75 NCLEX Questions – (c/o Brilliant Nurse) Comprehensive Study
Guide – Expert Strategies, Review of Key Quizzes, and Practice
Questions for Guaranteed Success
Terms in this set (75)
A 23-year-old woman is 1. A decrease in muscle spasticity and involuntarymovements
admitted to the infusion Incorrect - While muscle spasticity and involuntary
clinic after a Multiple movements can be symptoms of MS, a corticosteroid
Sclerosis Exacerbation. The infusion is not meant to directly treat these symptoms.
physician orders
methylprednisolone infusions 2. A slowed progression of Multiple Sclerosis relatedplaques
(Solu-Medrol). The nurse Incorrect - Special drugs like Interferon Beta, Natalizumab,
would expect which of the or Glatiramir acetate are used as firstline treatments to slow
following outcomes after the progression of MS. While corticosteroids can be used in
administration of this conjunction with these drugs on a long-term basis, they
medication? would not be infused. They would be taken orally.
1. A decrease in 3. A decrease in the length of the exacerbationCorrect - A
musclespasticity and methylprednisolone infusion is the first line of treatment during an
involuntary movements acute exacerbation and is used to decrease the length and severity
2. A slowed progression of a relapse.
ofMultiple Sclerosis related
plaques 4. A stabilization of mood and sleep
3. A decrease in the Incorrect - Some of the frequent side effects of a
lengthof the exacerbation Methylprednisolone infusion are anxiety, insomnia, and
mood swings.
4. A stabilization of
moodand sleep
,A 30-year old Caucasian 1. "It's a standard part of the overall nutritionaltreatment for
woman who works the night the prevention of osteomalacia" Incorrect - While this is true, it
shift has been found to have doesn't answer the woman's question.
early bone loss and has a
high risk for osteomalacia 2. "It helps your intestines absorb calcium, which isimportant
and bone degradation. She for bone formation."
asks the nurse exactly why Correct - This is the correct mechanism of action for
she should take Vitamin D Vitamin D
supplements. What is the
nurse's best response? 3. "It stimulates skin cells to produce calcium, which isthen
released into the bloodstream to be used for bone formation."
1. "It's a standard part Incorrect- This is not the correct mechanism of action for
ofthe overall nutritional Vitamin D
treatment for the
prevention of osteomalacia" 4. "Vitamin D supplements should not be taken bysomeone of
your age."
2. "It helps your Incorrect - Vitamin D supplements should be taken for patients
intestinesabsorb calcium, who are homebound, institutionalized, or by some other
limitations, unable to meet daily requirements. This woman
which is important for bone
works the night shift, which may limit her ability to absorb
formation." Vitamin D naturally.
3. "It stimulates skin
cellsto produce calcium,
which is then released into
the bloodstream to be used
for bone formation."
4. "Vitamin D
supplementsshould not be
taken by someone of your
age."
,A 45-year old woman is 1. Slurred speech
prescribed ropinirole Incorrect - Slurred speech is a common symptom of PD, not a
(Requip) for Parkinson's side effect of this drug.
Disease. The patient is living
at home with her daughter. 2. Sudden dizziness
The nurse is most concerned Correct - Dizziness and orthostatic hypotension are serious
about which side effect of adverse effects of this drug that can lead to an increased
ropinirole? risk of falls. Ropinirole's drug class is a dopamine agonist,
which mimic dopamine in the brain (PD is characterized by
1. Slurred speech a lack of dopamine).
2. Sudden
dizziness3. Masklike 3. Masklike facial expression
facial expression Incorrect - Masklike facial expression is a common symptom of PD,
4. Stooped Posture 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.
1. Hypotension
A 65 year old man is
Correct - Hypotension can lead to dizziness and a risk for injury
prescribed Flomax
to the patient.
(Tamsulosin) for Benign
Prostatic Hyperplasia. The
2. Tachycardia
patient lives in an upstairs
Tachycardia can be a side effect of Flomax, but is not an
apartment. The nurse is
immediate safety risk, nor is it a common side effect.
most concerned about
which side effect of Flomax?
3. Back Pain
Back Pain can be a side effect of Floma, but is not a safety risk
1. Hypotension
2. Tachycardia
4. Difficulty Urinating
3. Back Pain
Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side
4. Difficulty Urinating
effect of Flomax
, Application - A nurse is 1. "What time was the first time you noticed symptomsappearing
caring for a patient admitted consistently?"
in the emergency room for Incorrect - This is a relevant question because TPA is usually
an ischemic stroke with used no more than 5-6 hours after onset. This is the
marked functional deficits. timeframe that damage to tissue is still reversible.
The physician is considering
the use of fibrinolytic 2. "Have you been taking any blood thinners likeheparin, lovenox,
therapy with TPA (tissue or warfarin?"
plasminogen activator). Incorrect - This is a relevant question because current
Which historygathering anticoagulant use, or an INR of greater than 1.7, is a
question would not be contraindication to TPA use.
important for the nurse to
ask? 3. "Have you had another stroke or head trauma in theprevious 3
months?"
1. "What time was the Incorrect - This is a relevant question because having a
firsttime you noticed stroke or head trauma in the last 3 months contraindicates
symptoms appearing TPA use
consistently?"
2. "Have you been 4. "Have you had any blood transfusions within theprevious year?"
takingany blood thinners Correct - This is not a relevant question and would not affect the
like heparin, lovenox, or decision to use TPA
warfarin?"
3. "Have you had
anotherstroke or head
trauma in the previous 3
months?" 4. "Have you had
any blood transfusions
within the previous year?"
