lOMoAR cPSD| 11716639
NUR 2474 FINAL EXAM NEWEST 2025
PHARMACOLOGY FOR PROFFESIONAL NURSING|
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS| RASMUSSEN UNIVERSITY
1. The nursing practitioner working on a high-acuity medical-surgical unit
is prioritizing care for four clients who were just admitted. Which client
should the nursing practitioner assess first?
a. The NPO client with a blood glucose level of 80 mg/dL who just received
20 units of 70/30 Novolin insulin
b. The client with a pulse of 58 beats per minute who is about to
receive digoxin (Lanoxin)
c. The client with a blood pressure of 136/92 mm Hg who complains of
having a headache
d. The client with an allergy to penicillin who is receiving an infusion of
vancomycin (Vancocin)
2. A client 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
client's blood sugar level is 317 mg/dL. Which formulation of insulin should
the nursing practitioner prepare to administer?
a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Lispro (Humalog)
3. A client with type 1 diabetes recently became pregnant. The nursing
practitioner 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
, lOMoAR cPSD| 11716639
4. An adolescent client recently attended a health fair and had a serum
glucose test. The client telephones the nursing practitioner 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."
5. Insulin glargine is prescribed for a hospitalized client who is diabetic.
When will the nursing practitioner 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
6. A client with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nursing practitioner
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.
, lOMoAR cPSD| 11716639
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
8. A nursing practitioner counsels a client with diabetes who is starting
therapy with an alpha- glucosidase inhibitor. The client 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
9. The nursing practitioner is caring for a pregnant client recently diagnosed
with hypothyroidism. The client tells the nursing practitioner she does not
want to take medications while she is pregnant. What will the nursing
practitioner explain to this client?
a. Hypothyroidism is a normal effect of pregnancy and usually is of no
consequence.
b. Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
c. No danger to the fetus exists until the third trimester.
d. Treatment is required only if the client is experiencing symptoms.
10. A nursing practitioner is teaching a client who has been diagnosed
with hypothyroidism about levothyroxine (Synthroid). Which statement
by the client indicates a need for furtherteaching?
a. "I should not take heartburn medication without consulting my provider."
b. "I should report insomnia, tremors, and an increased heart rate to my
provider."
c. "If I take a multivitamin with iron, I should take it 4 hours after the
Synthroid."
d. "If I take calcium supplements, I may need to decrease my dose of
Synthroid."
, lOMoAR cPSD| 11716639
11. A client with hypothyroidism begins taking PO levothyroxine (Synthroid).
The nursing practitioner assesses the client at the beginning of the shift and
notes a heart rate of 62 beats per minute and a temperature of 97.2° F. The
client is lethargic and difficult to arouse. The nursing practitioner will contact
the provider to request an order for which drug?
a. Beta blocker
b. Increased dose of PO levothyroxine
c. Intravenous levothyroxine
d. Methimazole (Tapazole)
12. A client is admitted to the hospital and will begin taking levothyroxine
(Synthroid). The nursing practitioner learns that the client also takes
warfarin (Coumadin). The nursing practitioner will notifythe provider to
discuss the dose.
a. reducing levothyroxine
b. reducing warfarin
c. increasing levothyroxine
d. increasing warfarin
13. An older adult client is diagnosed with hypothyroidism. The initial free T4
level is
0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber orders
levothyroxine (Levothroid) 100 mcg/day PO. What will the nursing practitioner
do?
a. Administer the medication as ordered.
b. Contact the provider to discuss giving the levothyroxine IV.
c. Request an order to give desiccated thyroid (Armour Thyroid).
d. Suggest that the provider lower the dose.
14. A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of
levothyroxine (Synthroid). The child comes to the clinic for a well-child check
up. The nursing practitioner will expect the provider to:
NUR 2474 FINAL EXAM NEWEST 2025
PHARMACOLOGY FOR PROFFESIONAL NURSING|
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS| RASMUSSEN UNIVERSITY
1. The nursing practitioner working on a high-acuity medical-surgical unit
is prioritizing care for four clients who were just admitted. Which client
should the nursing practitioner assess first?
a. The NPO client with a blood glucose level of 80 mg/dL who just received
20 units of 70/30 Novolin insulin
b. The client with a pulse of 58 beats per minute who is about to
receive digoxin (Lanoxin)
c. The client with a blood pressure of 136/92 mm Hg who complains of
having a headache
d. The client with an allergy to penicillin who is receiving an infusion of
vancomycin (Vancocin)
2. A client 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
client's blood sugar level is 317 mg/dL. Which formulation of insulin should
the nursing practitioner prepare to administer?
a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Lispro (Humalog)
3. A client with type 1 diabetes recently became pregnant. The nursing
practitioner 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
, lOMoAR cPSD| 11716639
4. An adolescent client recently attended a health fair and had a serum
glucose test. The client telephones the nursing practitioner 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."
5. Insulin glargine is prescribed for a hospitalized client who is diabetic.
When will the nursing practitioner 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
6. A client with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nursing practitioner
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.
, lOMoAR cPSD| 11716639
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
8. A nursing practitioner counsels a client with diabetes who is starting
therapy with an alpha- glucosidase inhibitor. The client 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
9. The nursing practitioner is caring for a pregnant client recently diagnosed
with hypothyroidism. The client tells the nursing practitioner she does not
want to take medications while she is pregnant. What will the nursing
practitioner explain to this client?
a. Hypothyroidism is a normal effect of pregnancy and usually is of no
consequence.
b. Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
c. No danger to the fetus exists until the third trimester.
d. Treatment is required only if the client is experiencing symptoms.
10. A nursing practitioner is teaching a client who has been diagnosed
with hypothyroidism about levothyroxine (Synthroid). Which statement
by the client indicates a need for furtherteaching?
a. "I should not take heartburn medication without consulting my provider."
b. "I should report insomnia, tremors, and an increased heart rate to my
provider."
c. "If I take a multivitamin with iron, I should take it 4 hours after the
Synthroid."
d. "If I take calcium supplements, I may need to decrease my dose of
Synthroid."
, lOMoAR cPSD| 11716639
11. A client with hypothyroidism begins taking PO levothyroxine (Synthroid).
The nursing practitioner assesses the client at the beginning of the shift and
notes a heart rate of 62 beats per minute and a temperature of 97.2° F. The
client is lethargic and difficult to arouse. The nursing practitioner will contact
the provider to request an order for which drug?
a. Beta blocker
b. Increased dose of PO levothyroxine
c. Intravenous levothyroxine
d. Methimazole (Tapazole)
12. A client is admitted to the hospital and will begin taking levothyroxine
(Synthroid). The nursing practitioner learns that the client also takes
warfarin (Coumadin). The nursing practitioner will notifythe provider to
discuss the dose.
a. reducing levothyroxine
b. reducing warfarin
c. increasing levothyroxine
d. increasing warfarin
13. An older adult client is diagnosed with hypothyroidism. The initial free T4
level is
0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber orders
levothyroxine (Levothroid) 100 mcg/day PO. What will the nursing practitioner
do?
a. Administer the medication as ordered.
b. Contact the provider to discuss giving the levothyroxine IV.
c. Request an order to give desiccated thyroid (Armour Thyroid).
d. Suggest that the provider lower the dose.
14. A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of
levothyroxine (Synthroid). The child comes to the clinic for a well-child check
up. The nursing practitioner will expect the provider to:
