NUR2474 Exam 1: Pharmacology for
Professional Nursing Exam 1 2024-2025. All 150
Questions and Correct Answers.
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? - CORRECT CORRECT
ANSWER>>Lispro (Humalog)
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? - CORRECT CORRECT
ANSWER>>Six or seven times a day
What is the most reliable measure for assessing diabetes control over the preceding 3-month
period? - CORRECT CORRECT ANSWER>>Glycosylated hemoglobin level
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection.
What should the nurse tell the patient? - CORRECT CORRECT ANSWER>>This is an acceptable
practice.
Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the nurse
administer this drug? - CORRECT CORRECT ANSWER>>Once daily at bedtime
A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.
Why is the nurse concerned? - CORRECT CORRECT ANSWER>>The beta blocker can mask the
symptoms of hypoglycemia.
A patient has type II diabetes that has been well controlled by a sulfonylurea. However,
recently the patient has been experiencing repeated hypoglycemic reactions. The nurse should
assess the patient for - CORRECT CORRECT ANSWER>>concomitant use of nonsteroidal anti-
inflammatory agents.
The nurse manages care for a patient with diabetes who takes metformin. Which laboratory
result would cause the greatest concern? - CORRECT CORRECT ANSWER>>Elevated creatinine
, Which patient with diabetes would be a poor candidate for a glitazone? - CORRECT CORRECT
ANSWER>>A patient in heart failure
For the most consistent absorption, insulin should be injected into which site? - CORRECT
CORRECT ANSWER>>Abdomen
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? - CORRECT CORRECT ANSWER>>Neuropsychologic deficits in the
fetus can occur if the condition is not treated.
A patient in her twenties with Graves' disease who takes methimazole (Tapazole) tells a nurse
that she is trying to conceive and asks about disease management during pregnancy. What will
the nurse tell her? - CORRECT CORRECT ANSWER>>The patient should discuss changing to
propylthiouracil from now until her second trimester with her provider.
A nurse is teaching a patient who has been diagnosed with hypothyroidism about levothyroxine
(Synthroid). Which statement by the patient indicates a need for further teaching? - CORRECT
CORRECT ANSWER>>"If I take calcium supplements, I may need to decrease my dose of
Synthroid."
A patient has been taking levothyroxine for several years and reports that "for the past 2
weeks, the drug doesn't seem to work as well as before." What will the nurse do? - CORRECT
CORRECT ANSWER>>Ask the patient when the prescription was last refilled.
A patient is admitted to the hospital and will begin taking levothyroxine (Synthroid). The nurse
learns that the patient also takes warfarin (Coumadin). The nurse will notify the provider to
discuss _____ the _____ dose. - CORRECT CORRECT ANSWER>>reducing; warfarin
The nurse prepares a patient with Graves' disease for radioactive iodine (131I) therapy. Which
statement made by the patient best demonstrates understanding of 131I therapy? - CORRECT
CORRECT ANSWER>>"This drug will be taken up by the thyroid gland and will destroy the cells
to reduce my hyperthyroidism."
A nurse is teaching a patient who will begin taking methimazole (Tapazole) for Graves' disease
about the medication. Which statement by the patient indicates understanding of the
teaching? - CORRECT CORRECT ANSWER>>"I should report a sore throat or fever to my provider
if either occurs."
Professional Nursing Exam 1 2024-2025. All 150
Questions and Correct Answers.
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? - CORRECT CORRECT
ANSWER>>Lispro (Humalog)
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? - CORRECT CORRECT
ANSWER>>Six or seven times a day
What is the most reliable measure for assessing diabetes control over the preceding 3-month
period? - CORRECT CORRECT ANSWER>>Glycosylated hemoglobin level
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection.
What should the nurse tell the patient? - CORRECT CORRECT ANSWER>>This is an acceptable
practice.
Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the nurse
administer this drug? - CORRECT CORRECT ANSWER>>Once daily at bedtime
A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.
Why is the nurse concerned? - CORRECT CORRECT ANSWER>>The beta blocker can mask the
symptoms of hypoglycemia.
A patient has type II diabetes that has been well controlled by a sulfonylurea. However,
recently the patient has been experiencing repeated hypoglycemic reactions. The nurse should
assess the patient for - CORRECT CORRECT ANSWER>>concomitant use of nonsteroidal anti-
inflammatory agents.
The nurse manages care for a patient with diabetes who takes metformin. Which laboratory
result would cause the greatest concern? - CORRECT CORRECT ANSWER>>Elevated creatinine
, Which patient with diabetes would be a poor candidate for a glitazone? - CORRECT CORRECT
ANSWER>>A patient in heart failure
For the most consistent absorption, insulin should be injected into which site? - CORRECT
CORRECT ANSWER>>Abdomen
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? - CORRECT CORRECT ANSWER>>Neuropsychologic deficits in the
fetus can occur if the condition is not treated.
A patient in her twenties with Graves' disease who takes methimazole (Tapazole) tells a nurse
that she is trying to conceive and asks about disease management during pregnancy. What will
the nurse tell her? - CORRECT CORRECT ANSWER>>The patient should discuss changing to
propylthiouracil from now until her second trimester with her provider.
A nurse is teaching a patient who has been diagnosed with hypothyroidism about levothyroxine
(Synthroid). Which statement by the patient indicates a need for further teaching? - CORRECT
CORRECT ANSWER>>"If I take calcium supplements, I may need to decrease my dose of
Synthroid."
A patient has been taking levothyroxine for several years and reports that "for the past 2
weeks, the drug doesn't seem to work as well as before." What will the nurse do? - CORRECT
CORRECT ANSWER>>Ask the patient when the prescription was last refilled.
A patient is admitted to the hospital and will begin taking levothyroxine (Synthroid). The nurse
learns that the patient also takes warfarin (Coumadin). The nurse will notify the provider to
discuss _____ the _____ dose. - CORRECT CORRECT ANSWER>>reducing; warfarin
The nurse prepares a patient with Graves' disease for radioactive iodine (131I) therapy. Which
statement made by the patient best demonstrates understanding of 131I therapy? - CORRECT
CORRECT ANSWER>>"This drug will be taken up by the thyroid gland and will destroy the cells
to reduce my hyperthyroidism."
A nurse is teaching a patient who will begin taking methimazole (Tapazole) for Graves' disease
about the medication. Which statement by the patient indicates understanding of the
teaching? - CORRECT CORRECT ANSWER>>"I should report a sore throat or fever to my provider
if either occurs."
