Pharm Final Exam Bank 2/3 (2026-2027
Newest Update) Proven Questions and
Reliable Answers for Success / Verified
Study Guide
The nurse working on a high-acuity medical-surgical unit is
prioritizing care for four patients who were just admitted. Which
patient should the nurse assess first?
A) The NPO patient with a blood glucose level of 80 mg/dL who just
received 20 units of 70/30 Novolin insulin
B) The patient with a pulse of 58 beats per minute who is about to
receive digoxin {Lanoxin)
C) The patient with a blood pressure of 136/92 mm Hg who
complains of having a headache
D) The patient with an allergy to penicillin who Is receiving an
infusion of vancomycin (Vancocin)
A) The NPO patient with a blood glucose level of 80 mg/dL who just
received 20 units of 70/30 Novolin insulin
A patient with type 1 diabetes is eating breakfast at 7:30AM. Blood
sugars are on a sliding scale and are ordered before a meal and at
bedtime. The patient's blood sugar level is 317 mg/dL. Which
formulation of insulin should the nurse prepare to administer?
A) No insulin should be administered.
B) NPH
C) 70/30 mix
D) Lispro (Humalog)
D) Lispro (Humalog)
A nurse is educating the staff nurses about ketoacidosis. To
evaluate the group's understanding, the nurse asks, "Which sign
and symptoms would not be consistent with ketoacidosis?" The
,group gives which correct answer?
A) Blood glucose level of 600 mg/dL
B) Blood glucose level of 60 mg/dL
C) Acidosis
D) Ketones in the urine
B) Blood glucose level of 60 mg/dL
The nurse assesses a newly diagnosed patient for short-term
complications of diabetes. What does this assessment include?
A) Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis
B) Cranial nerve testing for peripheral neuropathy
C) Pedal pulse palpation for arterial insufficiency
D) Auscultation of the carotids for bruits associated with
atherosclerosis
A) Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis
Which statement is accurate about the long-term complications of
diabetes?
A) Long-term complications are almost always the result of
hypoglycemia and ketoacidosis.
B) The complication rates for patients with tightly controlled type 2
diabetes are the same as for those whose disease is not tightly
controlled.
C) Tightly controlling type 1diabetes produces excessive episodes
of life-threatening hypoglycemia.
D) Tightly controlling both types of diabetes reduces the risk of
eye, kidney, and nerve damage.
D) Tightly controlling both types of diabetes reduces the risk of
eye, kidney, and nerve damage.
A patient with type 1 diabetes recently became pregnant. The nurse
plans a blood glucose testing schedule for her. What is the
recommended monitoring schedule?
A) Before each meal and before bed
B) In the morning for a fasting level and at 4 PM for the peak level
C) Six or seven times a day
D) Three times a day, along with urine glucose testing
C) Six or seven times a day
,An adolescent patient recently attended a health fair and had a
serum glucose test. The patient telephones the nurse and says,
"My level was 125 mg/dl. Does that mean Ihave diabetes?" What is
the nurse's most accurate response?
A) "Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
B) "At this level, you probably have diabetes. You will need an oral
glucose tolerance test this week."
C) "This level is conclusive evidence that you have diabetes."
D) "This level is conclusive evidence that you do not have
diabetes."
A) "Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
A nurse provides dietary counseling for a patient newly diagnosed
with type 1 diabetes. Which instruction should be included?
A) "You may eat any foods you want and cover the glucose
increase with sliding scale, regular
insulin."
B) "Most of the calories you eat should be in the form of protein to
promote fat breakdown and preserve muscle mass."
C) "Your total caloric intake should not exceed 1800 calories in a
24-hour period."
D) "Most of your calories should be in the form of carbohydrates
and monounsaturated fats."
D) "Most of your calories should be in the form of carbohydrates
and monounsaturated fats."
What is the most reliable measure for assessing diabetes control
over the preceding 3-month period?
A) Self-monitoring blood glucose (SMBG) graph report
B) Patient's report
C) Fasting blood glucose level
D) Glycosylated hemoglobin level
D) Glycosylated hemoglobin level
A patient with type 1 diabetes reports mixing NPH and regular
insulin to allow for one injection. What should the nurse tell the
patient?
, A) This is an acceptable practice.
B) These two forms of insulin are not compatible and cannot be
mixed.
C) Mixing these two forms of insulin may Increase the overall
potency of the products.
D) NPH insulin should only be mixed with insulin glargine.
A) This is an acceptable practice.
Insulin glargine is prescribed for a hospitalized patient who is
diabetic. When will the nurse administer this drug?
A) Approximately 15 to 30 minutes before each meal
B) Inthe morning and at 4 PM
C) Once daily at bedtime
D) After meals and at bedtime
C) Once daily at bedtime
A patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nurse concerned?
A) The beta blocker can cause insulin resistance.
B) Using the two agents together increases the risk of ketoacidosis.
C) Propranolol increases insulin requirements because of receptor
blocking.
D) The beta blocker can mask the symptoms of hypoglycemia.
D) The beta blocker can mask the symptoms of hypoglycemia.
Which statement is correct about the contrast between acarbose
and mlglitol?
A) Miglitol has not been associated with hepatic dysfunction.
B) With miglitol, sucrose can be used to treat hypoglycemia.
C) Miglitol is less effective in African Americans.
D) Miglitol has no gastrointestinal side effects.
A) Miglitol has not been associated with hepatic dysfunction.
A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL.
The patient asks the nurse what these laboratory values mean. How
will the nurse respond?
A) "These laboratory values indicate that you may have Graves'
disease."
B) "These results suggest you may have hyperthyroidism."
