NURS 6521 QUESTIONS BANK LATEST 2020
100 Q/A
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
D
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
D
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
B
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 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.
D
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
A
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.
C
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
B
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."
C
9. 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
B
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?
A) How the patient will feel about new medications added to her drug therapy
B) Possible drug-drug interactions that might occur
C) Any special nursing considerations that the nurse must be aware of
D) If generic preparations of the drugs can be used
B
11. 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
D) A drug's ability to stimulate its receptor
B
12. A nurse is conducting a medication resolution of a new resident of a care
facility and notes that the woman has been taking neostigmine. The nurse
should recognize that the woman may have a history of what problem?
A) Alzheimer disease
B) Parkinson disease
C) Myasthenia gravis
D) Multiple sclerosis
C
, 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?
A) The man's glomerular filtration rate and creatinine levels are within reference
ranges.
B) The man's heart rate is between 60 and 70 beats per minute with a regular
rhythm.
C) The man's potassium and sodium levels remain with reference ranges.
D) The man's chest sounds are clear and his ankle edema is lessened.
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
A) adverse effects.
B) nitrate dependence.
C) nitrate tolerance.
D) toxic effects.
C
15. A nurse who provides care on a busy medical unit of a large hospital is
constantly faced with new drugs on patients' medication administration
records. What strategy should the nurse employ to foster up-to-date
information about the nursing management of new or uncommon drugs?
A) Focus on learning about a prototype drug that is characteristic of a larger drug
class
B) Identify similarities between new drugs and older drugs that are commonly used
on the unit C) Commit time and energy during each shift to learning about new
drugs
D) Liaise with pharmacists and pharmacy technicians who work at the hospital
A
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?
A) Furosemide
B) Digoxin immune fab
C) Captopril
100 Q/A
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
D
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
D
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
B
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 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.
D
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
A
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.
C
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
B
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."
C
9. 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
B
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?
A) How the patient will feel about new medications added to her drug therapy
B) Possible drug-drug interactions that might occur
C) Any special nursing considerations that the nurse must be aware of
D) If generic preparations of the drugs can be used
B
11. 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
D) A drug's ability to stimulate its receptor
B
12. A nurse is conducting a medication resolution of a new resident of a care
facility and notes that the woman has been taking neostigmine. The nurse
should recognize that the woman may have a history of what problem?
A) Alzheimer disease
B) Parkinson disease
C) Myasthenia gravis
D) Multiple sclerosis
C
, 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?
A) The man's glomerular filtration rate and creatinine levels are within reference
ranges.
B) The man's heart rate is between 60 and 70 beats per minute with a regular
rhythm.
C) The man's potassium and sodium levels remain with reference ranges.
D) The man's chest sounds are clear and his ankle edema is lessened.
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
A) adverse effects.
B) nitrate dependence.
C) nitrate tolerance.
D) toxic effects.
C
15. A nurse who provides care on a busy medical unit of a large hospital is
constantly faced with new drugs on patients' medication administration
records. What strategy should the nurse employ to foster up-to-date
information about the nursing management of new or uncommon drugs?
A) Focus on learning about a prototype drug that is characteristic of a larger drug
class
B) Identify similarities between new drugs and older drugs that are commonly used
on the unit C) Commit time and energy during each shift to learning about new
drugs
D) Liaise with pharmacists and pharmacy technicians who work at the hospital
A
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?
A) Furosemide
B) Digoxin immune fab
C) Captopril
