NURS 6521N MIDTERM EXAM WITH ANSWERS (100/100 POINTS
LATEST 2025-2026) NURS6521N Midterm Exam Questions and
Answers
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
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
3. Which of the following patients demonstrates the clearest indication for
treatment withprednisone?
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 ACEinhibitor
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 isdue to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
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
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 foradministration 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.
, 7. A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested hebegin 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
LATEST 2025-2026) NURS6521N Midterm Exam Questions and
Answers
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
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
3. Which of the following patients demonstrates the clearest indication for
treatment withprednisone?
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 ACEinhibitor
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 isdue to
A) passive diffusion.
B) active transport.
C) glomerular filtration.
D) first-pass effect.
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
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 foradministration 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.
, 7. A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested hebegin 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
