75 Free NCLEX 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 - CORRECT 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 Glatiramir 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." - CORRECT
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 (Requip) 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 - CORRECT 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 dopamine agonist, which
mimic dopamine in the brain (PD is 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.
A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia. The
patient lives in an upstairs apartment. The nurse is most concerned about which side effect of
Flomax?
1. Hypotension
2. Tachycardia
3. Back Pain
4. Difficulty Urinating - CORRECT ANSWER: 1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
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 - CORRECT 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 Glatiramir 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." - CORRECT
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 (Requip) 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 - CORRECT 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 dopamine agonist, which
mimic dopamine in the brain (PD is 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.
A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia. The
patient lives in an upstairs apartment. The nurse is most concerned about which side effect of
Flomax?
1. Hypotension
2. Tachycardia
3. Back Pain
4. Difficulty Urinating - CORRECT ANSWER: 1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
