NSG 533 Advanced Pharmacology Exam | Wilkes University
2026 | Most Tested Questions & Verified Answers | Latest
Update | Graded A+
1. What are the two primary types of monitoring necessary for managing
diabetes effectively?
Weight tracking and dietary assessments.
Regular blood glucose checks and HbA1C testing.
Daily calorie intake and exercise logs.
Blood pressure and cholesterol levels.
2. A patient with GERD is prescribed a PPI but also takes multiple medications
for diabetes. What should be considered in their treatment plan?
Patients should stop all other medications when starting a PPI.
PPIs should be taken with food to enhance their effect.
The effectiveness of PPIs is unrelated to other medications.
Potential drug interactions and the need for individualized
medication management.
3. What are the three main factors to consider when creating individualized
treatment plans for diabetes patients?
Medication adherence, lifestyle choices, and blood glucose levels.
Age, gender, and socioeconomic status.
Patient history, comorbidities, and specific medication effects.
Dietary preferences, exercise habits, and family history.
4. A newly diagnosed type 2 diabetic client has been prescribed metformin.
When explaining the actions of this medication, the nurse should include
, which statement? This medication:
blocks the action of intestinal disorder that breaks down complex
carbohydrates.
increases insulin sensitivity in the insulin/responsive tissues - liver,
skeletal muscle, and fat - allowing the t
inhibits hepatic glucose production and increases the sensitivity of
peripheral tissues to the actions of insulin.
5. Which best describes the pharmacokinetic profile of insulin aspart
(Novolog)?
onset <25 minutes, peaks 1 hour, duration 3-4 hours
Onset 3-4 hours, duration 24 hours without a peak
onset 1 hour, peak 3-4 hours, lasts 10-12 hours
onset 6 hours, peaks 10-16 hours and duration of 18-20 hours
6. Your patient reports gastrointestinal discomfort, including flatulence and
diarrhea. Which class of antidiabetic medications can cause these
gastrointestinal side effects by delaying carbohydrate digestion and
absorption?
Sulfonylureas
Biguanides
Thiazolidinediones
Alpha-glucosidase inhibitors
7. Describe the criteria for considering high intensity statin therapy in patients
with diabetes aged 40-75.
, High intensity statin therapy is not recommended for any patients with
diabetes.
High intensity statin therapy is recommended for all patients with
diabetes aged 40-75.
High intensity statin therapy is only for patients with Type I diabetes.
High intensity statin therapy can be considered if the patient's 10-
year ASCVD risk is greater than 7.5%.
8. A diabetic patient asks the clinician why he needs to check his blood sugar at
home even when he feels good, what is the best response?
All of the answers
Monitoring glucose will promote a sense of control
Control of glucose will help postpone or delay complications
It will help establish a routine
9. What A1C level indicates the need for dual therapy in diabetes management?
Between 6.0% and 6.5%
Less than 6.5%
Exactly 7.0%
Greater than 7.5%
10. If a patient with known gastric ulcers reports increased belching and nausea
after a family gathering where they consumed a large meal and alcohol,
what should be the immediate recommendation?
Recommend immediate surgery to address the ulcers.
Encourage the patient to eat more frequently in smaller portions.
, Advise the patient to avoid large meals and alcohol to manage
symptoms.
Suggest the patient increase alcohol intake to build tolerance.
11. A diabetic patient asks the clinician why he needs to check his blood sugar at
home even when he feels good. Which of the following responses would be
most appropriate?
"Control of glucose will help postpone or delay complications."
"It will help establish a routine."
"Monitoring glucose will promote a sense of control."
All of the above
12. Why are ACEI (angiotensin converting enzyme inhibitors)used in diabetic
nephropathy?
To decrease proteinuria
To elevate blood pressure
To increase water retention
To decrease renal blood flow
13. Describe the primary symptoms associated with thyrotoxicosis and their
physiological implications.
Thyrotoxicosis leads to decreased heart rate and lethargy due to
insufficient thyroid hormones.
Thyrotoxicosis causes weight gain and fatigue due to low metabolic
activity.
