NUR 2474 FINAL EXAM NEWEST 2025 PHARMACOLOG
b b b b b b
Y FOR PROFFESIONAL NURSING ACTUAL EXAM COMPL
b b b b b b
ETE 150 QUESTIONS AND CORRECT DETAILED ANSWER
b b b b b b
S (VERIFIED ANSWERS)
b b
|ALREADY GRADED A+(RASMUSSEN
b b
1. Thebnursebworkingbonbabhigh-acuitybmedical-
surgicalbunitbisbprioritizingbcarebforbfourbpatientsbwhobwerebjustbadmitted.bWhichbpatientbs
houldbthebnursebassessbfirst?
a. ThebNPObpatientbwithbabbloodbglucoseblevelbofb80bmg/dLbwhobjustbreceivedb20bunitsbofb7
0/30bNovolinbinsulin.
b. Thebpatientbwithbabpulsebofb58bbeatsbperbminutebwhobisbaboutbtobreceivebdigoxinb(
Lanoxin)
c. Thebpatientbwithbabbloodbpressurebofb136/92bmmbHgbwhobcomplainsbofbhavingbabh
eadache
d. Thebpatientbwithbanballergybtobpenicillinbwhobisbreceivingbanbinfusionbofbvancomycinb(V
ancocin)b-
bANSWERba.bThebNPObpatientbwithbabbloodbglucoseblevelbofb80bmg/dLbwhob justbreceivedb
20bunitsbofb70/30bNovolinbinsulin.
*low/normalbBGLbandbinsulinbwillbcontinuebtobdropbglucoseblevel.bAtbriskbforbhypoglycemia.
2. Abpatientbwithbtypeb1bdiabetesbisbeatingbbreakfastbatb7:30bAM.bBloodbsugarsbarebonbabsli
dingbscalebandbareborderedbbeforebabmealbandbatbbedtime.bThebpatient'sbbloodbsugarblevel
bisb317bmg/dL.bWhichbformulationbofbinsulinbshouldbthebnursebpreparebtobadminister?
a. Nobinsulinbshouldbbebadministered.
b. NPH
c. 70/30bmix
d. Lisprob(Humalog)b-bANSWERbd.bLisprob(Humalog)
*highbbloodbsugarbneedsbrapidbactingbinsulin.
3. Abpatientbwithbtypeb1bdiabetesbrecentlybbecamebpregnant.bThebnursebplansbabbloodbg
lucosebtestingbschedulebforbher.bWhatbisbthebrecommendedbmonitoringbschedule?
a. Beforebeachbmealbandbbeforebbed
b. Inbthebmorningbforbabfastingblevelbandbatb4bPMbforbthebpeakblevel
c. Sixborbsevenbtimesbabday
,d. Threebtimesbabday,balongbwithburinebglucosebtestingb-
bANSWERbc.bSixborbsevenbtimesb abday
*pregnancybcanbeffectbglucoseblevels.bFrequentbmonitoringbrequired.
4. Anbadolescentbpatientbrecentlybattendedbabhealthbfairbandbhadbabserumbglucosebtest.bTh
ebpatientbtelephonesbthebnursebandbsays,b"Myblevelbwasb125bmg/dL.bDoesbthatbmeanbIbhav
ebdiabetes?"bWhatbisbthebnurse'sbmostbaccuratebresponse?
a. "Unlessbyoubwerebfastingbforblongerbthanb8bhours,bthisbdoesbnotbnecessarilybmeanbyoubh
avebdiabetes."
b. "Atbthisblevel,byoubprobablybhavebdiabetes.bYoubwillbneedbanboralbglucosebtolerancebt
estbthisbweek."
c. "Thisblevelbisbconclusivebevidencebthatbyoubhavebdiabetes."
d. "Thisblevelbisbconclusivebevidencebthatbyoubdobnotbhavebdiabetes."b-
bANSWERba.b"Unlessbyoubwerebfastingbforblongerbthanb8bhours,bthisbdoesbnotbnecessari
lybmeanbyoubhavebdiabetes."
