NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
NURS6521N Midterm Exam Questions and Answers
1. 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 to minimize 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
2. A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a recent diagnosis of
amyotrophic lateral sclerosis. The nurse will prioritize assessment for which of the
following?
A) Weight gain
B) Constipation
C) Increased energy
D) Dizziness
3. Which of the following patients demonstrates the clearest indication 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 to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE
inhibitor
4. A nurse has been administering a drug to a patient intramuscularly (IM). The physician
discontinued the IM dose and wrote an order for the drug to be given orally. The nurse
,NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
notices
,NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
that the oral dosage is considerably higher than the parenteral dose and understands that this is
due to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
5. 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 manifestations would cause the nurse to notify the physician
immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
6. A nurse is caring for a patient who is admitted into the cardiac care unit with acute,
decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for
administration of the drug, the nurse will
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-hour period.
7. A nurse is discussing with a patient the efficacy of a drug that his physician has suggested 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 response
B) How well a drug produces its desired effect
C) A drug's strength of attraction for a receptor site
, NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
D) A drug's ability to stimulate its receptor
(SPRING TERM 100/100 POINTS
NURS6521N Midterm Exam Questions and Answers
1. 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 to minimize 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
2. A patient is in the clinic after 6 weeks of taking riluzole (Rilutek) for a recent diagnosis of
amyotrophic lateral sclerosis. The nurse will prioritize assessment for which of the
following?
A) Weight gain
B) Constipation
C) Increased energy
D) Dizziness
3. Which of the following patients demonstrates the clearest indication 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 to OTC pain relievers
C) A 12-year-old boy whose long-standing fatigue and malaise have been attributed to leukemia
D) A 50-year-old woman who is being treated for hypertension with a diuretic and an ACE
inhibitor
4. A nurse has been administering a drug to a patient intramuscularly (IM). The physician
discontinued the IM dose and wrote an order for the drug to be given orally. The nurse
,NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
notices
,NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
that the oral dosage is considerably higher than the parenteral dose and understands that this is
due to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
5. 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 manifestations would cause the nurse to notify the physician
immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
6. A nurse is caring for a patient who is admitted into the cardiac care unit with acute,
decompensated heart failure. Nesiritide (Natrecor) has been ordered. When preparing for
administration of the drug, the nurse will
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-hour period.
7. A nurse is discussing with a patient the efficacy of a drug that his physician has suggested 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 response
B) How well a drug produces its desired effect
C) A drug's strength of attraction for a receptor site
, NURS 6521N MIDTERM EXAM WITH ANSWERS
(SPRING TERM 100/100 POINTS
D) A drug's ability to stimulate its receptor
