NUR 2474 / NUR2474
PHARMACOLOGY FINAL
EXAM. QUESTIONS WITH 100%
CORRECT ANSWERS.
Smartprep Examinations
, NUR 2474 PHARMACOLOGYFINAL EXAM
1. 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 of70/30
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 and complains of having a
headache
d. The patient with an allergy to penicillin who is receiving an infusion of vancomycin
(Vancocin)
2. A patient with type 1 diabetes is eating breakfast at 7:30 AM. 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)
3. 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 levelc. Six
or seven times a day
d. Three times a day, along with urine glucose testing
, 4. 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 youhave
diabetes."
b. "At this level, you probably have diabetes. You will need an oral glucose tolerancetest
this week."
c. "This level is conclusive evidence that you have diabetes."
d. "This level is conclusive evidence that you do not have diabetes."
5. Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will thenurse
administer this drug?
a. Approximately 15 to 30 minutes before each meal
b. In the morning and at 4 PMc.
Once daily at bedtime
d. After meals and at bedtime
6. 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.
7. Which statement is correct about the contrast between a carbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction.
, b. With miglitol, sucrose can be used to treat hypoglycemia.
PHARMACOLOGY FINAL
EXAM. QUESTIONS WITH 100%
CORRECT ANSWERS.
Smartprep Examinations
, NUR 2474 PHARMACOLOGYFINAL EXAM
1. 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 of70/30
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 and complains of having a
headache
d. The patient with an allergy to penicillin who is receiving an infusion of vancomycin
(Vancocin)
2. A patient with type 1 diabetes is eating breakfast at 7:30 AM. 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)
3. 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 levelc. Six
or seven times a day
d. Three times a day, along with urine glucose testing
, 4. 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 youhave
diabetes."
b. "At this level, you probably have diabetes. You will need an oral glucose tolerancetest
this week."
c. "This level is conclusive evidence that you have diabetes."
d. "This level is conclusive evidence that you do not have diabetes."
5. Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will thenurse
administer this drug?
a. Approximately 15 to 30 minutes before each meal
b. In the morning and at 4 PMc.
Once daily at bedtime
d. After meals and at bedtime
6. 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.
7. Which statement is correct about the contrast between a carbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction.
, b. With miglitol, sucrose can be used to treat hypoglycemia.