*couldbbebabnormalblevelbwithoutbfastingbandbdoesbnotbmeanbdiabetesbunlessbitbwasbhighbfo
rbabfastingbbloodbglucoseblevel.
5. Insulinbglarginebisbprescribedbforbabhospitalizedbpatientbwhobisbdiabetic.bWhenbwillbthebn
ursebadministerbthisbdrug?
a. Approximatelyb15btob30bminutesbbeforebeachbmeal
b. Inbthebmorningbandbatb4bPM
c. Oncebdailybatbbedtime
d. Afterbmealsbandbatbbedtimeb-bANSWERbc.bOncebdailybatbbedtime
*goodnightbglargine
6. Abpatientbwithbtypeb1bdiabetesbwhobtakesbinsulinbreportsbtakingbpropranololbforbh
ypertension.bWhybisbthebnursebconcerned?
a. Thebbetabblockerbcanbcausebinsulinbresistance.
b. Usingbthebtwobagentsbtogetherbincreasesbthebriskbofbketoacidosis.
c. Propranololbincreasesbinsulinbrequirementsbbecausebofbreceptorbblocking.
d. Thebbetabblockerbcanbmaskbthebsymptomsbofbhypoglycemia.b-
bANSWERbd.bThebbetab blockerbcanbmaskbthebsymptomsbofbhypoglycemia.
*betabblockersbblockbadrenalinebwhichbsignalsbthebliverbtobreleasebglucosebinbthebbloodbwhe
nbglucosebisblowbtobavoidbhypoglycemia.
7. Whichbstatementbisbcorrectbaboutbthebcontrastbbetweenbabcarbosebandbmiglitol?
a. Miglitolbhasbnotbbeenbassociatedbwithbhepaticbdysfunction.
,b. Withbmiglitol,bsucrosebcanbbebusedbtobtreatbhypoglycemia.
c. MiglitolbisblessbeffectivebinbAfricanbAmericans.
d. Miglitolbhasbnobgastrointestinalbsidebeffects.b-
bANSWERba.bMiglitolbhasbnotbbeenb associatedbwithbhepaticbdysfunction.
*keybdifferencebisbthatbacarbosebhasbbeenbassociatedbwithbrarebcasesbofbhepaticbdysfunctio
n
8. Abnursebcounselsbabpatientbwithbdiabetesbwhobisbstartingbtherapybwithbanbalpha-
bglucosidasebinhibitor.bThebpatientbshouldbbebeducatedbaboutbthebpotentialbforbwhichb
adversebreactions?b(Selectballbthatbapply.)
a. Hypoglycemia
b. Flatulence
c. Elevatedbironblevelsbinbthebblood
d. Fluidbretention
e. Diarrheab-bANSWERbb.bFlatulence
e.bDiarrhea
*duebtobbuildbupbofbgassesb(flatulence)bfrombtobundigestedbcarbohydratesbreachingbthebc
olonbandbcausingbanbosmoticbeffectb(diarrhea)
9. Thebnursebisbcaringbforbabpregnantbpatientbrecentlybdiagnosedbwithbhypothyroidism.bTh
ebpatientbtellsbthebnursebshebdoesbnotbwantbtobtakebmedicationsbwhilebshebisbpregnant.bWh
atbwillbthebnursebexplainbtobthisbpatient?
a. Hypothyroidismbisbabnormalbeffectbofbpregnancybandbusuallybisbofbnobconsequence.
b. Neuropsychologicbdeficitsbinbthebfetusbcanboccurbifbthebconditionbisbnotbtreated.
c. Nobdangerbtobthebfetusbexistsbuntilbthebthirdbtrimester.
d. Treatmentbisbrequiredbonlybifbthebpatientbisbexperiencingbsymptoms.b-
bANSWERbb.b Neuropsychologicbdeficitsbinbthebfetusbcanboccurbifbthebconditionbisbnotbtr
eated.
