NCLEX-PN REVIEW QUESTIONS
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALE LATEST UPDATE THIS
YEAR
A nurse is caring for a patient who is
suspected to have sustained a spinal
cord injury. What best describes the
overarching principles used to guide
the care for this type of condition?
1. Immobilize the cervical area to
prevent further injury
1
,2. Monitor the patient's level of
consciousness to prevent neurologic
deterioration
3. Help the patient with activities of
daily living and provide emotional and
physical support to help them adjust to
their injury
4. Facilitate tissue perfusion to the
spinal cord while maintaining airway
and breathing - correct answer=✔✔4.
Facilitate tissue perfusion to the spinal
cord while maintaining airway and
breathing
Correct - Maintaining airway,
breathing, and circulation is both
essential and guides the overall plan of
care for a patient with a spinal cord
injury.
A 23-year-old woman is admitted to the
infusion clinic after a Multiple
2
,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=✔✔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.
3
, A nurse knows that which of these
patients are at greatest risk for a
stroke?
1. A 60-year old male who weighs 270
pounds, has atrial fibrillation, and has
had a TIA in the past.
2. A 75-year old male who has frequent
migraines, drinks a glass of wine every
day, and is Hispanic.
3. A 40-year old female who has high
cholesterol and uses oral
contraceptives
4
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALE LATEST UPDATE THIS
YEAR
A nurse is caring for a patient who is
suspected to have sustained a spinal
cord injury. What best describes the
overarching principles used to guide
the care for this type of condition?
1. Immobilize the cervical area to
prevent further injury
1
,2. Monitor the patient's level of
consciousness to prevent neurologic
deterioration
3. Help the patient with activities of
daily living and provide emotional and
physical support to help them adjust to
their injury
4. Facilitate tissue perfusion to the
spinal cord while maintaining airway
and breathing - correct answer=✔✔4.
Facilitate tissue perfusion to the spinal
cord while maintaining airway and
breathing
Correct - Maintaining airway,
breathing, and circulation is both
essential and guides the overall plan of
care for a patient with a spinal cord
injury.
A 23-year-old woman is admitted to the
infusion clinic after a Multiple
2
,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=✔✔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.
3
, A nurse knows that which of these
patients are at greatest risk for a
stroke?
1. A 60-year old male who weighs 270
pounds, has atrial fibrillation, and has
had a TIA in the past.
2. A 75-year old male who has frequent
migraines, drinks a glass of wine every
day, and is Hispanic.
3. A 40-year old female who has high
cholesterol and uses oral
contraceptives
4
