75 NCLEX Test Bank Questions - c/o
BrilliantNurse.com and Correct
Answers 2025-2026 Rated A
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 - ANS1. 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
1
,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." -
ANS1. "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
,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 - ANS1. Slurred speech
Incorrect - Slurred speech is a common symptom of PD, not a side effect of
this drug.
2. Sudden dizziness
3
, 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 - ANS1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the
patient.
2. Tachycardia
Tachycardia can be a side effect of Flomax, but is not an immediate safety
risk, nor is it a common side effect.
4
BrilliantNurse.com and Correct
Answers 2025-2026 Rated A
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 - ANS1. 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
1
,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." -
ANS1. "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
,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 - ANS1. Slurred speech
Incorrect - Slurred speech is a common symptom of PD, not a side effect of
this drug.
2. Sudden dizziness
3
, 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 - ANS1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the
patient.
2. Tachycardia
Tachycardia can be a side effect of Flomax, but is not an immediate safety
risk, nor is it a common side effect.
4