*Thyroidbhormonesbarebcrucialbforbthebnormalbdevelopmentbofbthebfetalbbrainbandbnervousb
systembandbmustbbebtreatedbinbpregnancy.
10. Abnursebisbteachingbabpatientbwhobhasbbeenbdiagnosedbwithbhypothyroidismbaboutbl
evothyroxineb(Synthroid).bWhichbstatementbbybthebpatientbindicatesbabneedbforbfurtherbte
aching?
a. "Ibshouldbnotbtakebheartburnbmedicationbwithoutbconsultingbmybprovider."
b. "Ibshouldbreportbinsomnia,btremors,bandbanbincreasedbheartbratebtobmybprovider."bc.b"IfbIbt
akebabmultivitaminbwithbiron,bIbshouldbtakebitb4bhoursbafterbthebSynthroid."
d."IfbIbtakebcalciumbsupplements,bIbmaybneedbtobdecreasebmybdosebofbSynthroid."b-
ANSWERbd."IfbIbtakebcalciumbsupplements,bIbmaybneedbtobdecreasebmybdosebofbSy
b
nthroid."
, *thisbstatementbisbincorrectbsincebcalciumbinterferesbwithbthebabsorptionbofbSynthroid,bitbmayb
needbtobbebincreasedbnotbdecreased.
11. AbpatientbwithbhypothyroidismbbeginsbtakingbPOblevothyroxineb(Synthroid).bThebnurseba
ssessesbthebpatientbatbthebbeginningbofbthebshiftbandbnotesbabheartbratebofb62bbeatsbperbmin
utebandbabtemperaturebofb97.2°bF.bThebpatientbisblethargicbandbdifficultbtobarouse.bThebnurse
bwillbcontactbthebproviderbtobrequestbanborderbforbwhichbdrug?
a. Betabblocker
b. IncreasedbdosebofbPOblevothyroxine
c. Intravenousblevothyroxine
d. Methimazoleb(Tapazole)b-bANSWERbc.bIntravenousblevothyroxine
*IVballowsbforbabmorebrapidbcorrectionbofbthyroidbhormoneblevelsbespeciallybhypothyroidis
mbwithbsymptomsbofbmyxedemabcomaborbseverebhypothyroidism.bThisbisbconsideredbabme
dicalbemergency.
12. Abpatientbisbadmittedbtobthebhospitalbandbwillbbeginbtakingblevothyroxineb(Synthroid).b
Thebnurseblearnsbthatbthebpatientbalsobtakesbwarfarinb(Coumadin).bThebnursebwillbnotifybth
ebproviderbtobdiscussb theb dose.
a. reducingblevothyroxine
b. reducingbwarfarin
c. increasingblevothyroxine
d. increasingbwarfarinb-bANSWERbb.breducingbwarfarin
*Levothyroxineb(Synthroid)bcanbpotentiallybincreasebthebeffectsbofbwarfarin,bleadingbtobanbinc
reasedbriskbofbbleeding.
13. Anbolderbadultbpatientbisbdiagnosedbwithbhypothyroidism.bThebinitialbfreebT4blevelbis
0.5bmg/dL,bandbthebTSHblevelbisb8bmicrounits/mL.bThebprescriberbordersblevothyroxineb(Levo
throid)b100bmcg/daybPO.bWhatbwillbthebnursebdo?
a. Administerbthebmedicationbasbordered.
b. ContactbthebproviderbtobdiscussbgivingbtheblevothyroxinebIV.
c. Requestbanborderbtobgivebdesiccatedbthyroidb(ArmourbThyroid).
d. Suggestbthatbthebproviderblowerbthebdose.b-
bANSWERbd.bSuggestbthatbthebproviderb lowerbthebdose.
*normalbTSHbisb0.4-4.
