NUR 2474 PHARMACOLOGY FINAL EXAM NCLEX STYLE PRACTICE QUESTIONS AND COMPLETE SOLUTIONS 1. Thekrnursekrworkingkronkrakrhigh-acuitykrmedical-surgicalkrunitkriskrprioritizingkrcarekrforkrfourkrpatientskrwhokrwerekrjustkradmitted.krWhichkrpatientkrshouldk

NUR 2474 PHARMACOLOGY FINAL EXAM NCLEX STYLE

PRACTICE QUESTIONS AND COMPLETE SOLUTIONS


1. The nurse working on a high-acuity medical-
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surgical unit is prioritizing care for four patients who were just admitted.Which
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patient should the nurseassess first? kr kr kr rk kr




a.The NPO patient with a blood glucose level of 80 mg/dL who just received20
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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 receivedig
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oxin (Lanoxin) kr




c.The patient with a blood pressure of 136/92 mm Hg who complains ofhaving
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a headache
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d.The patient with an allergy to penicillin who is receiving an infusion ofva
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ncomycin (Vancocin): a.The NPO patient with a blood glucose level of 80mg/dL
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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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on a sliding scale and are ordered before a meal and at bedtime. The patient's
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,blood sugar level is 317 mg/dL.Which formulation of insulin shouldthe nurse pr
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epare to administer? kr kr




a.No insulin should be administered.
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b.NPH

c.70/30 mix kr




d.Lispro (Humalog): d.Lispro (Humalog) kr kr kr




3. A patient with type 1 diabetes recently became pregnant.The nurse plans ablo
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od glucose testing schedule for her.What is the recommended monitoringsched
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ule?



a.Before each meal and before bed kr kr kr kr kr




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 aday
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4. An adolescent patient recently attended a health fair and had a serum gluc
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ose test. The patient telephones the nurse and says, "My level was 125mg/dL.
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,Does that mean I have diabetes?"What is the nurse's most accurateresponse
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?



a. "Unless you were fasting for longer than 8 hours,this does not necessarilyme
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an you have diabetes."
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, b. "At this level, you probably have diabetes.You will need an oral glucosetol
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erance test this week." kr kr kr




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 youhav
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e diabetes."
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5. Insulin glargine is prescribed for a hospitalized patient who is diabetic.W
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hen will the nurse administer this drug?
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a.Approximately 15 to 30 minutes before each mealb. kr kr kr kr kr kr kr rk




In the morning and at 4 PM
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c.Once daily at bedtime kr kr kr




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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hypertension.Why is the nurse concerned? rk kr kr kr kr




a.The beta blocker can cause insulin resistance.
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b.Using the two agents together increases the risk of ketoacidosis. c.Propran
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olol increases insulin requirements because of receptor blocking.d.The beta
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blocker can mask the symptoms of hypoglycemia.: d.The beta blocker can mas
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