NUR 2474 PHARMACOLOGY
FINAL 2 LATEST VERSIONS
(VERSION A & B) AND A STUDY
GUIDE 2026-2027 ACTUAL EXAM
150 QUESTIONS AND CORRECT
DETAILED ANSWERS
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) - 🧠 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)
*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.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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."
*could be a normal level without fasting and does not mean diabetes unless
it was high for a fasting blood glucose level.
FINAL 2 LATEST VERSIONS
(VERSION A & B) AND A STUDY
GUIDE 2026-2027 ACTUAL EXAM
150 QUESTIONS AND CORRECT
DETAILED ANSWERS
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) - 🧠 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)
*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.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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."
*could be a normal level without fasting and does not mean diabetes unless
it was high for a fasting blood glucose level.
