Page 1 of 176
NUR2474 / NUR 2474 Final Exam 3 Review (Latest
2025): Pharmacology for Professional Nursing -
Rasmussen
1. The nurse working on a high-acuity medical-surgical unit is
prioritizing care for four patients who were just 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)
,Page 2 of 176
.....ANSWER.....a. The NPO patient with a blood glucose level of
80 mg/dL who just received 20 units of 70/30 Novolin insulin.
*low/normal BGL and insulin will continue to drop glucose level.
At risk for hypoglycemia.
2. A patient 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 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) .....ANSWER.....d. Lispro (Humalog)
,Page 3 of 176
*high blood sugar needs rapid acting insulin.
3. A patient with type 1 diabetes recently became pregnant. The
nurse 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
.....ANSWER.....c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring
required.
, Page 4 of 176
4. An adolescent patient recently attended a health fair and had
a serum glucose test. The patient telephones the nurse 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."
.....ANSWER.....a. "Unless you were fasting for longer than 8
hours, this does not necessarily mean you have diabetes."
NUR2474 / NUR 2474 Final Exam 3 Review (Latest
2025): Pharmacology for Professional Nursing -
Rasmussen
1. The nurse working on a high-acuity medical-surgical unit is
prioritizing care for four patients who were just 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)
,Page 2 of 176
.....ANSWER.....a. The NPO patient with a blood glucose level of
80 mg/dL who just received 20 units of 70/30 Novolin insulin.
*low/normal BGL and insulin will continue to drop glucose level.
At risk for hypoglycemia.
2. A patient 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 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) .....ANSWER.....d. Lispro (Humalog)
,Page 3 of 176
*high blood sugar needs rapid acting insulin.
3. A patient with type 1 diabetes recently became pregnant. The
nurse 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
.....ANSWER.....c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring
required.
, Page 4 of 176
4. An adolescent patient recently attended a health fair and had
a serum glucose test. The patient telephones the nurse 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."
.....ANSWER.....a. "Unless you were fasting for longer than 8
hours, this does not necessarily mean you have diabetes."
