Latest Update 2026/2027
• A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is now
receiving IV medications on a regular basis. What is the best
nursing intervention tominimize the adverse effects of this drug
therapy?
A) Monitor the patient's bleeding time
B) Check the patient's blood glucose levels
C) Record baseline vital signs
D) Monitor the IV site for redness, swelling, or pain
• A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for
a recent diagnosis of amyotrophic lateral sclerosis. The nurse will
priori-tize assessment for which of the following?
A) Weight gain
B) Constipation
C) Increased energy
D) Dizziness
,NURS 6521 MIDTERM EXAM Questions and Answers
Latest Update 2026/2027
• A cardiac care nurse is monitoring a patient who is receiving
lidocaine (Xylocaine) per IV infusion pump for an acute ventricular
arrhythmia associated with an acute MI. Which of the following
patient manifesta-tions would cause the nurse to notify the physician
immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
A
• A nurse is caring for a patient who is admitted into the cardiac
care unit with acute, decompensated heart failure. Nesiritide
(Natrecor) hasbeen ordered. When preparing for administration of
the drug, the nursewill
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-
,NURS 6521 MIDTERM EXAM Questions and Answers
Latest Update 2026/2027
hourperiod. C
• A patient has been prescribed lithium therapy. Which of the
followingsigns and symptoms will the nurse tell the patient to
report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increase
d thirstB
• A nurse is caring for a patient who has just been diagnosed
with Parkinson disease. The patient does not understand how
the medicationordered, carbidopa-levodopa, is going to help her
condition. Which of the following is the correct response by the
nurse?
A) "Carbidopa-levodopa will delay the loss of muscle
strength andlimb function for several months."
B) "This drug will change the immune processes in your body to help
, NURS 6521 MIDTERM EXAM Questions and Answers
Latest Update 2022/2023
decrease the tissue damage."
C) "Carbidopa-levodopa increases the activity of
dopamine inyour body, which will decrease your
symptoms."
D) "Your drug therapy will reduce excessive reflex activity causing
your muscle spasms and will allow for muscle relaxation."
C
• Which of the following patients demonstrates
the clearestindication for treatment with
prednisone?
A) A 66-year-old woman whose history of smoking has culminated in
a diagnosis of emphysema
B) A 70-year-old man whose rheumatoid arthritis has not
responded toOTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and
malaise havebeen attributed to leukemia
NURS 6521 MIDTERM EXAM Questions and Answers
Latest Update 2022/2023