Walden NURS 6521 Midterm Exam / Walden
NURS6521 Midterm Exam (Latest): Advanced
Pharmacology
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
B) Constipation
1
,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
manifesta- tions would cause the nurse to notify the physician immediately?
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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
2
, 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
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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 con- sideration 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, and 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 re- sponse
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
3
NURS6521 Midterm Exam (Latest): Advanced
Pharmacology
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
B) Constipation
1
,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
manifesta- tions would cause the nurse to notify the physician immediately?
Downloaded by Blewett Smith ()
lOMoARcPSD|46224805
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
2
, 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
Downloaded by Blewett Smith ()
lOMoARcPSD|46224805
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 con- sideration 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, and 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 re- sponse
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
3
