NCLEX RN NEWEST 2026 (3-LATEST VERSIONS) TEST BANK
ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)/ RN NCLEX
TEST BANK|GRADED A+|BRAND NEW!!
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 - ans1. 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 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
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.xDifficultyxUrinatingx-xans1.xHypotension
,Correctx-xHypotensionxcanxleadxtoxdizzinessxandxaxriskxforxinjuryxtoxthexpatient.
2.xTachycardia
TachycardiaxcanxbexaxsidexeffectxofxFlomax,xbutxisxnotxanximmediatexsafetyxrisk,xnorxisx
itxaxcommonxsidexeffect.
3.xBackxPain
BackxPainxcanxbexaxsidexeffectxofxFloma,xbutxisxnotxaxsafetyxrisk
4.xDifficultyxUrinating
DysuriaxisxaxsymptomxofxBenignxProstaticxHyperplasia,xnotxaxsidexeffectxofxFlomax
AxclientxwithxMultiplexSclerosisxreportsxaxconstant,xburning,xtinglingxpainxinxthexshoulde
rs.xThexnursexanticipatesxthatxthexphysicianxwillxorderxwhichxmedicationxforxthisxtypexofx
pain?
1.xalprazolamx(Xanax)
2.xCorticosteroidxinjection
3.xgabapentinx(Neurontin)
4.xhydrocodone/acetaminophenx(Norco)x-xans1.xalprazolamx(Xanax)
Incorrectx-xalprazolamxisxusedxtoxreducexanxiety
2.xCorticosteroidxinjection
Incorrectx-
xCorticosteroidxinjectionsxarexusedxtoxreducexinflammationxinxaxlocalizedxarea,xoftenxdu
extoxjointxbreakdown.xInxMSxpatientsxitxisxusedxtoxtreatxacutexexacerbationsx("flare-
ups"),xbutxthexsymptomsxdescribedxdoxnotxconstitutexanxacutexexacerbation.
3.xgabapentinx(Neurontin)
Correctx-
xAnticonvulsantsxlikexgabapentinxarexoftenxthexfirstxlinexofxtreatmentxforxnervexpain
4.xhydrocodone/acetaminophenx(Norco)
Incorrectx-xOpioidsxwouldxnotxbexthexappropriatexmedicationxtoxtreatxnervexpain.
Axfemalexpatientxisxprescribedxmetforminxforxglucosexcontrol.xThexpatientxisxonxNPOxst
atusxpendingxaxdiagnosticxtest.xThexnursexisxmostxconcernedxaboutxwhichxsidexeffectxo
fxmetformin?
1.xDiarrheaxandxVomiting
2.xDizzinessxandxDrowsiness
3.xMetallicxtaste
4.xHypoglycemiax-xans1.xDiarrheaxandxVomiting
Incorrectx-
xWhilexthesexmayxoccur,xthexpatientxisxatxhigherxriskxforxanotherxadversexeffect.
, 2.xDizzinessxandxDrowsiness
Incorrectx-
xWhilexthesexmayxoccur,xthexpatientxisxatxhigherxriskxforxanotherxadversexeffect.
3.xMetallicxtaste
Incorrectx-
xWhilexthisxmayxoccur,xthexpatientxisxatxhigherxriskxforxanotherxadversexeffect.
4.xHypoglycemia
Correctx-
xThexpatientxisxatxriskxbecausexshexisxonxNPOxstatusxandxcontinuingxtoxtakexanxanti-
glycemicxdrug.
Axfemalexpatientxwithxatrialxfibrillationxhasxthexfollowingxlabxresults:xHemoglobinxofx11xg
/dl,xaxplateletxcountxofx150,000,xanxINRxofx2.5,xandxpotassiumxofx2.7xmEq/L.xWhichxres
ultxisxcriticalxandxshouldxbexreportedxtoxthexphysicianximmediately?
1.xHemoglobinx11xg/dl
2.xPlateletxofx150,000
3.xINRxofx2.5
4.xPotassiumxofx2.7xmEq/Lx-xans1.xHemoglobinx11xg/dl
Thisxisxbelowxnormal,xbutxaxnormalxfemalexhemoglobinxisx12-
14.xTherexisxaxmorexcriticalxlabxresult.
2.xPlateletxofx150,000
Thisxisxalsoxbelowxthexnormalxvalues,xbutxisxnotxthexmostxcriticalxlabxresult.
3.xINRxofx2.5
Thisxisxaxtherapeuticxrangexforxaxpatientxwhoxisxtakingxanxanticoagulantxforxatrialxfibrillat
ion
4.xPotassiumxofx2.7xmEq/L
CORRECTx-
xAxpotassiumximbalancexforxaxpatientxwithxaxhistoryxofxdysrhythmiaxcanxbexlife-
threateningxandxcanxleadxtoxcardiacxdistress.
AxmanxisxhasxbeenxtakingxlisinoprilxforxCHF.xThexpatientxisxseenxinxthexemergencyxroo
mxforxpersistentxdiarrhea.xThexnursexisxconcernedxaboutxwhichxsidexeffectxofxlisinopril?
1.xVertigo
2.xHypotension
3.xPalpitations
4.xNagging,xdryxcoughx-xans1.xVertigo
Incorrectx-
xWhilexthisxmayxoccur,xthexpatientxisxatxhigherxriskxduextoxanotherxadversexeffect.
