NUR 2474 PHARMACOLOGY FINAL EXAM (NEW 2023) : Pharmacology for Professional Nursing-Rasmussen.

NUR 2474 Pharmacology Final Exam NCLEX Style Practice
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1. The nurse working on a high-acuity medical-surgical unit is prioritizing
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k care for four patients who were just admitted.Which patient should the
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nurseassess first?
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a.The NPO patient with a blood glucose level of 80 mg/dL who just received20
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k units of 70/30 Novolin insulin
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b.The patient with a pulse of 58 beats per minute who is about to
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k receivedigoxin (Lanoxin) k k




c.The patient with a blood pressure of 136/92 mm Hg who complains ofhaving
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k a headache
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d.The patient with an allergy to penicillin who is receiving an infusion
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k of vancomycin (Vancocin): a.The NPO patient with a blood glucose level of
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80mg/dL who just received 20 units of 70/30 Novolin insulin
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2. A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugarsare
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k on a sliding scale and are ordered before a meal and at bedtime. The
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k patient's blood sugar level is 317 mg/dL.Which formulation of insulin
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,shouldthe nurse prepare to administer?
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a.No insulin should be
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k administered.b.NPH k




c.70/30 mix k




d.Lispro (Humalog): d.Lispro (Humalog)
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3. A patient with type 1 diabetes recently became pregnant. The nurse plans
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a blood glucose testing schedule for her. What is the recommended
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monitoringschedule?
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a.Before each meal and before bedk k k k k




b.In the morning for a fasting level and at 4 PM for the peak level
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c.Six or seven times a day
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d.Three times a day, along with urine glucose testing: c.Six or seven times
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aday
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4. An adolescent patient recently attended a health fair and had a serum
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k glucose test. The patient telephones the nurse and says, "My level was
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,125mg/dL. Does that mean I have diabetes?" What is the nurse's most
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accurateresponse?
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a. "Unless you were fasting for longer than 8 hours, this does not
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necessarilymean you have diabetes."
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, b. "At this level, you probably have diabetes.You will need an oral
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k glucosetolerance test this week."
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c. "This level is conclusive evidence that you have diabetes."
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d. "This level is conclusive evidence that you do not have diabetes.": a."Un-
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less you were fasting for longer than 8 hours, this does not necessarily mean
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youhave diabetes."
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5. Insulin glargine is prescribed for a hospitalized patient who is
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k diabetic.When will the nurse administer this drug?
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a.Approximately 15 to 30 minutes before each k k k k k k




mealb.In the morning and at 4 PM
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c.Once daily at bedtimek k k




d.After meals and at bedtime: c.Once daily at bedtime
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6. A patient with type 1 diabetes who takes insulin reports taking propranololfor
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k hypertension.Why is the nurse concerned? k k k k k




a.The beta blocker can cause insulin resistance.
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b.Using the two agents together increases the risk of ketoacidosis.
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k c.Propranolol increases insulin requirements because of receptor k k k k k k




blocking.d.The beta blocker can mask the symptoms of hypoglycemia.:
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