Symptoms of thyrotoxicosis include rapid heartbeat and anxiety,
which result from increased metabolic activity due to excess
2026 | Most Tested Questions & Verified Answers | Latest
Update | Graded A+
1. What are the two primary types of monitoring necessary for managing
diabetes effectively?
Weight tracking and dietary assessments.
Regular blood glucose checks and HbA1C testing.
Daily calorie intake and exercise logs.
Blood pressure and cholesterol levels.
2. A patient with GERD is prescribed a PPI but also takes multiple medications
for diabetes. What should be considered in their treatment plan?
Patients should stop all other medications when starting a PPI.
PPIs should be taken with food to enhance their effect.
The effectiveness of PPIs is unrelated to other medications.
Potential drug interactions and the need for individualized
medication management.
3. What are the three main factors to consider when creating individualized
treatment plans for diabetes patients?
Medication adherence, lifestyle choices, and blood glucose levels.
Age, gender, and socioeconomic status.
Patient history, comorbidities, and specific medication effects.
Dietary preferences, exercise habits, and family history.
4. A newly diagnosed type 2 diabetic client has been prescribed metformin.
When explaining the actions of this medication, the nurse should include
, which statement? This medication:
blocks the action of intestinal disorder that breaks down complex
carbohydrates.
increases insulin sensitivity in the insulin/responsive tissues - liver,
skeletal muscle, and fat - allowing the t
inhibits hepatic glucose production and increases the sensitivity of
peripheral tissues to the actions of insulin.
5. Which best describes the pharmacokinetic profile of insulin aspart
(Novolog)?
onset <25 minutes, peaks 1 hour, duration 3-4 hours
Onset 3-4 hours, duration 24 hours without a peak
onset 1 hour, peak 3-4 hours, lasts 10-12 hours
onset 6 hours, peaks 10-16 hours and duration of 18-20 hours
6. Your patient reports gastrointestinal discomfort, including flatulence and
diarrhea. Which class of antidiabetic medications can cause these
gastrointestinal side effects by delaying carbohydrate digestion and
absorption?
Sulfonylureas
Biguanides
Thiazolidinediones
Alpha-glucosidase inhibitors
7. Describe the criteria for considering high intensity statin therapy in patients
with diabetes aged 40-75.
, High intensity statin therapy is not recommended for any patients with
diabetes.
High intensity statin therapy is recommended for all patients with
diabetes aged 40-75.
High intensity statin therapy is only for patients with Type I diabetes.
High intensity statin therapy can be considered if the patient's 10-
year ASCVD risk is greater than 7.5%.
8. A diabetic patient asks the clinician why he needs to check his blood sugar at
home even when he feels good, what is the best response?
All of the answers
Monitoring glucose will promote a sense of control
Control of glucose will help postpone or delay complications
It will help establish a routine
9. What A1C level indicates the need for dual therapy in diabetes management?
Between 6.0% and 6.5%
Less than 6.5%
Exactly 7.0%
Greater than 7.5%
10. If a patient with known gastric ulcers reports increased belching and nausea
after a family gathering where they consumed a large meal and alcohol,
what should be the immediate recommendation?
Recommend immediate surgery to address the ulcers.
Encourage the patient to eat more frequently in smaller portions.
, Advise the patient to avoid large meals and alcohol to manage
symptoms.
Suggest the patient increase alcohol intake to build tolerance.
11. A diabetic patient asks the clinician why he needs to check his blood sugar at
home even when he feels good. Which of the following responses would be
most appropriate?
"Control of glucose will help postpone or delay complications."
"It will help establish a routine."
"Monitoring glucose will promote a sense of control."
All of the above
12. Why are ACEI (angiotensin converting enzyme inhibitors)used in diabetic
nephropathy?
To decrease proteinuria
To elevate blood pressure
To increase water retention
To decrease renal blood flow
13. Describe the primary symptoms associated with thyrotoxicosis and their
physiological implications.
Thyrotoxicosis leads to decreased heart rate and lethargy due to
insufficient thyroid hormones.
Thyrotoxicosis causes weight gain and fatigue due to low metabolic
activity.
Symptoms of thyrotoxicosis include rapid heartbeat and anxiety,
which result from increased metabolic activity due to excess
