NUR 2474 Pharmacology Final Exam NCLEX Style Practice
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 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
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): 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 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
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 I have 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."Un- less you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
5. 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.In the morning and at 4 PM
c.Once daily at bedtime
d.After meals and at bedtime: c.Once daily 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.:
d.The beta blocker can mask the symptoms of hypoglycemia.
7. Which statement is correct about the contrast between acarbose
and miglitol?
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
associ- ated with hepatic dysfunction.
8. A nurse counsels a patient with diabetes who is starting therapy
with an alpha-glucosidase inhibitor. The patient should be educated
about the potential for which adverse reactions? (Select all that apply.)
a.Hypoglycemia
b.Flatulence
c.Elevated iron levels in the
blood d.Fluid retention
e.Diarrhea:
b.Flatulence
, e.Diarrhea
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 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
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): 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 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
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 I have 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."Un- less you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
5. 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.In the morning and at 4 PM
c.Once daily at bedtime
d.After meals and at bedtime: c.Once daily 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.:
d.The beta blocker can mask the symptoms of hypoglycemia.
7. Which statement is correct about the contrast between acarbose
and miglitol?
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
associ- ated with hepatic dysfunction.
8. A nurse counsels a patient with diabetes who is starting therapy
with an alpha-glucosidase inhibitor. The patient should be educated
about the potential for which adverse reactions? (Select all that apply.)
a.Hypoglycemia
b.Flatulence
c.Elevated iron levels in the
blood d.Fluid retention
e.Diarrhea:
b.Flatulence
, e.Diarrhea
