NURS 251 PHARMACOLOGY MODULE 7 EXAM
2026/2027 | PORTAGE LEARNING
30 Questions | Updated Version | Verified Answers | 100% Correct | Graded A+
Endocrine System Pharmacology
Portage Learning-Aligned Format
Core Domains Covered:
Insulins & Oral Hypoglycemics | Thyroid Agents | Corticosteroids
Diabetes Management | Adrenal Hormone Therapy
Patient Education & Monitoring | Drug Interactions
Hypoglycemia Management | Special Populations
Nursing Process Applications | Clinical Decision-Making
, NURS 251 Module 7 Exam | Portage Learning | 2026/2027
Introduction
This NURS 251 Pharmacology Module 7 Exam for 2026/2027 reflects the standardized module
assessment used to evaluate competency in endocrine system pharmacology for nursing students at
Portage Learning. The exam measures knowledge of insulin types, oral antidiabetic agents, thyroid
medications, corticosteroids, adverse effect recognition, patient education strategies, and scenario-
based clinical decision-making essential for safe, effective medication administration in endocrine
care.
The standard NURS 251 Module 7 examination consists of approximately 30 multiple-choice
questions covering critical pharmacotherapeutic domains, with content aligned to current clinical
practice guidelines and nursing scope of practice.
Exam Structure
• 30 multiple-choice questions covering core pharmacotherapeutic domains
• Single-best-answer and scenario-based endocrine pharmacology items
• Focus on evidence-based medication administration, patient safety protocols, and clinical judgment
• Total testing time: Approximately 60 minutes (computer-based, proctored format)
• Passing score: Typically 75-80% required per Portage Learning nursing program policy
Answer Format
All correct answers are presented in bold and green. Each question appears in bold. All rationales
explaining pharmacologic mechanisms, nursing considerations, patient teaching strategies, and
scenario-based clinical reasoning are written in italic font.
1. Which type of insulin has the fastest onset of action?
A. Glargine (Lantus)
B. NPH insulin
C. Lispro (Humalog)
D. Regular insulin
Rationale: Lispro (Humalog) is a rapid-acting insulin with an onset of 15-30 minutes, making it
the fastest among the options. Glargine is a long-acting insulin with onset of 1-2 hours. NPH is
an intermediate-acting insulin with onset of 1-2 hours. Regular insulin is short-acting with onset
of 30-60 minutes. Rapid-acting insulins like lispro are typically administered immediately
before or after meals to control postprandial glucose.
2. A patient is prescribed NPH insulin and regular insulin to be administered
simultaneously. What is the correct nursing action?
A. Administer in separate syringes at different sites
B. Draw up regular insulin first, then NPH insulin in the same syringe
C. Draw up NPH insulin first, then regular insulin in the same syringe
D. Mix the two insulins in a vial before drawing up
Rationale: When mixing insulins, the nurse should draw up the clear, short-acting insulin
(regular) first, then the cloudy, intermediate-acting insulin (NPH) second. This prevents
contamination of the regular insulin vial with NPH insulin, which could alter the onset and
duration of the regular insulin. The mnemonic 'clear to cloudy' helps remember the correct
order. Never mix long-acting insulins like glargine with other insulins.
3. Which symptom requires immediate intervention in a patient receiving insulin
therapy?
A. Polyuria and polydipsia
Page 2 of 9
2026/2027 | PORTAGE LEARNING
30 Questions | Updated Version | Verified Answers | 100% Correct | Graded A+
Endocrine System Pharmacology
Portage Learning-Aligned Format
Core Domains Covered:
Insulins & Oral Hypoglycemics | Thyroid Agents | Corticosteroids
Diabetes Management | Adrenal Hormone Therapy
Patient Education & Monitoring | Drug Interactions
Hypoglycemia Management | Special Populations
Nursing Process Applications | Clinical Decision-Making
, NURS 251 Module 7 Exam | Portage Learning | 2026/2027
Introduction
This NURS 251 Pharmacology Module 7 Exam for 2026/2027 reflects the standardized module
assessment used to evaluate competency in endocrine system pharmacology for nursing students at
Portage Learning. The exam measures knowledge of insulin types, oral antidiabetic agents, thyroid
medications, corticosteroids, adverse effect recognition, patient education strategies, and scenario-
based clinical decision-making essential for safe, effective medication administration in endocrine
care.
The standard NURS 251 Module 7 examination consists of approximately 30 multiple-choice
questions covering critical pharmacotherapeutic domains, with content aligned to current clinical
practice guidelines and nursing scope of practice.
Exam Structure
• 30 multiple-choice questions covering core pharmacotherapeutic domains
• Single-best-answer and scenario-based endocrine pharmacology items
• Focus on evidence-based medication administration, patient safety protocols, and clinical judgment
• Total testing time: Approximately 60 minutes (computer-based, proctored format)
• Passing score: Typically 75-80% required per Portage Learning nursing program policy
Answer Format
All correct answers are presented in bold and green. Each question appears in bold. All rationales
explaining pharmacologic mechanisms, nursing considerations, patient teaching strategies, and
scenario-based clinical reasoning are written in italic font.
1. Which type of insulin has the fastest onset of action?
A. Glargine (Lantus)
B. NPH insulin
C. Lispro (Humalog)
D. Regular insulin
Rationale: Lispro (Humalog) is a rapid-acting insulin with an onset of 15-30 minutes, making it
the fastest among the options. Glargine is a long-acting insulin with onset of 1-2 hours. NPH is
an intermediate-acting insulin with onset of 1-2 hours. Regular insulin is short-acting with onset
of 30-60 minutes. Rapid-acting insulins like lispro are typically administered immediately
before or after meals to control postprandial glucose.
2. A patient is prescribed NPH insulin and regular insulin to be administered
simultaneously. What is the correct nursing action?
A. Administer in separate syringes at different sites
B. Draw up regular insulin first, then NPH insulin in the same syringe
C. Draw up NPH insulin first, then regular insulin in the same syringe
D. Mix the two insulins in a vial before drawing up
Rationale: When mixing insulins, the nurse should draw up the clear, short-acting insulin
(regular) first, then the cloudy, intermediate-acting insulin (NPH) second. This prevents
contamination of the regular insulin vial with NPH insulin, which could alter the onset and
duration of the regular insulin. The mnemonic 'clear to cloudy' helps remember the correct
order. Never mix long-acting insulins like glargine with other insulins.
3. Which symptom requires immediate intervention in a patient receiving insulin
therapy?
A. Polyuria and polydipsia
Page 2 of 9
