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NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS

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NCLEX RN NEWEST 2024,2023 AND 2025 (3 LATEST VERSIONS) TEST BANK ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES 100 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 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. "It helps your intestines absorb calcium, which is important for bone formation."

Voorbeeld van de inhoud

NCLEXxnRNxnNEWESTxn2024,2023xnANDxn2025xn(3xnLATESTxnVERSIONS)xnTESTxnBANKx
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.

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