NUR 2474 PHARMACOLOGY FINAL 2 LATEST VERSIONS
(VERSION A & B) AND A STUDY GUIDE 2025-2026 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
C
Terms in this set (150)
1. The
nurse working on a high- a. The NPO patient with a blood glucose level of 80 mg/dL
acuity who just received 20 units of 70/30 Novolin insulin.
medical-surgical unit is
prioritizing care for four *low/normal BGL and insulin will continue to drop glucose
patients who were just level. At risk for hypoglycemia.
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)
,2. A
patient with type 1 diabetes is d. Lispro (Humalog)
eating
breakfast at 7:30 AM. Blood *high blood sugar needs rapid acting insulin.
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)
3. A patient with type 1 c. Six or seven times a day
diabetes recently became
pregnant. The nurse plans a *pregnancy can effect glucose levels. Frequent monitoring required.
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
,4. An adolescent patient recently a. "Unless you were fasting for longer than 8 hours, this does
attended a health fair and had a not necessarily mean you have diabetes."
serum glucose test. The patient
telephones the nurse and says, *could be a normal level without fasting and does not mean
"My level was 125 mg/dL. Does diabetes unless it was high for a fasting blood glucose level.
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 c. Once daily at bedtime
for a
hospitalized patient who is *goodnight glargine
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
, 6. A patient with type 1 diabetes d. The beta blocker can mask the symptoms of hypoglycemia.
who takes insulin reports
taking propranolol for *beta blockers block adrenaline which signals the liver to
hypertension. Why is the nurse release glucose in the blood when glucose is low to avoid
concerned?
hypoglycemia.
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.
Which statement is correct about
7. a. Miglitol has not been associated with hepatic dysfunction.
the
contrast between a carbose and *key difference is that acarbose has been associated with rare
miglitol?
cases of hepatic dysfunction
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.
(VERSION A & B) AND A STUDY GUIDE 2025-2026 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
C
Terms in this set (150)
1. The
nurse working on a high- a. The NPO patient with a blood glucose level of 80 mg/dL
acuity who just received 20 units of 70/30 Novolin insulin.
medical-surgical unit is
prioritizing care for four *low/normal BGL and insulin will continue to drop glucose
patients who were just level. At risk for hypoglycemia.
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)
,2. A
patient with type 1 diabetes is d. Lispro (Humalog)
eating
breakfast at 7:30 AM. Blood *high blood sugar needs rapid acting insulin.
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)
3. A patient with type 1 c. Six or seven times a day
diabetes recently became
pregnant. The nurse plans a *pregnancy can effect glucose levels. Frequent monitoring required.
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
,4. An adolescent patient recently a. "Unless you were fasting for longer than 8 hours, this does
attended a health fair and had a not necessarily mean you have diabetes."
serum glucose test. The patient
telephones the nurse and says, *could be a normal level without fasting and does not mean
"My level was 125 mg/dL. Does diabetes unless it was high for a fasting blood glucose level.
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 c. Once daily at bedtime
for a
hospitalized patient who is *goodnight glargine
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
, 6. A patient with type 1 diabetes d. The beta blocker can mask the symptoms of hypoglycemia.
who takes insulin reports
taking propranolol for *beta blockers block adrenaline which signals the liver to
hypertension. Why is the nurse release glucose in the blood when glucose is low to avoid
concerned?
hypoglycemia.
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.
Which statement is correct about
7. a. Miglitol has not been associated with hepatic dysfunction.
the
contrast between a carbose and *key difference is that acarbose has been associated with rare
miglitol?
cases of hepatic dysfunction
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.
