75 FREE NCLEX QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+ (2026&2027)
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).
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+ (2026&2027)
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).