ACTUAL EXAM 2500 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)/ RN NCLEX
TEST BANK|GRADED A+|BRAND NEW!!
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 - ans1. 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 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
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.xDifficultyxUrinatingx-xans1.xHypotension
,Correctx-xHypotensionxcanxleadxtoxdizzinessxandxaxriskxforxinjuryxtoxthexpatient.
2.xTachycardia
TachycardiaxcanxbexaxsidexeffectxofxFlomax,xbutxisxnotxanximmediatexsafetyxrisk,xnorxisx
itxaxcommonxsidexeffect.
3.xBackxPain
BackxPainxcanxbexaxsidexeffectxofxFloma,xbutxisxnotxaxsafetyxrisk
4.xDifficultyxUrinating
DysuriaxisxaxsymptomxofxBenignxProstaticxHyperplasia,xnotxaxsidexeffectxofxFlomax
AxclientxwithxMultiplexSclerosisxreportsxaxconstant,xburning,xtinglingxpainxinxthexshoulde
rs.xThexnursexanticipatesxthatxthexphysicianxwillxorderxwhichxmedicationxforxthisxtypexofx
pain?
1.xalprazolamx(Xanax)
2.xCorticosteroidxinjection
3.xgabapentinx(Neurontin)
4.xhydrocodone/acetaminophenx(Norco)x-xans1.xalprazolamx(Xanax)
Incorrectx-xalprazolamxisxusedxtoxreducexanxiety
2.xCorticosteroidxinjection
Incorrectx-
xCorticosteroidxinjectionsxarexusedxtoxreducexinflammationxinxaxlocalizedxarea,xoftenxdu
extoxjointxbreakdown.xInxMSxpatientsxitxisxusedxtoxtreatxacutexexacerbationsx("flare-
ups"),xbutxthexsymptomsxdescribedxdoxnotxconstitutexanxacutexexacerbation.
3.xgabapentinx(Neurontin)
Correctx-
xAnticonvulsantsxlikexgabapentinxarexoftenxthexfirstxlinexofxtreatmentxforxnervexpain
4.xhydrocodone/acetaminophenx(Norco)
Incorrectx-xOpioidsxwouldxnotxbexthexappropriatexmedicationxtoxtreatxnervexpain.
Axfemalexpatientxisxprescribedxmetforminxforxglucosexcontrol.xThexpatientxisxonxNPOxst
atusxpendingxaxdiagnosticxtest.xThexnursexisxmostxconcernedxaboutxwhichxsidexeffectxo
fxmetformin?
1.xDiarrheaxandxVomiting
2.xDizzinessxandxDrowsiness
3.xMetallicxtaste
4.xHypoglycemiax-xans1.xDiarrheaxandxVomiting
Incorrectx-
xWhilexthesexmayxoccur,xthexpatientxisxatxhigherxriskxforxanotherxadversexeffect.
, 2.xDizzinessxandxDrowsiness
Incorrectx-
xWhilexthesexmayxoccur,xthexpatientxisxatxhigherxriskxforxanotherxadversexeffect.
3.xMetallicxtaste
Incorrectx-
xWhilexthisxmayxoccur,xthexpatientxisxatxhigherxriskxforxanotherxadversexeffect.
4.xHypoglycemia
Correctx-
xThexpatientxisxatxriskxbecausexshexisxonxNPOxstatusxandxcontinuingxtoxtakexanxanti-
glycemicxdrug.
Axfemalexpatientxwithxatrialxfibrillationxhasxthexfollowingxlabxresults:xHemoglobinxofx11xg
/dl,xaxplateletxcountxofx150,000,xanxINRxofx2.5,xandxpotassiumxofx2.7xmEq/L.xWhichxres
ultxisxcriticalxandxshouldxbexreportedxtoxthexphysicianximmediately?
1.xHemoglobinx11xg/dl
2.xPlateletxofx150,000
3.xINRxofx2.5
4.xPotassiumxofx2.7xmEq/Lx-xans1.xHemoglobinx11xg/dl
Thisxisxbelowxnormal,xbutxaxnormalxfemalexhemoglobinxisx12-
14.xTherexisxaxmorexcriticalxlabxresult.
2.xPlateletxofx150,000
Thisxisxalsoxbelowxthexnormalxvalues,xbutxisxnotxthexmostxcriticalxlabxresult.
3.xINRxofx2.5
Thisxisxaxtherapeuticxrangexforxaxpatientxwhoxisxtakingxanxanticoagulantxforxatrialxfibrillat
ion
4.xPotassiumxofx2.7xmEq/L
CORRECTx-
xAxpotassiumximbalancexforxaxpatientxwithxaxhistoryxofxdysrhythmiaxcanxbexlife-
threateningxandxcanxleadxtoxcardiacxdistress.
AxmanxisxhasxbeenxtakingxlisinoprilxforxCHF.xThexpatientxisxseenxinxthexemergencyxroo
mxforxpersistentxdiarrhea.xThexnursexisxconcernedxaboutxwhichxsidexeffectxofxlisinopril?
1.xVertigo
2.xHypotension
3.xPalpitations
4.xNagging,xdryxcoughx-xans1.xVertigo
Incorrectx-
xWhilexthisxmayxoccur,xthexpatientxisxatxhigherxriskxduextoxanotherxadversexeffect.