Guide – Expert Strategies, Review of Key Quizzes, and Practice
Questions for Guaranteed Success
Terms in this set (75)
A 23-year-old woman is 1. A decrease in muscle spasticity and involuntarymovements
admitted to the infusion Incorrect - While muscle spasticity and involuntary
clinic after a Multiple movements can be symptoms of MS, a corticosteroid
Sclerosis Exacerbation. The infusion is not meant to directly treat these symptoms.
physician orders
methylprednisolone infusions 2. A slowed progression of Multiple Sclerosis relatedplaques
(Solu-Medrol). The nurse Incorrect - Special drugs like Interferon Beta, Natalizumab,
would expect which of the or Glatiramir acetate are used as firstline treatments to slow
following outcomes after the progression of MS. While corticosteroids can be used in
administration of this conjunction with these drugs on a long-term basis, they
medication? would not be infused. They would be taken orally.
1. A decrease in 3. A decrease in the length of the exacerbationCorrect - A
musclespasticity and methylprednisolone infusion is the first line of treatment during an
involuntary movements acute exacerbation and is used to decrease the length and severity
2. A slowed progression of a relapse.
ofMultiple Sclerosis related
plaques 4. A stabilization of mood and sleep
3. A decrease in the Incorrect - Some of the frequent side effects of a
lengthof the exacerbation Methylprednisolone infusion are anxiety, insomnia, and
mood swings.
4. A stabilization of
moodand sleep
,A 30-year old Caucasian 1. "It's a standard part of the overall nutritionaltreatment for
woman who works the night the prevention of osteomalacia" Incorrect - While this is true, it
shift has been found to have doesn't answer the woman's question.
early bone loss and has a
high risk for osteomalacia 2. "It helps your intestines absorb calcium, which isimportant
and bone degradation. She for bone formation."
asks the nurse exactly why Correct - This is the correct mechanism of action for
she should take Vitamin D Vitamin D
supplements. What is the
nurse's best response? 3. "It stimulates skin cells to produce calcium, which isthen
released into the bloodstream to be used for bone formation."
1. "It's a standard part Incorrect- This is not the correct mechanism of action for
ofthe overall nutritional Vitamin D
treatment for the
prevention of osteomalacia" 4. "Vitamin D supplements should not be taken bysomeone of
your age."
2. "It helps your Incorrect - Vitamin D supplements should be taken for patients
intestinesabsorb calcium, who are homebound, institutionalized, or by some other
limitations, unable to meet daily requirements. This woman
which is important for bone
works the night shift, which may limit her ability to absorb
formation." Vitamin D naturally.
3. "It stimulates skin
cellsto produce calcium,
which is then released into
the bloodstream to be used
for bone formation."
4. "Vitamin D
supplementsshould not be
taken by someone of your
age."
,A 45-year old woman is 1. Slurred speech
prescribed ropinirole Incorrect - Slurred speech is a common symptom of PD, not a
(Requip) for Parkinson's side effect of this drug.
Disease. The patient is living
at home with her daughter. 2. Sudden dizziness
The nurse is most concerned Correct - Dizziness and orthostatic hypotension are serious
about which side effect of adverse effects of this drug that can lead to an increased
ropinirole? risk of falls. Ropinirole's drug class is a dopamine agonist,
which mimic dopamine in the brain (PD is characterized by
1. Slurred speech a lack of dopamine).
2. Sudden
dizziness3. Masklike 3. Masklike facial expression
facial expression Incorrect - Masklike facial expression is a common symptom of PD,
4. Stooped Posture 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.
1. Hypotension
A 65 year old man is
Correct - Hypotension can lead to dizziness and a risk for injury
prescribed Flomax
to the patient.
(Tamsulosin) for Benign
Prostatic Hyperplasia. The
2. Tachycardia
patient lives in an upstairs
Tachycardia can be a side effect of Flomax, but is not an
apartment. The nurse is
immediate safety risk, nor is it a common side effect.
most concerned about
which side effect of Flomax?
3. Back Pain
Back Pain can be a side effect of Floma, but is not a safety risk
1. Hypotension
2. Tachycardia
4. Difficulty Urinating
3. Back Pain
Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side
4. Difficulty Urinating
effect of Flomax
, Application - A nurse is 1. "What time was the first time you noticed symptomsappearing
caring for a patient admitted consistently?"
in the emergency room for Incorrect - This is a relevant question because TPA is usually
an ischemic stroke with used no more than 5-6 hours after onset. This is the
marked functional deficits. timeframe that damage to tissue is still reversible.
The physician is considering
the use of fibrinolytic 2. "Have you been taking any blood thinners likeheparin, lovenox,
therapy with TPA (tissue or warfarin?"
plasminogen activator). Incorrect - This is a relevant question because current
Which historygathering anticoagulant use, or an INR of greater than 1.7, is a
question would not be contraindication to TPA use.
important for the nurse to
ask? 3. "Have you had another stroke or head trauma in theprevious 3
months?"
1. "What time was the Incorrect - This is a relevant question because having a
firsttime you noticed stroke or head trauma in the last 3 months contraindicates
symptoms appearing TPA use
consistently?"
2. "Have you been 4. "Have you had any blood transfusions within theprevious year?"
takingany blood thinners Correct - This is not a relevant question and would not affect the
like heparin, lovenox, or decision to use TPA
warfarin?"
3. "Have you had
anotherstroke or head
trauma in the previous 3
months?" 4. "Have you had
any blood transfusions
within the previous year?"