14. Ab1-year-
oldbchildbwithbcretinismbhasbbeenbreceivingb8bmcg/kg/daybofblevothyroxineb(Synthroid).bTh
ebchildbcomesbtobthebclinicbforbabwell-childbcheckbup.bThebnursebwillbexpectbthebproviderbto:
a. changebthebdosebofblevothyroxinebtob6bmcg/kg/day.
b b b b b b
Y FOR PROFFESIONAL NURSING ACTUAL EXAM COMPL
b b b b b b
ETE 150 QUESTIONS AND CORRECT DETAILED ANSWER
b b b b b b
S (VERIFIED ANSWERS)
b b
|ALREADY GRADED A+(RASMUSSEN
b b
1. Thebnursebworkingbonbabhigh-acuitybmedical-
surgicalbunitbisbprioritizingbcarebforbfourbpatientsbwhobwerebjustbadmitted.bWhichbpatientbs
houldbthebnursebassessbfirst?
a. ThebNPObpatientbwithbabbloodbglucoseblevelbofb80bmg/dLbwhobjustbreceivedb20bunitsbofb7
0/30bNovolinbinsulin.
b. Thebpatientbwithbabpulsebofb58bbeatsbperbminutebwhobisbaboutbtobreceivebdigoxinb(
Lanoxin)
c. Thebpatientbwithbabbloodbpressurebofb136/92bmmbHgbwhobcomplainsbofbhavingbabh
eadache
d. Thebpatientbwithbanballergybtobpenicillinbwhobisbreceivingbanbinfusionbofbvancomycinb(V
ancocin)b-
bANSWERba.bThebNPObpatientbwithbabbloodbglucoseblevelbofb80bmg/dLbwhob justbreceivedb
20bunitsbofb70/30bNovolinbinsulin.
*low/normalbBGLbandbinsulinbwillbcontinuebtobdropbglucoseblevel.bAtbriskbforbhypoglycemia.
2. Abpatientbwithbtypeb1bdiabetesbisbeatingbbreakfastbatb7:30bAM.bBloodbsugarsbarebonbabsli
dingbscalebandbareborderedbbeforebabmealbandbatbbedtime.bThebpatient'sbbloodbsugarblevel
bisb317bmg/dL.bWhichbformulationbofbinsulinbshouldbthebnursebpreparebtobadminister?
a. Nobinsulinbshouldbbebadministered.
b. NPH
c. 70/30bmix
d. Lisprob(Humalog)b-bANSWERbd.bLisprob(Humalog)
*highbbloodbsugarbneedsbrapidbactingbinsulin.
3. Abpatientbwithbtypeb1bdiabetesbrecentlybbecamebpregnant.bThebnursebplansbabbloodbg
lucosebtestingbschedulebforbher.bWhatbisbthebrecommendedbmonitoringbschedule?
a. Beforebeachbmealbandbbeforebbed
b. Inbthebmorningbforbabfastingblevelbandbatb4bPMbforbthebpeakblevel
c. Sixborbsevenbtimesbabday
,d. Threebtimesbabday,balongbwithburinebglucosebtestingb-
bANSWERbc.bSixborbsevenbtimesb abday
*pregnancybcanbeffectbglucoseblevels.bFrequentbmonitoringbrequired.
4. Anbadolescentbpatientbrecentlybattendedbabhealthbfairbandbhadbabserumbglucosebtest.bTh
ebpatientbtelephonesbthebnursebandbsays,b"Myblevelbwasb125bmg/dL.bDoesbthatbmeanbIbhav
ebdiabetes?"bWhatbisbthebnurse'sbmostbaccuratebresponse?
a. "Unlessbyoubwerebfastingbforblongerbthanb8bhours,bthisbdoesbnotbnecessarilybmeanbyoubh
avebdiabetes."
b. "Atbthisblevel,byoubprobablybhavebdiabetes.bYoubwillbneedbanboralbglucosebtolerancebt
estbthisbweek."
c. "Thisblevelbisbconclusivebevidencebthatbyoubhavebdiabetes."
d. "Thisblevelbisbconclusivebevidencebthatbyoubdobnotbhavebdiabetes."b-
bANSWERba.b"Unlessbyoubwerebfastingbforblongerbthanb8bhours,bthisbdoesbnotbnecessari
lybmeanbyoubhavebdiabetes."
