NUR 6011 Module 2 Pharmacotherapy Final Exam 2026/2027 | Advanced
Pharmacology Questions & Complete Solutions PDF-William Paterson
University
• Question 1
3.34 out of 3.34 points
A client's Type 2 diabetes had been previously well controlled with glyburide daily, but recently the
fasting blood glucose level has been 180-200 mg/dL. Which medication that was added to the
client's regimen does the nurse practitioner recognize may have contributed to the
hyperglycemia?
Selected A.
Answer: Prednisone
Answers: A.
Prednisone
B.
Valsartan
C.
Levothyroxine
D.
Allopurinol
Response Prednisone may decrease the effect of oral hypoglycemics, insulin, diuretics, and
Feedback: potassium supplements. The adverse effects Prednisone can lead to
hyperglycemia in this client.
• Question 2
3.34 out of 3.34 points
A client is diagnoses with diabetic ketoacidosis. Which insulin should the provider expect to
prescribe?
Selected D.
Answer: Regular Insulin
Answers: A.
Insulin lispro (Humalog)
B.
Insulin glargine (Lantus)
C.
NPH Insulin
D.
Regular Insulin
Response Regular insulin is rapid-acting and should be used for diabetic coma.
Feedback:
Insulin lispro is too short-acting and must be administered concurrently with a
longer-acting insulin. Insulin glargine is a long-acting insulin, which is not indicated
in an emergency. NPH insulin is intermediate-acting insulin; it is not indicated for
use in an emergency.
• Question 3
3.34 out of 3.34 points
A patient is diagnoses with hypothyroidism and is prescribed levothyroxine 0.05 mg per day.
After one week, she calls to tell the provider that she hasn't seen any improvement of symptoms
and wants to discontinue her medication. The providers best response would be to:
, Selected D.
Answer: Encourage her to take this dose for at least another week
Answers: A.
Add propranolol to her regimen
B.
Change to desiccated thyroid
C.
Increase her dosage to 0.125 mg/day
D.
Encourage her to take this dose for at least another week
Response Initial effects of replacement are not usually perceptible for at least 2 weeks
Feedback: after initiation of therapy.
• Question 4
3.34 out of 3.34 points
The provider teaches the patient that in addition to controlling glucose, metformin may also:
Selected A.
Answer: Cause weight loss
Answers: A.
Cause weight loss
B.
Increase total cholesterol levels
C.
Increase triglyceride levels
D.
Be likely to cause hypoglycemia
Response Metformin increases peripheral insulin sensitivity and inhibits hepatic
Feedback: gluconeogenesis. Causes moderate weight loss. Improved lipid profile regardless
of glycemic effect. Low risk of hypoglycemia.
• Question 5
3.34 out of 3.34 points
The provider prescribed one tube of glucose gel to a client with type 1 diabetes. What is the
primary reason for the administration of glucose gel to this client?
Selected C.
Answer: Insulin-induced hypoglycemia
Answers: A.
Diabetic acidosis
B.
Hyperinsulin secretion
C.
Insulin-induced hypoglycemia
D.
Idiosyncratic reaction to insulin
Pharmacology Questions & Complete Solutions PDF-William Paterson
University
• Question 1
3.34 out of 3.34 points
A client's Type 2 diabetes had been previously well controlled with glyburide daily, but recently the
fasting blood glucose level has been 180-200 mg/dL. Which medication that was added to the
client's regimen does the nurse practitioner recognize may have contributed to the
hyperglycemia?
Selected A.
Answer: Prednisone
Answers: A.
Prednisone
B.
Valsartan
C.
Levothyroxine
D.
Allopurinol
Response Prednisone may decrease the effect of oral hypoglycemics, insulin, diuretics, and
Feedback: potassium supplements. The adverse effects Prednisone can lead to
hyperglycemia in this client.
• Question 2
3.34 out of 3.34 points
A client is diagnoses with diabetic ketoacidosis. Which insulin should the provider expect to
prescribe?
Selected D.
Answer: Regular Insulin
Answers: A.
Insulin lispro (Humalog)
B.
Insulin glargine (Lantus)
C.
NPH Insulin
D.
Regular Insulin
Response Regular insulin is rapid-acting and should be used for diabetic coma.
Feedback:
Insulin lispro is too short-acting and must be administered concurrently with a
longer-acting insulin. Insulin glargine is a long-acting insulin, which is not indicated
in an emergency. NPH insulin is intermediate-acting insulin; it is not indicated for
use in an emergency.
• Question 3
3.34 out of 3.34 points
A patient is diagnoses with hypothyroidism and is prescribed levothyroxine 0.05 mg per day.
After one week, she calls to tell the provider that she hasn't seen any improvement of symptoms
and wants to discontinue her medication. The providers best response would be to:
, Selected D.
Answer: Encourage her to take this dose for at least another week
Answers: A.
Add propranolol to her regimen
B.
Change to desiccated thyroid
C.
Increase her dosage to 0.125 mg/day
D.
Encourage her to take this dose for at least another week
Response Initial effects of replacement are not usually perceptible for at least 2 weeks
Feedback: after initiation of therapy.
• Question 4
3.34 out of 3.34 points
The provider teaches the patient that in addition to controlling glucose, metformin may also:
Selected A.
Answer: Cause weight loss
Answers: A.
Cause weight loss
B.
Increase total cholesterol levels
C.
Increase triglyceride levels
D.
Be likely to cause hypoglycemia
Response Metformin increases peripheral insulin sensitivity and inhibits hepatic
Feedback: gluconeogenesis. Causes moderate weight loss. Improved lipid profile regardless
of glycemic effect. Low risk of hypoglycemia.
• Question 5
3.34 out of 3.34 points
The provider prescribed one tube of glucose gel to a client with type 1 diabetes. What is the
primary reason for the administration of glucose gel to this client?
Selected C.
Answer: Insulin-induced hypoglycemia
Answers: A.
Diabetic acidosis
B.
Hyperinsulin secretion
C.
Insulin-induced hypoglycemia
D.
Idiosyncratic reaction to insulin
