NURS 6521 MIDTERM EXAM LATEST 2022-2023

NURS 6521 MIDTERM EXAM LATEST 2022-2023/

NURS6521 MIDTERM EXAM |ALL 100

QUESTIONS AND CORRECT ANSWERS

(VERSION 1)

• Which of the following patients demonstrates the clearest

indication for treatment with prednisone?

• A 66-year-old woman whose history of smoking has culminated in a

diagnosis of emphysema

• A 70-year-old man whose rheumatoid arthritis has not responded to

OTC pain relievers

• A 12-year-old boy whose long-standing fatigue and malaise have

been attributed to leukemia

• A 50-year-old woman who is being treated for hypertension with a

diuretic and an ACE inhibitor

• A nurse has been administering a drug to a patient intramuscularly

(IM). The physician discontinued the IM dose and wrote an order for the 1 / 4

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

• passive diffusion.

• active transport. 2 / 4

• glomerular filtration.

• first-pass effect.

• 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?

• Monitor the patient's bleeding time

• Check the patient's blood glucose levels

• Record baseline vital signs

• Monitor the IV site for redness, swelling, or pain

• 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?

• Weight gain

• Constipation

• Increased energy

• Dizziness 3 / 4

• 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?

• Confusion

• Headache

• Nausea

• Leg cramps

A

• 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

• add the reconstituted vial of medication to a 1,000 mL IV bag.

• shake the vial vigorously to mix the medication for reconstitution.

• administer the initial IV bolus over approximately 60 seconds.

• use the reconstituted solution within a 36-hour

period. C

• / 4