WALDEN PRACTICE EXAM 6|NURS MISC.| 2023 SPRING.

WALDEN PRACTICE EXAM 6|NURS MISC.1. 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 2. A nurse has been administering a drug to a patient intramuscularly (IM). The physician discontinued the IM dose and wrote an order for thedrug to be given orally. The nurse notices that the oral dosage is considerably higher than theparenteral dose and understands that this due to A) passive diffusion. B) active transport. C) glomerular filtration. D) first-pass effect. 3. 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 4. 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 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 thenurse to notify the physician immediately? A) Confusion 6. 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 C) administer the initial IV bolus over approximately 60 d. 7. A patient has been prescribed lithium therapy. Which of the followingsigns and symptoms will the nurse tell the patient to reportimmediately? B) Muscle twitching 8. 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? C) "Carbidopa-levodopa increases the activity of dopamine inyour body, which will decrease your symptoms." 9. A patient is taking flavoxate hydrochloride (Urispas) to help controlan overactive bladder. On a follow-up visit to the clinic, the nurse willquestion the patient about which of the following? B) Dental hygiene practices 10. A nurse notes new drug orders for a patient who is already getting several medications. Which of the following is the most important consideration when preparing to administer the new drugs? B) Possible drug-drug interactions that might occur 11. A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. Efficacy of a drugmeans which of the following? B) How well a drug produces its desired effect 12. A nurse is conducting a medication resolution of a new resident of acare facility and notes that the woman has been taking neostigmine.The nurse should recognize that the woman may have a history of whathealth problem? C) Myasthenia gravis 13. 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? D) The man's chest sounds are clear and his ankle edema islessened. D 14. A nurse explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for C) nitrate tolerance. 15. A nurse who provides care on a busy medical unit of a large hospitalis constantly faced with new drugs on patients' medication administration records. What strategy should the nurse employ to foster up-to-dateinformation about the nursing management of new or uncommondrugs? A) Focus on learning about a prototype drug that is characteristic ofa larger drug class 16. A 58-year-old man is admitted to the emergency department. A diagnosis of severe digoxin toxicity is made. Bradycardia is present, and an electrocardiogram (ECG) confirms toxicity. The nurse will administer which of the following drugs? B) Digoxin immune fab 17. A hospital patient's physician has prescribed quetiapine (Seroquel) tobe administered at bedtime. Being unfamiliar with the medication, the nurse has looked it up in a nursing drug manual and noted that the drug is an antipsychotic that is indicated for the treatment of schizophrenia and bipolar disorder. The patient has no psychiatric history, and upon