NURS 6521 Midterm Exam (Complete Solution) Latest:
Question1.
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
Question2.
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
,Question3.
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
Question 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 notices that the oral dosage is consid-
erably higher than the parenteral dose and understands that this due to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
Question5.
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
Question 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.
Question 7.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
Question 8.
, A nurse is caring for a patient who has just been diagnosed with
Parkinson disease. The patient does not understand how the medication
ordered, 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 and
limb function for several months."
B) "This drug will change the immune processes in your body to help
decrease the tissue damage."
C) "Carbidopa-levodopa increases the activity of dopamine in your
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."
Question9.
A patient is taking flavoxate hydrochloride (Urispas) to help control an
overactive bladder. On a follow-up visit to the clinic, the nurse will
question the patient about which of the following?
A) Chronic diarrhea
B) Dental hygiene practices
C) Headaches
D) Diet
Question 10.
Question1.
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
Question2.
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
,Question3.
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
Question 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 notices that the oral dosage is consid-
erably higher than the parenteral dose and understands that this due to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
Question5.
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
Question 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.
Question 7.
A patient has been prescribed lithium therapy. Which of the following
signs and symptoms will the nurse tell the patient to report immediately?
A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst
Question 8.
, A nurse is caring for a patient who has just been diagnosed with
Parkinson disease. The patient does not understand how the medication
ordered, 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 and
limb function for several months."
B) "This drug will change the immune processes in your body to help
decrease the tissue damage."
C) "Carbidopa-levodopa increases the activity of dopamine in your
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."
Question9.
A patient is taking flavoxate hydrochloride (Urispas) to help control an
overactive bladder. On a follow-up visit to the clinic, the nurse will
question the patient about which of the following?
A) Chronic diarrhea
B) Dental hygiene practices
C) Headaches
D) Diet
Question 10.