Newest Update) Proven Questions and
Reliable Answers for Success / Verified
Study Guide
The nurse working on a high-acuity medical-surgical unit is
prioritizing care for four patients who were just admitted. Which
patient should the nurse assess first?
A) The NPO patient with a blood glucose level of 80 mg/dL who just
received 20 units of 70/30 Novolin insulin
B) The patient with a pulse of 58 beats per minute who is about to
receive digoxin {Lanoxin)
C) The patient with a blood pressure of 136/92 mm Hg who
complains of having a headache
D) The patient with an allergy to penicillin who Is receiving an
infusion of vancomycin (Vancocin)
A) The NPO patient with a blood glucose level of 80 mg/dL who just
received 20 units of 70/30 Novolin insulin
A patient with type 1 diabetes is eating breakfast at 7:30AM. Blood
sugars are on a sliding scale and are ordered before a meal and at
bedtime. The patient's blood sugar level is 317 mg/dL. Which
formulation of insulin should the nurse prepare to administer?
A) No insulin should be administered.
B) NPH
C) 70/30 mix
D) Lispro (Humalog)
D) Lispro (Humalog)
A nurse is educating the staff nurses about ketoacidosis. To
evaluate the group's understanding, the nurse asks, "Which sign
and symptoms would not be consistent with ketoacidosis?" The
,group gives which correct answer?
A) Blood glucose level of 600 mg/dL
B) Blood glucose level of 60 mg/dL
C) Acidosis
D) Ketones in the urine
B) Blood glucose level of 60 mg/dL
The nurse assesses a newly diagnosed patient for short-term
complications of diabetes. What does this assessment include?
A) Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis
B) Cranial nerve testing for peripheral neuropathy
C) Pedal pulse palpation for arterial insufficiency
D) Auscultation of the carotids for bruits associated with
atherosclerosis
A) Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis
Which statement is accurate about the long-term complications of
diabetes?
A) Long-term complications are almost always the result of
hypoglycemia and ketoacidosis.
B) The complication rates for patients with tightly controlled type 2
diabetes are the same as for those whose disease is not tightly
controlled.
C) Tightly controlling type 1diabetes produces excessive episodes
of life-threatening hypoglycemia.
D) Tightly controlling both types of diabetes reduces the risk of
eye, kidney, and nerve damage.
D) Tightly controlling both types of diabetes reduces the risk of
eye, kidney, and nerve damage.
A patient with type 1 diabetes recently became pregnant. The nurse
plans a blood glucose testing schedule for her. What is the
recommended monitoring schedule?
A) Before each meal and before bed
B) In the morning for a fasting level and at 4 PM for the peak level
C) Six or seven times a day
D) Three times a day, along with urine glucose testing
C) Six or seven times a day
,An adolescent patient recently attended a health fair and had a
serum glucose test. The patient telephones the nurse and says,
"My level was 125 mg/dl. Does that mean Ihave diabetes?" What is
the nurse's most accurate response?
A) "Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
B) "At this level, you probably have diabetes. You will need an oral
glucose tolerance test this week."
C) "This level is conclusive evidence that you have diabetes."
D) "This level is conclusive evidence that you do not have
diabetes."
A) "Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
A nurse provides dietary counseling for a patient newly diagnosed
with type 1 diabetes. Which instruction should be included?
A) "You may eat any foods you want and cover the glucose
increase with sliding scale, regular
insulin."
B) "Most of the calories you eat should be in the form of protein to
promote fat breakdown and preserve muscle mass."
C) "Your total caloric intake should not exceed 1800 calories in a
24-hour period."
D) "Most of your calories should be in the form of carbohydrates
and monounsaturated fats."
D) "Most of your calories should be in the form of carbohydrates
and monounsaturated fats."
What is the most reliable measure for assessing diabetes control
over the preceding 3-month period?
A) Self-monitoring blood glucose (SMBG) graph report
B) Patient's report
C) Fasting blood glucose level
D) Glycosylated hemoglobin level
D) Glycosylated hemoglobin level
A patient with type 1 diabetes reports mixing NPH and regular
insulin to allow for one injection. What should the nurse tell the
patient?
, A) This is an acceptable practice.
B) These two forms of insulin are not compatible and cannot be
mixed.
C) Mixing these two forms of insulin may Increase the overall
potency of the products.
D) NPH insulin should only be mixed with insulin glargine.
A) This is an acceptable practice.
Insulin glargine is prescribed for a hospitalized patient who is
diabetic. When will the nurse administer this drug?
A) Approximately 15 to 30 minutes before each meal
B) Inthe morning and at 4 PM
C) Once daily at bedtime
D) After meals and at bedtime
C) Once daily at bedtime
A patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nurse concerned?
A) The beta blocker can cause insulin resistance.
B) Using the two agents together increases the risk of ketoacidosis.
C) Propranolol increases insulin requirements because of receptor
blocking.
D) The beta blocker can mask the symptoms of hypoglycemia.
D) The beta blocker can mask the symptoms of hypoglycemia.
Which statement is correct about the contrast between acarbose
and mlglitol?
A) Miglitol has not been associated with hepatic dysfunction.
B) With miglitol, sucrose can be used to treat hypoglycemia.
C) Miglitol is less effective in African Americans.
D) Miglitol has no gastrointestinal side effects.
A) Miglitol has not been associated with hepatic dysfunction.
A patient has a free T4 level of 0.6 ng/dL and a free T3 of 220 pg/dL.
The patient asks the nurse what these laboratory values mean. How
will the nurse respond?
A) "These laboratory values indicate that you may have Graves'
disease."
B) "These results suggest you may have hyperthyroidism."