*couldbbebabnormalblevelbwithoutbfastingbandbdoesbnotbmeanbdiabetesbunlessbitbwasbhighbfo
rbabfastingbbloodbglucoseblevel.
5. Insulinbglarginebisbprescribedbforbabhospitalizedbpatientbwhobisbdiabetic.bWhenbwillbthebn
ursebadministerbthisbdrug?
a. Approximatelyb15btob30bminutesbbeforebeachbmeal
b. Inbthebmorningbandbatb4bPM
c. Oncebdailybatbbedtime
d. Afterbmealsbandbatbbedtimeb-bANSWERbc.bOncebdailybatbbedtime
*goodnightbglargine
6. Abpatientbwithbtypeb1bdiabetesbwhobtakesbinsulinbreportsbtakingbpropranololbforbh
ypertension.bWhybisbthebnursebconcerned?
a. Thebbetabblockerbcanbcausebinsulinbresistance.
b. Usingbthebtwobagentsbtogetherbincreasesbthebriskbofbketoacidosis.
c. Propranololbincreasesbinsulinbrequirementsbbecausebofbreceptorbblocking.
d. Thebbetabblockerbcanbmaskbthebsymptomsbofbhypoglycemia.b-
bANSWERbd.bThebbetab blockerbcanbmaskbthebsymptomsbofbhypoglycemia.
*betabblockersbblockbadrenalinebwhichbsignalsbthebliverbtobreleasebglucosebinbthebbloodbwhe
nbglucosebisblowbtobavoidbhypoglycemia.
7. Whichbstatementbisbcorrectbaboutbthebcontrastbbetweenbabcarbosebandbmiglitol?
a. Miglitolbhasbnotbbeenbassociatedbwithbhepaticbdysfunction.
,b. Withbmiglitol,bsucrosebcanbbebusedbtobtreatbhypoglycemia.
c. MiglitolbisblessbeffectivebinbAfricanbAmericans.
d. Miglitolbhasbnobgastrointestinalbsidebeffects.b-
bANSWERba.bMiglitolbhasbnotbbeenb associatedbwithbhepaticbdysfunction.
*keybdifferencebisbthatbacarbosebhasbbeenbassociatedbwithbrarebcasesbofbhepaticbdysfunctio
n
8. Abnursebcounselsbabpatientbwithbdiabetesbwhobisbstartingbtherapybwithbanbalpha-
bglucosidasebinhibitor.bThebpatientbshouldbbebeducatedbaboutbthebpotentialbforbwhichb
adversebreactions?b(Selectballbthatbapply.)
a. Hypoglycemia
b. Flatulence
c. Elevatedbironblevelsbinbthebblood
d. Fluidbretention
e. Diarrheab-bANSWERbb.bFlatulence
e.bDiarrhea
*duebtobbuildbupbofbgassesb(flatulence)bfrombtobundigestedbcarbohydratesbreachingbthebc
olonbandbcausingbanbosmoticbeffectb(diarrhea)
9. Thebnursebisbcaringbforbabpregnantbpatientbrecentlybdiagnosedbwithbhypothyroidism.bTh
ebpatientbtellsbthebnursebshebdoesbnotbwantbtobtakebmedicationsbwhilebshebisbpregnant.bWh
atbwillbthebnursebexplainbtobthisbpatient?
a. Hypothyroidismbisbabnormalbeffectbofbpregnancybandbusuallybisbofbnobconsequence.
b. Neuropsychologicbdeficitsbinbthebfetusbcanboccurbifbthebconditionbisbnotbtreated.
c. Nobdangerbtobthebfetusbexistsbuntilbthebthirdbtrimester.
d. Treatmentbisbrequiredbonlybifbthebpatientbisbexperiencingbsymptoms.b-
bANSWERbb.b Neuropsychologicbdeficitsbinbthebfetusbcanboccurbifbthebconditionbisbnotbtr
eated.
*Thyroidbhormonesbarebcrucialbforbthebnormalbdevelopmentbofbthebfetalbbrainbandbnervousb
systembandbmustbbebtreatedbinbpregnancy.
