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1
NUR2474 PHARMACOLOGY FINAL EXAM2025-
2026 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|||ALREADY GRADED A+|||NEWEST VERSION
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)
Ans: 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?
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a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Lispro (Humalog)
Ans: 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
Ans: c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring required.
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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."
Ans: 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.
5. Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the
nurse administer this drug?
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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
Ans: c. Once daily at bedtime
*goodnight glargine
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.
Ans: d. The beta blocker can mask the symptoms of hypoglycemia.
*beta blockers block adrenaline which signals the liver to release glucose in the blood when
glucose is low to avoid hypoglycemia.
o
o
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© 2024 TestTrackers o Resources & Updates: [Testtrackers - Stuvia US]
o Customer Support: o Your Success is Our Mission!
[+254707240657]
1
NUR2474 PHARMACOLOGY FINAL EXAM2025-
2026 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|||ALREADY GRADED A+|||NEWEST VERSION
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)
Ans: 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?
o
o
Thank You for Choosing Us!
© 2024 TestTrackers o Resources & Updates: [Testtrackers - Stuvia US]
o Customer Support: o Your Success is Our Mission!
[+254707240657]
, Testtrackers
2
a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Lispro (Humalog)
Ans: 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
Ans: c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring required.
o
o
Thank You for Choosing Us!
© 2024 TestTrackers o Resources & Updates: [Testtrackers - Stuvia US]
o Customer Support: o Your Success is Our Mission!
[+254707240657]
, Testtrackers
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."
Ans: 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.
5. Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the
nurse administer this drug?
o
o
Thank You for Choosing Us!
© 2024 TestTrackers o Resources & Updates: [Testtrackers - Stuvia US]
o Customer Support: o Your Success is Our Mission!
[+254707240657]
, Testtrackers
4
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
Ans: c. Once daily at bedtime
*goodnight glargine
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.
Ans: d. The beta blocker can mask the symptoms of hypoglycemia.
*beta blockers block adrenaline which signals the liver to release glucose in the blood when
glucose is low to avoid hypoglycemia.
o
o
Thank You for Choosing Us!
© 2024 TestTrackers o Resources & Updates: [Testtrackers - Stuvia US]
o Customer Support: o Your Success is Our Mission!
[+254707240657]
