nACTUALxnEXAMxn2500xnQUESTIONSxnANDxnCORRECTxnDETAILEDxnANSWERSxnWIT
HxnRATIONALESxn100
%xnCOMPLETExn(VERIFIEDxnANSWERS)/xnRNxnNCLEXxnTESTxnBANK|ALREADYxnGR
ADEDxnA+|BRANxnNEW!!2024
Axn23-year-
oldxnwomanxnisxnadmittedxntoxnthexninfusionxnclinicxnafterxnaxnMultiplexnSclerosisxnExacerbation.x
nThexnphysicianxnordersxnmethylprednisolonexninfusionsxn(Solu-
Medrol).xnThexnnursexnwouldxnexpectxnwhichxnofxnthexnfollowingxnoutcomesxnafterxnadministrati
onxnofxnthisxnmedication?
1. Axndecreasexninxnmusclexnspasticityxnandxninvoluntaryxnmovements
2. AxnslowedxnprogressionxnofxnMultiplexnSclerosisxnrelatedxnplaques
3. Axndecreasexninxnthexnlengthxnofxnthexnexacerbation
4. Axnstabilizationxnofxnmoodxnandxnsleepxn-
xnans1.xnAxndecreasexninxnmusclexnspasticityxnandxninvoluntaryxnmovements
Incorrectxn-
xnWhilexnmusclexnspasticityxnandxninvoluntaryxnmovementsxncanxnbexnsymptomsxnofxnMS,xnaxncor
ticosteroidxninfusionxnisxnnotxnmeantxntoxndirectlyxntreatxnthesexnsymptoms.
2. AxnslowedxnprogressionxnofxnMultiplexnSclerosisxnrelatedxnplaques
Incorrectxn-
xnSpecialxndrugsxnlikexnInterferonxnBeta,xnNatalizumab,xnorxnGlatiramirxnacetatexnarexnusedxnasxn
first-
linexntreatmentsxntoxnslowxnthexnprogressionxnofxnMS.xnWhilexncorticosteroidsxncanxnbexnusedxninx
nconjunctionxnwithxnthesexndrugsxnonxnaxnlong-termxnbasis,xntheyxnwouldxnnotxnbexninfused.
Theyxnwouldxnbexntakenxnorally.
3. Axndecreasexninxnthexnlengthxnofxnthexnexacerbation
Correctxn-
xnAxnmethylprednisolonexninfusionxnisxnthexnfirstxnlinexnofxntreatmentxnduringxnanxnacutexnexacerb
ationxnandxnisxnusedxntoxndecreasexnthexnlengthxnandxnseverityxnofxnaxnrelapse.
4. Axnstabilizationxnofxnmoodxnandxnsleep
Incorrectxn-
xnSomexnofxnthexnfrequentxnsidexneffectsxnofxnaxnMethylprednisolonexninfusionxnarexnanxiety,xnins
omnia,xnandxnmoodxnswings.
Axn30-
yearxnoldxnCaucasianxnwomanxnwhoxnworksxnthexnnightxnshiftxnhasxnbeenxnfoundxntoxnhavexnearlyxn
bonexnlossxnandxnhasxnaxnhighxnriskxnforxnosteomalaciaxnandxnbonexndegradation.xnShexnasksxnth
exnnursexnexactlyxnwhyxnshexnshouldxntakexnVitaminxnDxnsupplements.xnWhatxnisxnthexnnurse'sxnb
estxnresponse?
1. "It'sxnaxnstandardxnpartxnofxnthexnoverallxnnutritionalxntreatmentxnforxnthexnpreventio
nxnofxnosteomalacia"
2. "Itxnhelpsxnyourxnintestinesxnabsorbxncalcium,xnwhichxnisxnimportantxnforxnbonexnformation."
3. "Itxnstimulatesxnskinxncellsxntoxnproducexncalcium,xnwhichxnisxnthenxnreleasedxnintox
nthexnbloodstreamxntoxnbexnusedxnforxnbonexnformation."
