NCLEX-PN Exam Review Questions with Answers, All Rated 100%

NCLEX-PN Exam Review Questions with Answers, All Rated 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 - 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." - 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 - 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 - 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) - 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 - 4. Hypoglycemia
Correct - The patient is at risk because she is on NPO status and continuing to take an
anti-glycemic drug.

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