NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
NCLEX RN TEST BANK
ACTUAL EXAM 2500
QUESTIONS AND ANSWERS
WITH RATIONALES RN NCLEX
EXAM 2025
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."
Correct - This is the correct mechanism of action for Vitamin D
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
,NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
3. "It stimulates skin cells to produce calcium, which is then released into the
bloodstream to be used for bone formation."
Incorrect- This is not the correct mechanism of action for Vitamin D
4. "Vitamin D supplements should not be taken by someone of your age."
Incorrect - Vitamin D supplements should be taken for patients who are homebound,
institutionalized, or by some other limitations, unable to meet daily requirements. This
woman works the night shift, which may limit her ability to absorb Vitamin D naturally.
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 - ans1. Slurred speech
Incorrect - Slurred speech is a common symptom of PD, not a side effect of this drug.
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).
3. Masklike facial expression
Incorrect - Masklike facial expression is a common symptom of PD, 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.
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 - ans1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
2. Tachycardia
Tachycardia can be a side effect of Flomax, but is not an immediate safety risk, nor is it
a common side effect.
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
,NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
3. Back Pain
Back Pain can be a side effect of Floma, but is not a safety risk
4. Difficulty Urinating
Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of Flomax
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) - ans1. alprazolam (Xanax)
Incorrect - alprazolam is used to reduce anxiety
2. Corticosteroid injection
Incorrect - Corticosteroid injections are used to reduce inflammation in a localized area,
often due to joint breakdown. In MS patients it is used to treat acute exacerbations
("flare-ups"), but the symptoms described do not constitute an acute exacerbation.
3. gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment for nerve
pain
4. hydrocodone/acetaminophen (Norco)
Incorrect - Opioids would not be the appropriate medication to treat nerve pain.
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?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ans1. Vertigo
Incorrect - While this may occur, the patient is at higher risk due to another adverse
effect.
2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible dehydration
from fluid loss.
3. Palpitations
Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
4. Nagging, dry cough
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
, NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
Incorrect - While this is a common side effect, the patient is at higher risk for another
adverse effect..
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about
lithium toxicity when he notices which of these assessment findings?
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L - ans1. The patient states he had a manic
episode a week ago
Incorrect - Having a manic episode is not an indication of lithium toxicity. This finding
indicates that the lithium is not effective or is not at a therapeutic level.
2. The patient states he has been having diarrhea every day
Correct - Persistent diarrhea can lead to dehydration, which can increase the risk of
lithium toxicity.
3. The patient has a rashy pruritis on his arms and legs
Incorrect - This is not a symptom of lithium toxicity
4. The patient presents as severely depressed
Incorrect - Having a depressive episode is not an indication of lithium toxicity. This
finding indicates that the lithium is not effective or is not at a therapeutic level.
5. The patient's lithium level is 1.3 mcg/L
This is within the therapeutic range of lithium
A man is receiving heparin subcutaneously. The patient has dementia and lives at home
with a part-time caretaker. The nurse is most concerned about which side effect of
heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
4. Dizziness - ans1. Back Pain
Incorrect - Back pain, while it can occur, is not an immediate concern
2. Fever and Chills
Incorrect - Fever and Chills, while it can occur, is not an immediate concern
3. Risk for Bleeding
Correct - A confused patient is at risk for injuring themselves and at risk for hemorrhage
should an injury occur
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
RATIONALES RN NCLEX EXAM 2025
NCLEX RN TEST BANK
ACTUAL EXAM 2500
QUESTIONS AND ANSWERS
WITH RATIONALES RN NCLEX
EXAM 2025
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."
Correct - This is the correct mechanism of action for Vitamin D
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
,NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
3. "It stimulates skin cells to produce calcium, which is then released into the
bloodstream to be used for bone formation."
Incorrect- This is not the correct mechanism of action for Vitamin D
4. "Vitamin D supplements should not be taken by someone of your age."
Incorrect - Vitamin D supplements should be taken for patients who are homebound,
institutionalized, or by some other limitations, unable to meet daily requirements. This
woman works the night shift, which may limit her ability to absorb Vitamin D naturally.
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 - ans1. Slurred speech
Incorrect - Slurred speech is a common symptom of PD, not a side effect of this drug.
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).
3. Masklike facial expression
Incorrect - Masklike facial expression is a common symptom of PD, 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.
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 - ans1. Hypotension
Correct - Hypotension can lead to dizziness and a risk for injury to the patient.
2. Tachycardia
Tachycardia can be a side effect of Flomax, but is not an immediate safety risk, nor is it
a common side effect.
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
,NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
3. Back Pain
Back Pain can be a side effect of Floma, but is not a safety risk
4. Difficulty Urinating
Dysuria is a symptom of Benign Prostatic Hyperplasia, not a side effect of Flomax
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) - ans1. alprazolam (Xanax)
Incorrect - alprazolam is used to reduce anxiety
2. Corticosteroid injection
Incorrect - Corticosteroid injections are used to reduce inflammation in a localized area,
often due to joint breakdown. In MS patients it is used to treat acute exacerbations
("flare-ups"), but the symptoms described do not constitute an acute exacerbation.
3. gabapentin (Neurontin)
Correct - Anticonvulsants like gabapentin are often the first line of treatment for nerve
pain
4. hydrocodone/acetaminophen (Norco)
Incorrect - Opioids would not be the appropriate medication to treat nerve pain.
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?
1. Vertigo
2. Hypotension
3. Palpitations
4. Nagging, dry cough - ans1. Vertigo
Incorrect - While this may occur, the patient is at higher risk due to another adverse
effect.
2. Hypotension
Correct - The patient is particularly at risk for hypotension due to possible dehydration
from fluid loss.
3. Palpitations
Incorrect - While this may occur, the patient is at higher risk for another adverse effect.
4. Nagging, dry cough
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
, NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH
RATIONALES RN NCLEX EXAM 2025
Incorrect - While this is a common side effect, the patient is at higher risk for another
adverse effect..
A man is prescribed lithium to treat bipolar disorder. The nurse is most concerned about
lithium toxicity when he notices which of these assessment findings?
1. The patient states he had a manic episode a week ago
2. The patient states he has been having diarrhea every day
3. The patient has a rashy pruritis on his arms and legs
4. The patient presents as severely depressed
5. The patient's lithium level is 1.3 mcg/L - ans1. The patient states he had a manic
episode a week ago
Incorrect - Having a manic episode is not an indication of lithium toxicity. This finding
indicates that the lithium is not effective or is not at a therapeutic level.
2. The patient states he has been having diarrhea every day
Correct - Persistent diarrhea can lead to dehydration, which can increase the risk of
lithium toxicity.
3. The patient has a rashy pruritis on his arms and legs
Incorrect - This is not a symptom of lithium toxicity
4. The patient presents as severely depressed
Incorrect - Having a depressive episode is not an indication of lithium toxicity. This
finding indicates that the lithium is not effective or is not at a therapeutic level.
5. The patient's lithium level is 1.3 mcg/L
This is within the therapeutic range of lithium
A man is receiving heparin subcutaneously. The patient has dementia and lives at home
with a part-time caretaker. The nurse is most concerned about which side effect of
heparin?
1. Back Pain
2. Fever and Chills
3. Risk for Bleeding
4. Dizziness - ans1. Back Pain
Incorrect - Back pain, while it can occur, is not an immediate concern
2. Fever and Chills
Incorrect - Fever and Chills, while it can occur, is not an immediate concern
3. Risk for Bleeding
Correct - A confused patient is at risk for injuring themselves and at risk for hemorrhage
should an injury occur
NCLEX RN TEST BANK ACTUAL EXAM 2500 QUESTIONS AND ANSWERS WITH RATIONALES RN NCLEX
EXAM 2025