4. "VitaminxnDxnsupplementsxnshouldxnnotxnbexntakenxnbyxnsomeonexnofxnyourxnage."xn-
xnans1.xn"It'sxnaxnstandardxnpartxnofxnthexnoverallxnnutritionalxntreatmentxnforxnthexnpreventionxnofx
,NCLEXxnRNxnNEWESTxn2024,2023xnANDxn2025xn(3xnLATESTxnVERSIONS)xnTESTxnBANKx
nACTUALxnEXAMxn2500xnQUESTIONSxnANDxnCORRECTxnDETAILEDxnANSWERSxnWIT
HxnRATIONALESxn100
%xnCOMPLETExn(VERIFIEDxnANSWERS)/xnRNxnNCLEXxnTESTxnBANK|ALREADYxnGR
ADEDxnA+|BRANxnNEW!!2024
nosteomalacia"xnIncorrectxn-
Whilexnthisxnisxntrue,xnitxndoesn'txnanswerxnthexnwoman'sxnquestion.
xn
2. "Itxnhelpsxnyourxnintestinesxnabsorbxncalcium,xnwhichxnisxnimportantxnforxnbonexnformation."
,NCLEXxnRNxnNEWESTxn2024,2023xnANDxn2025xn(3xnLATESTxnVERSIONS)xnTESTxnBANKx
nACTUALxnEXAMxn2500xnQUESTIONSxnANDxnCORRECTxnDETAILEDxnANSWERSxnWIT
HxnRATIONALESxn100
%xnCOMPLETExn(VERIFIEDxnANSWERS)/xnRNxnNCLEXxnTESTxnBANK|ALREADYxnGR
ADEDxnA+|BRANxnNEW!!2024
Correctxn-xnThisxnisxnthexncorrectxnmechanismxnofxnactionxnforxnVitaminxnD
3. "Itxnstimulatesxnskinxncellsxntoxnproducexncalcium,xnwhichxnisxnthenxnreleasedxnintox
nthexnbloodstreamxntoxnbexnusedxnforxnbonexnformation."
Incorrect-xnThisxnisxnnotxnthexncorrectxnmechanismxnofxnactionxnforxnVitaminxnD
4. "VitaminxnDxnsupplementsxnshouldxnnotxnbexntakenxnbyxnsomeonexnofxnyourxnage."
Incorrectxn-
xnVitaminxnDxnsupplementsxnshouldxnbexntakenxnforxnpatientsxnwhoxnarexnhomebound,xninstitutio
nalized,xnorxnbyxnsomexnotherxnlimitations,xnunablexntoxnmeetxndailyxnrequirements.xnThisxnwoma
nxnworksxnthexnnightxnshift,xnwhichxnmayxnlimitxnherxnabilityxntoxnabsorbxnVitaminxnDxnnaturally.
Axn45-
yearxnoldxnwomanxnisxnprescribedxnropinirolexn(Requip)xnforxnParkinson'sxnDisease.xnThexnpatie
ntxnisxnlivingxnatxnhomexnwithxnherxndaughter.xnThexnnursexnisxnmostxnconcernedxnaboutxnwhichxnsi
dexneffectxnofxnropinirole?
1. Slurredxnspeech
2. Suddenxndizziness
3. Masklikexnfacialxnexpression
4. StoopedxnPosturexn-xnans1.xnSlurredxnspeech
Incorrectxn-xnSlurredxnspeechxnisxnaxncommonxnsymptomxnofxnPD,xnnotxnaxnsidexneffectxnofxnthisxndrug.
2. Suddenxndizziness
Correctxn-
xnDizzinessxnandxnorthostaticxnhypotensionxnarexnseriousxnadversexneffectsxnofxnthisxndrugxnthatx
ncanxnleadxntoxnanxnincreasedxnriskxnofxnfalls.xnRopinirole'sxndrugxnclassxnisxnaxndopaminexnagonist
,xnwhichxnmimicxndopaminexninxnthexnbrainxn(PDxnisxncharacterizedxnbyxnaxnlackxnofxndopamine).
3. Masklikexnfacialxnexpression
Incorrectxn-
xnMasklikexnfacialxnexpressionxnisxnaxncommonxnsymptomxnofxnPD,xnnotxnaxnsidexneffectxnofxnthisxnd
rug.
4. StoopedxnPosture
Incorrectxn-
xnStoopedxnPosturexnisxnaxncommonxnsymptomxnofxnPD,xnnotxnaxnsidexneffectxnofxnthisxndrug.
