NURS 6521 Midterm Exam (Complete
Solution)
(Exam solutions, with updated multiple versions resources for 2022
Exams)
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
Solution)
(Exam solutions, with updated multiple versions resources for 2022
Exams)
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
