NSG240 PHARMACOLOGY FINAL
QUESTIONS AND ANSWERS ALREADY
PASSED LATEST UPDATED 2026
Question 1: A client was given psyllium (Metamucil) for constipation. Which
nursing action is essential when administering this medication?
A) Restrict oral fluid intake for at least four hours after administration.
B) Give plenty of fluids with the medication. ✔✔
C) Administer the medication immediately before the patient goes to sleep.
D) Place the patient on strict bed rest for the remainder of the day.
Question 2: To which medication class does psyllium belong, and what is its
primary mechanism of action?
A) Osmotic laxative – draws water directly into the colon to soften stool.
B) Stimulant laxative – increases intestinal motility by irritating the nerve plexus.
C) Bulk laxative – causes feces to clump and increases stool mass to stimulate
peristalsis. ✔✔
D) Stool softener – lowers surface tension to allow water and fats to penetrate the
stool.
Question 3: A client was given insulin 30 minutes before breakfast, but the
breakfast tray was never received. The client is now reporting feeling jittery and
nervous. What should the nurse do first?
A) Check the client's blood sugar (likely <70 mg/dL) and give a cup of orange,
apple, or cranberry juice. ✔✔
, B) Administer another dose of insulin to calm the patient's nervous system.
C) Encourage the patient to lie down, rest, and wait for the next scheduled meal.
D) Order a routine stat electrocardiogram (ECG) and hold all oral fluids.
Question 4: When comparing a typical dual-insulin regimen containing both
Regular and NPH insulins, which one usually requires the larger number of units?
A) NPH; because it is a long-acting background insulin.
B) Regular; because it is the shorter-acting/intermediate component used for
mealtime coverage. ✔✔
C) Both are always prescribed in identical, equal amounts.
D) Neither; units are determined solely by the patient's body temperature.
Question 5: What are the expected durations of action for NPH insulin and Regular
insulin, respectively?
A) NPH lasts 2 to 4 hours; Regular lasts 24 to 36 hours.
B) NPH lasts 6 to 10 hours; Regular lasts 16 to 24 hours.
C) NPH lasts 12 to 14 hours; Regular lasts 1 to 2 hours.
D) NPH lasts 16 to 24 hours; Regular lasts 6 to 10 hours. ✔✔Client has taken oral
diabetic med, but refuses breakfast. What should the nurse do? -ANSWER ✔✔-
Monitor for hypOglycemia
-Check blood sugar, and if needed, give glucose tabs, IM glucagon, or OJ/grape
juice/milk
-Recheck blood sugar
Finasteride Indication -ANSWER ✔✔BPH (benign prostatic hyperplasia) for men
QUESTIONS AND ANSWERS ALREADY
PASSED LATEST UPDATED 2026
Question 1: A client was given psyllium (Metamucil) for constipation. Which
nursing action is essential when administering this medication?
A) Restrict oral fluid intake for at least four hours after administration.
B) Give plenty of fluids with the medication. ✔✔
C) Administer the medication immediately before the patient goes to sleep.
D) Place the patient on strict bed rest for the remainder of the day.
Question 2: To which medication class does psyllium belong, and what is its
primary mechanism of action?
A) Osmotic laxative – draws water directly into the colon to soften stool.
B) Stimulant laxative – increases intestinal motility by irritating the nerve plexus.
C) Bulk laxative – causes feces to clump and increases stool mass to stimulate
peristalsis. ✔✔
D) Stool softener – lowers surface tension to allow water and fats to penetrate the
stool.
Question 3: A client was given insulin 30 minutes before breakfast, but the
breakfast tray was never received. The client is now reporting feeling jittery and
nervous. What should the nurse do first?
A) Check the client's blood sugar (likely <70 mg/dL) and give a cup of orange,
apple, or cranberry juice. ✔✔
, B) Administer another dose of insulin to calm the patient's nervous system.
C) Encourage the patient to lie down, rest, and wait for the next scheduled meal.
D) Order a routine stat electrocardiogram (ECG) and hold all oral fluids.
Question 4: When comparing a typical dual-insulin regimen containing both
Regular and NPH insulins, which one usually requires the larger number of units?
A) NPH; because it is a long-acting background insulin.
B) Regular; because it is the shorter-acting/intermediate component used for
mealtime coverage. ✔✔
C) Both are always prescribed in identical, equal amounts.
D) Neither; units are determined solely by the patient's body temperature.
Question 5: What are the expected durations of action for NPH insulin and Regular
insulin, respectively?
A) NPH lasts 2 to 4 hours; Regular lasts 24 to 36 hours.
B) NPH lasts 6 to 10 hours; Regular lasts 16 to 24 hours.
C) NPH lasts 12 to 14 hours; Regular lasts 1 to 2 hours.
D) NPH lasts 16 to 24 hours; Regular lasts 6 to 10 hours. ✔✔Client has taken oral
diabetic med, but refuses breakfast. What should the nurse do? -ANSWER ✔✔-
Monitor for hypOglycemia
-Check blood sugar, and if needed, give glucose tabs, IM glucagon, or OJ/grape
juice/milk
-Recheck blood sugar
Finasteride Indication -ANSWER ✔✔BPH (benign prostatic hyperplasia) for men