Axn65xnyearxnoldxnmanxnisxnprescribedxnFlomaxxn(Tamsulosin)xnforxnBenignxnProstaticxnHyperpla
sia.xnThexnpatientxnlivesxninxnanxnupstairsxnapartment.xnThexnnursexnisxnmostxnconcernedxnaboutx
nwhichxnsidexneffectxnofxnFlomax?
1. Hypotension
2. Tachycardia
3. BackxnPain
4. DifficultyxnUrinatingxn-xnans1.xnHypotension
Correctxn-xnHypotensionxncanxnleadxntoxndizzinessxnandxnaxnriskxnforxninjuryxntoxnthexnpatient.
2. Tachycardia
, NCLEXxnRNxnNEWESTxn2024,2023xnANDxn2025xn(3xnLATESTxnVERSIONS)xnTESTxnBANKx
nACTUALxnEXAMxn2500xnQUESTIONSxnANDxnCORRECTxnDETAILEDxnANSWERSxnWIT
HxnRATIONALESxn100
%xnCOMPLETExn(VERIFIEDxnANSWERS)/xnRNxnNCLEXxnTESTxnBANK|ALREADYxnGR
ADEDxnA+|BRANxnNEW!!2024
TachycardiaxncanxnbexnaxnsidexneffectxnofxnFlomax,xnbutxnisxnnotxnanxnimmediatexnsafetyxnrisk,xnno
rxnisxnitxnaxncommonxnsidexneffect.
3. BackxnPain
BackxnPainxncanxnbexnaxnsidexneffectxnofxnFloma,xnbutxnisxnnotxnaxnsafetyxnrisk
4. DifficultyxnUrinating
DysuriaxnisxnaxnsymptomxnofxnBenignxnProstaticxnHyperplasia,xnnotxnaxnsidexneffectxnofxnFlomax
AxnclientxnwithxnMultiplexnSclerosisxnreportsxnaxnconstant,xnburning,xntinglingxnpainxninxnthexnsho
ulders.xnThexnnursexnanticipatesxnthatxnthexnphysicianxnwillxnorderxnwhichxnmedicationxnforxnthisxn
typexnofxnpain?
1. alprazolamxn(Xanax)
2. Corticosteroidxninjection
3. gabapentinxn(Neurontin)
4. hydrocodone/acetaminophenxn(Norco)xn-
xnans1.xnalprazolamxn(Xanax)xnIncorrectxn-
xnalprazolamxnisxnusedxntoxnreducexnanxiety
2. Corticosteroidxninjection
Incorrectxn-
xnCorticosteroidxninjectionsxnarexnusedxntoxnreducexninflammationxninxnaxnlocalizedxnarea,xnoftenx
nduexntoxnjointxnbreakdown.xnInxnMSxnpatientsxnitxnisxnusedxntoxntreatxnacutexnexacerbationsxn("fla
re-ups"),xnbutxnthexnsymptomsxndescribedxndoxnnotxnconstitutexnanxnacutexnexacerbation.
3. gabapentinxn(Neurontin)
Correctxn-
xnAnticonvulsantsxnlikexngabapentinxnarexnoftenxnthexnfirstxnlinexnofxntreatmentxnforxnnervexnpain
4. hydrocodone/acetaminophenx n (Norco)
Incorrectxn-xnOpioidsxnwouldxnnotxnbexnthexnappropriatexnmedicationxntoxntreatxnnervexnpain.
Axnfemalexnpatientxnisxnprescribedxnmetforminxnforxnglucosexncontrol.xnThexnpatientxnisxnonxnNP
Oxnstatusxnpendingxnaxndiagnosticxntest.xnThexnnursexnisxnmostxnconcernedxnaboutxnwhichxnsidex
neffectxnofxnmetformin?
1. DiarrheaxnandxnVomiting
2. DizzinessxnandxnDrowsiness
3. Metallicxntaste
4. Hypoglycemiaxn-xnans1.xnDiarrheaxnandxnVomiting
Incorrectxn-
xnWhilexnthesexnmayxnoccur,xnthexnpatientxnisxnatxnhigherxnriskxnforxnanotherxnadversexneffect.
2. DizzinessxnandxnDrowsiness
Incorrectxn-
xnWhilexnthesexnmayxnoccur,xnthexnpatientxnisxnatxnhigherxnriskxnforxnanotherxnadversexneffect.