l O Mo A R c P SD | 117 16 63 9
NUR 2474 / NUR2474 PHARMACOLOGY FINAL EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.
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, l O Mo A R c P SD | 117 16 63 9
NUR 2474 PHARMACOLOGY FINAL EXAM
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)
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)
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
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, l O Mo A R c P SD | 117 16 63 9
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."
5. Insulin glargine is prescribed for a hospitalized patient who is 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 who takes insulin reports taking propranolol for
hypertension. Why is the nurse 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.
, l O Mo A R c P SD | 117 16 63 9
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
8. A nurse counsels a patient with diabetes who is starting therapy with an alpha- glucosidase
inhibitor. The patient 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 nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. The patient
tells the nurse she does not want to take medications while she is pregnant. What will the nurse
explain to this patient?
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 patient is experiencing symptoms.
10. A nurse is teaching a patient who has been diagnosed with hypothyroidism about
levothyroxine (Synthroid). Which statement by the patient 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."
Downloaded by Samuel Gero ()
NUR 2474 / NUR2474 PHARMACOLOGY FINAL EXAM. QUESTIONS WITH 100% CORRECT ANSWERS.
Downloaded by Samuel Gero ()
, l O Mo A R c P SD | 117 16 63 9
NUR 2474 PHARMACOLOGY FINAL EXAM
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)
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)
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
Downloaded by Samuel Gero ()
, l O Mo A R c P SD | 117 16 63 9
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."
5. Insulin glargine is prescribed for a hospitalized patient who is 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 who takes insulin reports taking propranolol for
hypertension. Why is the nurse 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.
, l O Mo A R c P SD | 117 16 63 9
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
8. A nurse counsels a patient with diabetes who is starting therapy with an alpha- glucosidase
inhibitor. The patient 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 nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. The patient
tells the nurse she does not want to take medications while she is pregnant. What will the nurse
explain to this patient?
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 patient is experiencing symptoms.
10. A nurse is teaching a patient who has been diagnosed with hypothyroidism about
levothyroxine (Synthroid). Which statement by the patient 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."
Downloaded by Samuel Gero ()
