NCLEX EXAM vc
Exam Solution vc
Pharm Final Exam NCLEX 2026 A+ GRADE ASSURED CO vc vc vc vc vc vc vc vc
MPLETE SOLUTIONS AND VERIFIED ANSWERS (BCCB8) vc vc vc vc vc
QUESTION 1 vc
A patient presents with a blood pressure of 162/88 mm Hg, heart rate of 100 bpm, trigly
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cerides of 378 mg/dL. Which of the following are characteristics of metabolic syndrome?
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(Select all that apply) vc vc vc
A. blood pressure of 162/88 mm Hg
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B. heart rate of 100 bpm
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C. triglycerides of 378 mg/dL
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D. HDL of 25 mg/dL
vc vc vc vc
ANSWER
A,C,D
QUESTION 2 vc
A patient who has just arrived at the emergency department may be suffering from diab
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etes ketoacidosis. Which of the following would confirm the diagnosis?
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A. elevated serum potassium
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B. increased respiratory rate
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C. increased pH
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D. elevated blood glucose level and low plasma bicarbonate level
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ANSWER
D
QUESTION 3 vc
A patient is taking NPH insulin once daily in the morning. What is the most likely time fo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
r a hypoglycemic reaction?
vc vc vc
A. 1 to 3 hours after administration
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B. 4 to 12 hours after administration
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,C. 12 to 18 hours after administration
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D. 18 to 24 hours after administration
vc vc vc vc vc vc
ANSWER
B
QUESTION 4 vc
Which of the following insulins cannot be administered in a cutaneous subcutaneous ins
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ulin infusion pump? vc vc
A. regular insulin (Humulin R)
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B. insulin aspart (NovoLog)
vc vc vc
C. insulin glulisine (Apidra)
vc vc vc
D. insulin glargine (Lantus)
vc vc vc
ANSWER
D
QUESTION 5 vc
The nurse is assessing a patient who has just begun taking glyburide (DiaBeta). Which of
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the following is a therapeutic outcome for this patient? (Select all that apply)
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A. a glycosylated hemoglobin (hemoglobin A1C) of 10%
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B. a decrease in polyuria
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C. a decrease in polyphagia
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D. a fasting blood glucose of 108 mg/dL
vc vc vc vc vc vc vc
ANSWER
B,C,D
QUESTION 6 vc
A patient with type 2 diabetes is scheduled to have a cardiac catheterization in 1 week, a
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nd the nurse makes a pre-
vc vc vc vc vc
procedure phone call. The nurse instructs the patient to stop taking which medication 2
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
days before the procedure?
vc vc vc
A. sitagliptin (Januvia)
vc vc
B. insulin
vc
C. glyburide (DiaBeta)
vc vc
D. metformin (Glucophage)
vc vc
ANSWER
D
,QUESTION 7 vc
A man with type 2 diabetes mellitus has a blood glucose of more than 500 mg/dL. He is c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
omplaining of excessive urination, extreme thirst, and weakness, and he also notes recen
vc vc vc vc vc vc vc vc vc vc vc vc
t weight loss. The nurse would expect to find which diagnosis in his chart?
vc vc vc vc vc vc vc vc vc vc vc vc vc
A. hypoglycemia
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B. diabetic ketoacidosis
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C. hyperglycemia hyperosmolar nonketotic syndrome
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D. hypothyroidism
vc
ANSWER
C
QUESTION 8 vc
The nurse is monitoring a patient newly diagnosed with type 2 diabetes mellitus taking r
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
epaglinide (Prandin) for complications. Which of the following, if exhibited by the patien
vc vc vc vc vc vc vc vc vc vc vc vc
t, would indicate hypoglycemia and require immediate treatment?
vc vc vc vc vc vc vc
A. polyuria
vc
B. diaphoresis
vc
C. decreased heart rate
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D. hypertension
vc
ANSWER
B
QUESTION 9 vc
The nurse caring for a patient with diabetes mellitus has lipodystrophy of the abdomen.
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What should the nurse assess?
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A. Does the patient administer the injection at a 45-degree angle?
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B. Does the patient aspirate for blood prior to giving the injection?
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C. Does the patient pinch the skin appropriately?
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D. Does the patient rotate sites for giving each injection?
vc vc vc vc vc vc vc vc vc
ANSWER
D
QUESTION 10 vc
Based on the action of pramlintide, which of the following is a primary nursing intervent
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ion?
