9
NURS 6521N MIDTERM EXAM QUESTION AND
ANSWERS (100/100 POINTS)
Question 1
1 out of 1 points
Correct
A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and
furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is
contributing to a therapeutic effect?
Selected Answer:
The man's chest sounds are clear and his ankle edema is lessened.
Question 2
1 out of 1 points
Correct
A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of the
following would be most important for the Nurse Practitioner to monitor?
Selected Answer:
Potassium levels
Question 3
1 out of 1 points
Correct
An expected outcome for a patient who has just taken sublingual nitroglycerin should be
Selected Answer:
increased heart rate and decreased blood
Page 1 of 35
, 9
pressure. Question 4
1 out of 1 points
Correct
Page 2 of 35
, 9
A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he can't
take his metformin the day of the test. What is the most appropriate reply?
Selected Answer:
You can develop lactic acidosis if you take metformin and are given dye. You should have a serum
creatinine drawn before restarting the medication.
Question 5
1 out of 1 points
Correct
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about
their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the
appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the
nurse suggests the parents to use in these situations?
Selected Answer:
Albuterol
Question 6
1 out of 1 points
Correct
A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic
receptors in his sympathetic nervous system. This action is characteristic of
Selected Answer:
an adrenergic
antagonist. Question 7
1 out of 1 points
Correct
Page 3 of 35
, 9
A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following
adverse effects should the nurse closely monitor for in this patient?
Selected Answer:
Oropharyngeal Candida albicans
infection Question 8
1 out of 1 points
Correct
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg
of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first
when he complains of chest pain?
Selected Answer:
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not
subsided
Question 9
0 out of 1 points
Incorrect
Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate
Alzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to
tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal
patch form of the medication. When administering this form of rivastigmine, the nurse should
Selected Answer:
teach Mr. Lacuna about the importance of rotating sites when he applies the patch.
Question 10
1 out of 1 points
Correct
It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed.
Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy?
Selected Answer:
Blood ammonia levels
Page 4 of 35
NURS 6521N MIDTERM EXAM QUESTION AND
ANSWERS (100/100 POINTS)
Question 1
1 out of 1 points
Correct
A 77-year-old man's chronic heart failure is being treated with a regimen of quinapril (Accupril) and
furosemide (Lasix). Which of the following assessment findings would suggest that the loop diuretic is
contributing to a therapeutic effect?
Selected Answer:
The man's chest sounds are clear and his ankle edema is lessened.
Question 2
1 out of 1 points
Correct
A Nurse Practitioner is caring for a patient who is taking digoxin and a loop diuretic. Which of the
following would be most important for the Nurse Practitioner to monitor?
Selected Answer:
Potassium levels
Question 3
1 out of 1 points
Correct
An expected outcome for a patient who has just taken sublingual nitroglycerin should be
Selected Answer:
increased heart rate and decreased blood
Page 1 of 35
, 9
pressure. Question 4
1 out of 1 points
Correct
Page 2 of 35
, 9
A patient taking Metformin (Glucophage) is scheduled for a cardiac cath. The patient asks why he can't
take his metformin the day of the test. What is the most appropriate reply?
Selected Answer:
You can develop lactic acidosis if you take metformin and are given dye. You should have a serum
creatinine drawn before restarting the medication.
Question 5
1 out of 1 points
Correct
The parents of a 7-year-old boy who has just been diagnosed with allergic asthma are being taught about
their son's medication regimen by the nurse. The nurse is currently teaching the parent's about the
appropriate use of a "rescue drug" for acute exacerbations of their son's asthma. What drug should the
nurse suggests the parents to use in these situations?
Selected Answer:
Albuterol
Question 6
1 out of 1 points
Correct
A patient has recently been prescribed a drug that treats his hypertension by blocking the sympathetic
receptors in his sympathetic nervous system. This action is characteristic of
Selected Answer:
an adrenergic
antagonist. Question 7
1 out of 1 points
Correct
Page 3 of 35
, 9
A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following
adverse effects should the nurse closely monitor for in this patient?
Selected Answer:
Oropharyngeal Candida albicans
infection Question 8
1 out of 1 points
Correct
A 62-year-old man is admitted to the hospital with a diagnosis of chest pain. He has an order for 0.3 mg
of sublingual nitroglycerin prn for chest pain. Which of the following actions should the nurse do first
when he complains of chest pain?
Selected Answer:
Administer a tablet under his tongue and repeat the action in 5 and 10 minutes if the pain has not
subsided
Question 9
0 out of 1 points
Incorrect
Mr. Lacuna is an 83-year-old resident of a long-term care facility who has a diagnosis of moderate
Alzheimer disease. Mr. Lacuna's physician recently prescribed oral rivastigmine, but he was unable to
tolerate the drug due to its gastrointestinal effects. As a result, he has been ordered the transdermal
patch form of the medication. When administering this form of rivastigmine, the nurse should
Selected Answer:
teach Mr. Lacuna about the importance of rotating sites when he applies the patch.
Question 10
1 out of 1 points
Correct
It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed.
Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy?
Selected Answer:
Blood ammonia levels
Page 4 of 35
