NURS 6521 MIDTERM EXAM WALDEN
UNIVERSITY LATEST: EXAM STUDY
GUIDE QUESTIONS
Question 11.
A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested, and he begin taking. Efficacy of a drug means which of the
following?
A) The amount of the drug that must be given to produce a particular re-
sponse
B) How well a drug produces its desired effect
C) A drug's strength of attraction for a receptor site
D) A drug's ability to stimulate its receptor Question 12.
A nurse is conducting a medication resolution of a new resident of a care
facility and notes that the woman has been taking neostigmine. The nurse
should recognize that the woman may have a history of what health problem?
A) Alzheimer disease
B) Parkinson disease
Page 1 of 39
,C) Myasthenia gravis
D) Multiple sclerosis Question 13.
A 77-year-old man's chronic heart failure is being treated with a regi-
men of quinapril (Accupril) and furosemide (Lasix). Which of the fol- lowing
assessment findings would suggest that the loop diuretic is con- tributing to a
therapeutic effect?
A) The man's glomerular filtration rate and creatinine levels are within
reference ranges.
B) The man's heart rate is between 60 and 70 beats per minute with a regular
rhythm.
C) The man's potassium and sodium levels remain with reference ranges.
D) The man's chest sounds are clear and his ankle edema is lessened.
Question 14.
A nurse explains to a patient that nitroglycerin patches should be ap-
plied in the morning and removed in the evening. This medication
schedule reduces the potential for A) adverse effects.
B) nitrate dependence.
C) nitrate tolerance.
D) toxic effects.
Question 15.
A nurse who provides care on a busy medical unit of a large hospital is
constantly faced with new drugs on patients' medication administra- tion
records. What strategy should the nurse employ to foster up-to-date information
about the nursing management of new or uncommon drugs?
Page 2 of 39
,A) Focus on learning about a prototype drug that is characteristic of a larger
drug class
B) Identify similarities between new drugs and older drugs that are
com- monly used on the unit
C) Commit time and energy during each shift to learning about new drugs
D) Liaise with pharmacists and pharmacy technicians who work at the
hospital
Question 16.
A 58-year-old man is admitted to the emergency department. A diag-
nosis of severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?
A) Furosemide
B) Digoxin immune fab
C) Captopril
D) Dopamine
Question 17.
A hospital patient's physician has prescribed quetiapine (Seroquel) to be
administered at bedtime. Being unfamiliar with the medication, the nurse has
looked it up in a nursing drug manual and noted that the drug is an
antipsychotic that is indicated for the treatment of schizophrenia and
bipolar disorder. The patient has no psychiatric history, and upon
Page 3 of 39
, questioning, the physician states that it is being prescribed to help the
patient fall asleep at night. How should the nurse best understand this
practice?
A) This off-label use of the drug is prohibited by federal laws and pro-
fessional practice standards.
B) This is an appropriate use of the drug, provided it is supported by the
literature.
C) This is acceptable if the patient has failed to respond adequately to
conventional sleep aids.
D) This is a practice that may negate the physician's and nurse's liability
insurance.
Question 18.
A 4-year-old child is brought to the emergency department by her mother. The
mother reports that the child has been vomiting, and the nurse notes that
the child's face is flushed and she is diaphoretic. The mother thinks that
the child may have swallowed carbachol drops. A di- agnosis of cholinergic
poisoning is made. Which of the following drugs would be administered?
A) Acetylcholine
B) Atropine
C) Cevimeline
D) Nicotine Question 19.
A nurse is providing discharge instructions to a patient who will be
taking fludrocortisone at home. The nurse will encourage the patient to eat a
diet that is
A) low in sodium and potassium.
Page 4 of 39
UNIVERSITY LATEST: EXAM STUDY
GUIDE QUESTIONS
Question 11.
A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested, and he begin taking. Efficacy of a drug means which of the
following?
A) The amount of the drug that must be given to produce a particular re-
sponse
B) How well a drug produces its desired effect
C) A drug's strength of attraction for a receptor site
D) A drug's ability to stimulate its receptor Question 12.
A nurse is conducting a medication resolution of a new resident of a care
facility and notes that the woman has been taking neostigmine. The nurse
should recognize that the woman may have a history of what health problem?
A) Alzheimer disease
B) Parkinson disease
Page 1 of 39
,C) Myasthenia gravis
D) Multiple sclerosis Question 13.
A 77-year-old man's chronic heart failure is being treated with a regi-
men of quinapril (Accupril) and furosemide (Lasix). Which of the fol- lowing
assessment findings would suggest that the loop diuretic is con- tributing to a
therapeutic effect?
A) The man's glomerular filtration rate and creatinine levels are within
reference ranges.
B) The man's heart rate is between 60 and 70 beats per minute with a regular
rhythm.
C) The man's potassium and sodium levels remain with reference ranges.
D) The man's chest sounds are clear and his ankle edema is lessened.
Question 14.
A nurse explains to a patient that nitroglycerin patches should be ap-
plied in the morning and removed in the evening. This medication
schedule reduces the potential for A) adverse effects.
B) nitrate dependence.
C) nitrate tolerance.
D) toxic effects.
Question 15.
A nurse who provides care on a busy medical unit of a large hospital is
constantly faced with new drugs on patients' medication administra- tion
records. What strategy should the nurse employ to foster up-to-date information
about the nursing management of new or uncommon drugs?
Page 2 of 39
,A) Focus on learning about a prototype drug that is characteristic of a larger
drug class
B) Identify similarities between new drugs and older drugs that are
com- monly used on the unit
C) Commit time and energy during each shift to learning about new drugs
D) Liaise with pharmacists and pharmacy technicians who work at the
hospital
Question 16.
A 58-year-old man is admitted to the emergency department. A diag-
nosis of severe digoxin toxicity is made. Bradycardia is present, and an
electrocardiogram (ECG) confirms toxicity. The nurse will administer which of
the following drugs?
A) Furosemide
B) Digoxin immune fab
C) Captopril
D) Dopamine
Question 17.
A hospital patient's physician has prescribed quetiapine (Seroquel) to be
administered at bedtime. Being unfamiliar with the medication, the nurse has
looked it up in a nursing drug manual and noted that the drug is an
antipsychotic that is indicated for the treatment of schizophrenia and
bipolar disorder. The patient has no psychiatric history, and upon
Page 3 of 39
, questioning, the physician states that it is being prescribed to help the
patient fall asleep at night. How should the nurse best understand this
practice?
A) This off-label use of the drug is prohibited by federal laws and pro-
fessional practice standards.
B) This is an appropriate use of the drug, provided it is supported by the
literature.
C) This is acceptable if the patient has failed to respond adequately to
conventional sleep aids.
D) This is a practice that may negate the physician's and nurse's liability
insurance.
Question 18.
A 4-year-old child is brought to the emergency department by her mother. The
mother reports that the child has been vomiting, and the nurse notes that
the child's face is flushed and she is diaphoretic. The mother thinks that
the child may have swallowed carbachol drops. A di- agnosis of cholinergic
poisoning is made. Which of the following drugs would be administered?
A) Acetylcholine
B) Atropine
C) Cevimeline
D) Nicotine Question 19.
A nurse is providing discharge instructions to a patient who will be
taking fludrocortisone at home. The nurse will encourage the patient to eat a
diet that is
A) low in sodium and potassium.
Page 4 of 39