A. Administer glucagon during the peak of action
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B. Assess blood sugar at 2.4 hours after medication administration
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, C. Assess respiratory status for the onset of an upper respiratory infection
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D. Provide a meal immediately after the administration of the subcutaneous injection
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
D
QUESTION 11 vc
The nurse is educating a patient about proper foot care. Which instruction does the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e include in the teaching plan?
vc vc vc vc vc
A. Always use a pumice stone on callused areas of the feet
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B. Use a heavy moisturizing cream on the feet at all times
vc vc vc vc vc vc vc vc vc vc vc
C. Wash feet in cold water only
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D. Always have a podiatrist cut toenails
vc vc vc vc vc vc
ANSWER
D
QUESTION 12 vc
A patient with DKA is admitted to the hospital. Which of the following does the nurse exp
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ect to see? vc vc
A. increased pH and increased heart rate
vc vc vc vc vc vc
B. increased respiratory rate and decrease in urine output
vc vc vc vc vc vc vc vc
C. elevated potassium and increase in blood pressure
vc vc vc vc vc vc vc
D. elevated blood glucose and decreased plasma bicarbonate
vc vc vc vc vc vc vc
ANSWER
D
QUESTION 13 vc
A 62-year-
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old woman has a reduced TSH level of 0.07 micro unit/L and a normal T3 and T4. Which
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of the following symptoms is she at risk for developing?
vc vc vc vc vc vc vc vc vc
A. sinus bradycardia
vc vc
B. premature ventricular contractions
vc vc vc
C. atrial fibrillation
vc vc
D. prolong QT interval
vc vc vc
ANSWER
C
Exam Solution vc
Pharm Final Exam NCLEX 2026 A+ GRADE ASSURED CO vc vc vc vc vc vc vc vc
MPLETE SOLUTIONS AND VERIFIED ANSWERS (BCCB8) vc vc vc vc vc
QUESTION 1 vc
A patient presents with a blood pressure of 162/88 mm Hg, heart rate of 100 bpm, trigly
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
cerides of 378 mg/dL. Which of the following are characteristics of metabolic syndrome?
vc vc vc vc vc vc vc vc vc vc vc vc vc
(Select all that apply) vc vc vc
A. blood pressure of 162/88 mm Hg
vc vc vc vc vc vc
B. heart rate of 100 bpm
vc vc vc vc vc
C. triglycerides of 378 mg/dL
vc vc vc vc
D. HDL of 25 mg/dL
vc vc vc vc
ANSWER
A,C,D
QUESTION 2 vc
A patient who has just arrived at the emergency department may be suffering from diab
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
etes ketoacidosis. Which of the following would confirm the diagnosis?
vc vc vc vc vc vc vc vc vc
A. elevated serum potassium
vc vc vc
B. increased respiratory rate
vc vc vc
C. increased pH
vc vc
D. elevated blood glucose level and low plasma bicarbonate level
vc vc vc vc vc vc vc vc vc
ANSWER
D
QUESTION 3 vc
A patient is taking NPH insulin once daily in the morning. What is the most likely time fo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
r a hypoglycemic reaction?
vc vc vc
A. 1 to 3 hours after administration
vc vc vc vc vc vc
B. 4 to 12 hours after administration
vc vc vc vc vc vc
,C. 12 to 18 hours after administration
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D. 18 to 24 hours after administration
vc vc vc vc vc vc
ANSWER
B
QUESTION 4 vc
Which of the following insulins cannot be administered in a cutaneous subcutaneous ins
vc vc vc vc vc vc vc vc vc vc vc vc
ulin infusion pump? vc vc
A. regular insulin (Humulin R)
vc vc vc vc
B. insulin aspart (NovoLog)
vc vc vc
C. insulin glulisine (Apidra)
vc vc vc
D. insulin glargine (Lantus)
vc vc vc
ANSWER
D
QUESTION 5 vc
The nurse is assessing a patient who has just begun taking glyburide (DiaBeta). Which of
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
the following is a therapeutic outcome for this patient? (Select all that apply)
c vc vc vc vc vc vc vc vc vc vc vc vc
A. a glycosylated hemoglobin (hemoglobin A1C) of 10%
vc vc vc vc vc vc vc
B. a decrease in polyuria
vc vc vc vc
C. a decrease in polyphagia
vc vc vc vc
D. a fasting blood glucose of 108 mg/dL
vc vc vc vc vc vc vc
ANSWER
B,C,D
QUESTION 6 vc
A patient with type 2 diabetes is scheduled to have a cardiac catheterization in 1 week, a
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
nd the nurse makes a pre-
vc vc vc vc vc
procedure phone call. The nurse instructs the patient to stop taking which medication 2
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
days before the procedure?
