75 FREE NCLEX QUESTIONS - C/O BRILLIANT
NURSE EXAM QUESTIONS AND ANSWERS
100% CORRECT(PART 2)
,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 - ANSWER 1. 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 nurse knows that which of these patients are at greatest risk for a stroke?
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a TIA
in the past.
2. A 75-year old male who has frequent migraines, drinks a glass of wine every day,
and is Hispanic.
3. A 40-year old female who has high cholesterol and uses oral contraceptives
4. A 65-year old female who is African American, has sickle cell disease and smokes
cigarettes. - ANSWER 1. A 60-year old male who weighs 270 pounds, has atrial
fibrillation, and has had a TIA in the past.
, Correct - Common risk factors for developing stroke include: Atrial fibrillation,
arteriosclerosis, previous stroke or ischemic attack, heart surgery, valvular heart
disease, diabetes, smoking, substance abuse,obesity, sedentary lifestyle, oral
contraceptive use, genetic tendency, migraines, older age, male, African
American/Hispanic/American Indian, Sickle Cell Anemia, and brain trauma. This man
has the greatest risk based on these risk factors.
2. Heart rate is 110 beats per minute
Incorrect - While tachycardia is a concern, general tachycardia without other associated
symptoms would not pose an immediate danger, and is not of greater priority than the
next answer.
3. Intracranial Pressure is 22 mm/Hg
Correct - The patient is at greatest risk for an increased ICP resulting from edema 72
hours after a stroke. A target ICP should be less than or equal to 15-20 mm/Hg
4. Blood pressure is 140/80
Incorrect - Blood pressure is often kept higher than usual following a stroke to maintain
perfusion. Systolic BP higher than 180, or diastolic BP higher than 105, would be the
upper limit and required intervention. 140/80 would not pose an immediate danger to
the patient's health.
A nurse is caring for a patient scheduled to have cataract surgery. The patient asks why
they developed cataracts and how they can prevent it from happening again. What is
the nurse's best response?
1. "Age is the biggest factor contributing to cataracts."
2. "Unprotected exposure to UV lights can cause cataracts"
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions." - ANSWER 1. "Age is the biggest
factor contributing to cataracts."
Incorrect - While true, this answer leaves out many other contributing factors to
cataracts and does not address prevention.
2. "Unprotected exposure to UV lights can cause cataracts"
Incorrect - While true, this answer is not complete
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
NURSE EXAM QUESTIONS AND ANSWERS
100% CORRECT(PART 2)
,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 - ANSWER 1. 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 nurse knows that which of these patients are at greatest risk for a stroke?
1. A 60-year old male who weighs 270 pounds, has atrial fibrillation, and has had a TIA
in the past.
2. A 75-year old male who has frequent migraines, drinks a glass of wine every day,
and is Hispanic.
3. A 40-year old female who has high cholesterol and uses oral contraceptives
4. A 65-year old female who is African American, has sickle cell disease and smokes
cigarettes. - ANSWER 1. A 60-year old male who weighs 270 pounds, has atrial
fibrillation, and has had a TIA in the past.
, Correct - Common risk factors for developing stroke include: Atrial fibrillation,
arteriosclerosis, previous stroke or ischemic attack, heart surgery, valvular heart
disease, diabetes, smoking, substance abuse,obesity, sedentary lifestyle, oral
contraceptive use, genetic tendency, migraines, older age, male, African
American/Hispanic/American Indian, Sickle Cell Anemia, and brain trauma. This man
has the greatest risk based on these risk factors.
2. Heart rate is 110 beats per minute
Incorrect - While tachycardia is a concern, general tachycardia without other associated
symptoms would not pose an immediate danger, and is not of greater priority than the
next answer.
3. Intracranial Pressure is 22 mm/Hg
Correct - The patient is at greatest risk for an increased ICP resulting from edema 72
hours after a stroke. A target ICP should be less than or equal to 15-20 mm/Hg
4. Blood pressure is 140/80
Incorrect - Blood pressure is often kept higher than usual following a stroke to maintain
perfusion. Systolic BP higher than 180, or diastolic BP higher than 105, would be the
upper limit and required intervention. 140/80 would not pose an immediate danger to
the patient's health.
A nurse is caring for a patient scheduled to have cataract surgery. The patient asks why
they developed cataracts and how they can prevent it from happening again. What is
the nurse's best response?
1. "Age is the biggest factor contributing to cataracts."
2. "Unprotected exposure to UV lights can cause cataracts"
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
4. "Unfortunately, there is really nothing you can do to prevent cataracts, but they are
amongst the most easily treated eye conditions." - ANSWER 1. "Age is the biggest
factor contributing to cataracts."
Incorrect - While true, this answer leaves out many other contributing factors to
cataracts and does not address prevention.
2. "Unprotected exposure to UV lights can cause cataracts"
Incorrect - While true, this answer is not complete
3. "Age, eye injury, corticosteroids, and unprotected sunlight exposure are contributing
factors to cataracts."
