NCLEX RN NEWEST 2024,2023
AND 2025 (3 LATEST VERSIONS)
TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH RATIONALES
,Multiple Sclerosis Exacerbation and Methylprednisolone Infusion
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?
A decrease in muscle spasticity and involuntary movements
Incorrect - While muscle spasticity and involuntary movements are symptoms of MS,
corticosteroid infusions are not intended to directly address these symptoms.
A slowed progression of Multiple Sclerosis related plaques
Incorrect - Slowing MS progression typically involves disease-modifying drugs like
Interferon Beta, Natalizumab, or Glatiramer acetate. Corticosteroids are not used for this
purpose.
A decrease in the length of the exacerbation
Correct - Methylprednisolone infusions are the first-line treatment during acute MS
exacerbations, aiming to reduce the duration and severity of the relapse.
A stabilization of mood and sleep
Incorrect - Methylprednisolone commonly causes side effects such as anxiety, insomnia,
and mood swings, rather than stabilization.
Vitamin D Supplementation for Early Bone Loss
A 30-year-old Caucasian woman who works the night shift has early bone loss and is at high risk
for osteomalacia. She asks the nurse why she should take Vitamin D supplements. What is the
nurse's best response?
"It's a standard part of the overall nutritional treatment for the prevention of
osteomalacia."
Incorrect - While true, this response does not directly answer her question.
"It helps your intestines absorb calcium, which is important for bone formation."
Correct - This response correctly explains the mechanism of Vitamin D in facilitating
calcium absorption for bone health.
"It stimulates skin cells to produce calcium, which is then released into the bloodstream
to be used for bone formation."
Incorrect - This is not how Vitamin D functions.
, "Vitamin D supplements should not be taken by someone of your age."
Incorrect - Vitamin D supplements are essential for individuals with limited sunlight
exposure, such as those working night shifts.
Ropinirole (Requip) Side Effects in Parkinson’s Disease
A 45-year-old woman is prescribed ropinirole (Requip) for Parkinson’s Disease and lives with
her daughter. The nurse is most concerned about which side effect of ropinirole?
Slurred speech
Incorrect - Slurred speech is a symptom of Parkinson’s Disease, not a side effect of
ropinirole.
Sudden dizziness
Correct - Dizziness and orthostatic hypotension are serious side effects of ropinirole,
increasing the risk of falls.
Masklike facial expression
Incorrect - Masklike facial expressions are symptoms of Parkinson’s Disease, not side
effects of the medication.
Stooped posture
Incorrect - Stooped posture is a symptom of Parkinson’s Disease, not a side effect of the
medication.
Tamsulosin (Flomax) and Safety Concerns
A 65-year-old man is prescribed Tamsulosin (Flomax) for Benign Prostatic Hyperplasia. He
lives in an upstairs apartment. The nurse is most concerned about which side effect of
Tamsulosin?
Hypotension
Correct - Hypotension, particularly orthostatic hypotension, can cause dizziness and
increase the risk of falls, especially for someone living in an upstairs apartment.
Tachycardia
Incorrect - Although tachycardia can occur, it is not a common or immediate safety
concern.
, Back pain
Incorrect - Back pain can be a side effect but does not pose a significant safety risk.
Difficulty urinating
Incorrect - Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of
Tamsulosin.
Pain Management in Multiple Sclerosis
A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The
nurse anticipates that the physician will order which medication for this type of pain?
Alprazolam (Xanax)
Incorrect - Alprazolam is used to reduce anxiety and is not appropriate for neuropathic
pain.
Corticosteroid injection
Incorrect - Corticosteroid injections are used to reduce inflammation in acute MS
exacerbations, not chronic nerve pain.
Gabapentin (Neurontin)
Correct - Gabapentin, an anticonvulsant, is often the first-line treatment for neuropathic
pain.
Hydrocodone/acetaminophen (Norco)
Incorrect - Opioids like hydrocodone are not the preferred treatment for nerve pain.
Metformin and NPO Status
A female patient is prescribed metformin for glucose control and is on NPO status pending a
diagnostic test. The nurse is most concerned about which side effect of metformin?
Diarrhea and vomiting
Incorrect - While these may occur, there is a more immediate safety concern.
Dizziness and drowsiness
Incorrect - Although possible, these are not the primary concern in this situation.
Metallic taste
Incorrect - This is a minor side effect and not the most pressing issue.