vc vc vc
A. sitagliptin (Januvia)
vc vc
B. insulin
vc
C. glyburide (DiaBeta)
vc vc
D. metformin (Glucophage)
vc vc
ANSWER
D
,QUESTION 7 vc
A man with type 2 diabetes mellitus has a blood glucose of more than 500 mg/dL. He is c
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
omplaining of excessive urination, extreme thirst, and weakness, and he also notes recen
vc vc vc vc vc vc vc vc vc vc vc vc
t weight loss. The nurse would expect to find which diagnosis in his chart?
vc vc vc vc vc vc vc vc vc vc vc vc vc
A. hypoglycemia
vc
B. diabetic ketoacidosis
vc vc
C. hyperglycemia hyperosmolar nonketotic syndrome
vc vc vc vc
D. hypothyroidism
vc
ANSWER
C
QUESTION 8 vc
The nurse is monitoring a patient newly diagnosed with type 2 diabetes mellitus taking r
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
epaglinide (Prandin) for complications. Which of the following, if exhibited by the patien
vc vc vc vc vc vc vc vc vc vc vc vc
t, would indicate hypoglycemia and require immediate treatment?
vc vc vc vc vc vc vc
A. polyuria
vc
B. diaphoresis
vc
C. decreased heart rate
vc vc vc
D. hypertension
vc
ANSWER
B
QUESTION 9 vc
The nurse caring for a patient with diabetes mellitus has lipodystrophy of the abdomen.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
What should the nurse assess?
vc vc vc vc
A. Does the patient administer the injection at a 45-degree angle?
vc vc vc vc vc vc vc vc vc vc
B. Does the patient aspirate for blood prior to giving the injection?
vc vc vc vc vc vc vc vc vc vc vc
C. Does the patient pinch the skin appropriately?
vc vc vc vc vc vc vc
D. Does the patient rotate sites for giving each injection?
vc vc vc vc vc vc vc vc vc
ANSWER
D
QUESTION 10 vc
Based on the action of pramlintide, which of the following is a primary nursing intervent
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ion?
A. Administer glucagon during the peak of action
vc vc vc vc vc vc vc
B. Assess blood sugar at 2.4 hours after medication administration
vc vc vc vc vc vc vc vc vc
, C. Assess respiratory status for the onset of an upper respiratory infection
vc vc vc vc vc vc vc vc vc vc vc
D. Provide a meal immediately after the administration of the subcutaneous injection
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
D
QUESTION 11 vc
The nurse is educating a patient about proper foot care. Which instruction does the nurs
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e include in the teaching plan?
vc vc vc vc vc
A. Always use a pumice stone on callused areas of the feet
vc vc vc vc vc vc vc vc vc vc vc
B. Use a heavy moisturizing cream on the feet at all times
vc vc vc vc vc vc vc vc vc vc vc
C. Wash feet in cold water only
vc vc vc vc vc vc
D. Always have a podiatrist cut toenails
vc vc vc vc vc vc
ANSWER
D
QUESTION 12 vc
A patient with DKA is admitted to the hospital. Which of the following does the nurse exp
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ect to see? vc vc
A. increased pH and increased heart rate
vc vc vc vc vc vc
B. increased respiratory rate and decrease in urine output
vc vc vc vc vc vc vc vc
C. elevated potassium and increase in blood pressure
vc vc vc vc vc vc vc
D. elevated blood glucose and decreased plasma bicarbonate
vc vc vc vc vc vc vc
ANSWER
D
QUESTION 13 vc
A 62-year-
vc
old woman has a reduced TSH level of 0.07 micro unit/L and a normal T3 and T4. Which
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
of the following symptoms is she at risk for developing?
vc vc vc vc vc vc vc vc vc
A. sinus bradycardia
vc vc
B. premature ventricular contractions
vc vc vc
C. atrial fibrillation
vc vc
D. prolong QT interval
vc vc vc
ANSWER
C
