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NCLEX-PN Review Questions Latest Update
2024-2025 Actual Exam Questions and 100%
Verified Correct Answers Guaranteed A+
Approved by the Professor
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: 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.
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: 2. "It helps your intestines absorb calcium, which is important for bone
formation."
Correct - This is the correct mechanism of action for Vitamin D
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: 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).
A 65 year old man is prescribed Flomax (Tamsulosin) for Benign Prostatic Hyperplasia.
The patient lives in an upstairs apartment. The nurse is most concerned about which
side effect of Flomax?
1. Hypotension
2. Tachycardia
3. Back Pain
4. Difficulty Urinating - CORRECT ANSWER: 1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
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?
1. alprazolam (Xanax)
, 2. Corticosteroid injection
3. gabapentin (Neurontin)
4. hydrocodone/acetaminophen (Norco) - CORRECT ANSWER: 3. gabapentin
(Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment for nerve
pain
A female patient is prescribed metformin for glucose control. The patient is on NPO
status pending a diagnostic test. The nurse is most concerned about which side effect of
metformin?
1. Diarrhea and Vomiting
2. Dizziness and Drowsiness
3. Metallic taste
4. Hypoglycemia - CORRECT ANSWER: 4. Hypoglycemia
Correct - The patient is at risk because she is on NPO status and continuing to take an
anti-glycemic drug.
A female patient with atrial fibrillation has the following lab results: Hemoglobin of 11
g/dl, a platelet count of 150,000, an INR of 2.5, and potassium of 2.7 mEq/L. Which
result is critical and should be reported to the physician immediately?
1. Hemoglobin 11 g/dl
2. Platelet of 150,000
3. INR of 2.5
4. Potassium of 2.7 mEq/L - CORRECT ANSWER: 4. Potassium of 2.7 mEq/L
CORRECT - A potassium imbalance for a patient with a history of dysrhythmia can be
life-threatening and can lead to cardiac distress.
A man is has been taking lisinopril for CHF. The patient is seen in the emergency room
for persistent diarrhea. The nurse is concerned about which side effect of lisinopril?
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