10. Abnursebisbteachingbabpatientbwhobhasbbeenbdiagnosedbwithbhypothyroidismbaboutbl
evothyroxineb(Synthroid).bWhichbstatementbbybthebpatientbindicatesbabneedbforbfurtherbte
aching?
a. "Ibshouldbnotbtakebheartburnbmedicationbwithoutbconsultingbmybprovider."
b. "Ibshouldbreportbinsomnia,btremors,bandbanbincreasedbheartbratebtobmybprovider."bc.b"IfbIbt
akebabmultivitaminbwithbiron,bIbshouldbtakebitb4bhoursbafterbthebSynthroid."
d."IfbIbtakebcalciumbsupplements,bIbmaybneedbtobdecreasebmybdosebofbSynthroid."b-
ANSWERbd."IfbIbtakebcalciumbsupplements,bIbmaybneedbtobdecreasebmybdosebofbSy
b
nthroid."
, *thisbstatementbisbincorrectbsincebcalciumbinterferesbwithbthebabsorptionbofbSynthroid,bitbmayb
needbtobbebincreasedbnotbdecreased.
11. AbpatientbwithbhypothyroidismbbeginsbtakingbPOblevothyroxineb(Synthroid).bThebnurseba
ssessesbthebpatientbatbthebbeginningbofbthebshiftbandbnotesbabheartbratebofb62bbeatsbperbmin
utebandbabtemperaturebofb97.2°bF.bThebpatientbisblethargicbandbdifficultbtobarouse.bThebnurse
bwillbcontactbthebproviderbtobrequestbanborderbforbwhichbdrug?
a. Betabblocker
b. IncreasedbdosebofbPOblevothyroxine
c. Intravenousblevothyroxine
d. Methimazoleb(Tapazole)b-bANSWERbc.bIntravenousblevothyroxine
*IVballowsbforbabmorebrapidbcorrectionbofbthyroidbhormoneblevelsbespeciallybhypothyroidis
mbwithbsymptomsbofbmyxedemabcomaborbseverebhypothyroidism.bThisbisbconsideredbabme
dicalbemergency.
12. Abpatientbisbadmittedbtobthebhospitalbandbwillbbeginbtakingblevothyroxineb(Synthroid).b
Thebnurseblearnsbthatbthebpatientbalsobtakesbwarfarinb(Coumadin).bThebnursebwillbnotifybth
ebproviderbtobdiscussb theb dose.
a. reducingblevothyroxine
b. reducingbwarfarin
c. increasingblevothyroxine
d. increasingbwarfarinb-bANSWERbb.breducingbwarfarin
*Levothyroxineb(Synthroid)bcanbpotentiallybincreasebthebeffectsbofbwarfarin,bleadingbtobanbinc
reasedbriskbofbbleeding.
13. Anbolderbadultbpatientbisbdiagnosedbwithbhypothyroidism.bThebinitialbfreebT4blevelbis
0.5bmg/dL,bandbthebTSHblevelbisb8bmicrounits/mL.bThebprescriberbordersblevothyroxineb(Levo
throid)b100bmcg/daybPO.bWhatbwillbthebnursebdo?
a. Administerbthebmedicationbasbordered.
b. ContactbthebproviderbtobdiscussbgivingbtheblevothyroxinebIV.
c. Requestbanborderbtobgivebdesiccatedbthyroidb(ArmourbThyroid).
d. Suggestbthatbthebproviderblowerbthebdose.b-
bANSWERbd.bSuggestbthatbthebproviderb lowerbthebdose.
*normalbTSHbisb0.4-4.
14. Ab1-year-
oldbchildbwithbcretinismbhasbbeenbreceivingb8bmcg/kg/daybofblevothyroxineb(Synthroid).bTh
ebchildbcomesbtobthebclinicbforbabwell-childbcheckbup.bThebnursebwillbexpectbthebproviderbto:
a. changebthebdosebofblevothyroxinebtob6bmcg/kg/day.