AND 2025 (3 LATEST VERSIONS)
TEST BANK ACTUAL
EXAM 2500 QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH RATIONALES
,Multiple Sclerosis Exacerbation and Methylprednisolone Infusion
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?
A decrease in muscle spasticity and involuntary movements
Incorrect - While muscle spasticity and involuntary movements are symptoms of MS,
corticosteroid infusions are not intended to directly address these symptoms.
A slowed progression of Multiple Sclerosis related plaques
Incorrect - Slowing MS progression typically involves disease-modifying drugs like
Interferon Beta, Natalizumab, or Glatiramer acetate. Corticosteroids are not used for this
purpose.
A decrease in the length of the exacerbation
Correct - Methylprednisolone infusions are the first-line treatment during acute MS
exacerbations, aiming to reduce the duration and severity of the relapse.
A stabilization of mood and sleep
Incorrect - Methylprednisolone commonly causes side effects such as anxiety, insomnia,
and mood swings, rather than stabilization.
Vitamin D Supplementation for Early Bone Loss
A 30-year-old Caucasian woman who works the night shift has early bone loss and is at high risk
for osteomalacia. She asks the nurse why she should take Vitamin D supplements. What is the
nurse's best response?
"It's a standard part of the overall nutritional treatment for the prevention of
osteomalacia."
Incorrect - While true, this response does not directly answer her question.
"It helps your intestines absorb calcium, which is important for bone formation."
Correct - This response correctly explains the mechanism of Vitamin D in facilitating
calcium absorption for bone health.
"It stimulates skin cells to produce calcium, which is then released into the bloodstream
to be used for bone formation."
Incorrect - This is not how Vitamin D functions.
, "Vitamin D supplements should not be taken by someone of your age."
Incorrect - Vitamin D supplements are essential for individuals with limited sunlight
exposure, such as those working night shifts.
Ropinirole (Requip) Side Effects in Parkinson’s Disease
A 45-year-old woman is prescribed ropinirole (Requip) for Parkinson’s Disease and lives with
her daughter. The nurse is most concerned about which side effect of ropinirole?
Slurred speech
Incorrect - Slurred speech is a symptom of Parkinson’s Disease, not a side effect of
ropinirole.
Sudden dizziness
Correct - Dizziness and orthostatic hypotension are serious side effects of ropinirole,
increasing the risk of falls.
Masklike facial expression
Incorrect - Masklike facial expressions are symptoms of Parkinson’s Disease, not side
effects of the medication.
Stooped posture
Incorrect - Stooped posture is a symptom of Parkinson’s Disease, not a side effect of the
medication.
Tamsulosin (Flomax) and Safety Concerns
A 65-year-old man is prescribed Tamsulosin (Flomax) for Benign Prostatic Hyperplasia. He
lives in an upstairs apartment. The nurse is most concerned about which side effect of
Tamsulosin?
Hypotension
Correct - Hypotension, particularly orthostatic hypotension, can cause dizziness and
increase the risk of falls, especially for someone living in an upstairs apartment.
Tachycardia
Incorrect - Although tachycardia can occur, it is not a common or immediate safety
concern.
, Back pain
Incorrect - Back pain can be a side effect but does not pose a significant safety risk.
Difficulty urinating
Incorrect - Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of
Tamsulosin.
Pain Management in Multiple Sclerosis
A client with Multiple Sclerosis reports a constant, burning, tingling pain in the shoulders. The
nurse anticipates that the physician will order which medication for this type of pain?
Alprazolam (Xanax)
Incorrect - Alprazolam is used to reduce anxiety and is not appropriate for neuropathic
pain.
Corticosteroid injection
Incorrect - Corticosteroid injections are used to reduce inflammation in acute MS
exacerbations, not chronic nerve pain.
Gabapentin (Neurontin)
Correct - Gabapentin, an anticonvulsant, is often the first-line treatment for neuropathic
pain.
Hydrocodone/acetaminophen (Norco)
Incorrect - Opioids like hydrocodone are not the preferred treatment for nerve pain.
Metformin and NPO Status
A female patient is prescribed metformin for glucose control and is on NPO status pending a
diagnostic test. The nurse is most concerned about which side effect of metformin?
Diarrhea and vomiting
Incorrect - While these may occur, there is a more immediate safety concern.
Dizziness and drowsiness
Incorrect - Although possible, these are not the primary concern in this situation.
Metallic taste
Incorrect - This is a minor side effect and not the most pressing issue.
