplements should not be taken by someone of your age."
3. "It stimulates skin cells to produce calcium, which is Incorrect - Vitamin D supplements should be taken for patients who are
then released into the bloodstream to be used for homebound, institutionalized, or by some other limitations, unable to meet
bone formation." daily requirements. This woman works the night shift, which may limit her
ability to absorb Vitamin D naturally.
4. "Vitamin D supplements should not be taken by
someone of your age."




2026

,75 Free NCLEX Questions - c_o BrilliantNurse Questions and Answers

A 45-year old woman is prescribed ropinirole 1. Slurred speech
(Requip) for Parkinson's Disease. The patient is living at Incorrect - Slurred speech is a common symptom of PD, not a side effect of
home with her daughter. The nurse is most concerned this drug.
about which side effect of ropinirole?
2. Sudden dizziness
1. Slurred speech Correct - Dizziness and orthostatic hypotension are serious adverse effects
2. Sudden dizziness of this drug that can lead to an increased risk of falls. Ropinirole's drug class
3. Masklike facial expression is a dopamine agonist, which mimic dopamine in the brain (PD is
4. Stooped Posture characterized by a lack of dopamine).


3. Masklike facial expression
Incorrect - Masklike facial expression is a common symptom of PD, not a
side effect of this drug.


4. Stooped Posture
Incorrect - Stooped Posture is a common symptom of PD, not a side effect
of this drug.




2026

, 75 Free NCLEX Questions - c_o BrilliantNurse Questions and Answers

A 65 year old man is prescribed Flomax (Tamsulosin) 1. Hypotension
for Benign Prostatic Hyperplasia. The patient lives in Correct - Hypotension can lead to dizziness and a risk for injury to the
an upstairs apartment. The nurse is most concerned patient.
about which side effect of Flomax?
2. Tachycardia
1. Hypotension Tachycardia can be a side effect of Flomax, but is not an immediate safety
2. Tachycardia risk, nor is it a common side effect.
3. Back Pain
4. Difficulty Urinating 3. Back Pain
Back Pain can be a side effect of Floma, but is not a safety risk


4. Difficulty Urinating
Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of
Flomax




2026

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