N NURS 6521
U
R MIDTERM EXAM
QUEESTIONS AND
S
6 ANSWERS
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,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 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.
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 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
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 priori- tize assessment for which
of the following?
A) Weight gain
U
R MIDTERM EXAM
QUEESTIONS AND
S
6 ANSWERS
5
2
1
M
I
D
T
E
R
M
E
X
A
M
Q
U
n
n
n
n
E
S
T
I
O
N
S
,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 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.
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 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
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 priori- tize assessment for which
of the following?
A) Weight gain
