NUR 2474 PHARMACOLOGY FINAL
EXAM NCLEX LATEST 2023 100%
GRADED A + WITH VERIFIED
QUESTIONS AND ANSWERS
, NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Study online at https://quizlet.com/_9y99m4
1. The nurse working on a high-acuity medical-surgical
a.The NPO patient
unit is prioritizing care for four patients who were
with a blood glu-
just admitted. Which patient should the nurse assess
cose level of 80
first?
mg/dL who just re-
ceived 20 units of
a.The NPO patient with a blood glucose level of 80
70/30 Novolin in-
mg/dL who just received 20 units of 70/30 Novolin
sulin
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 re-
ceiving an infusion of vancomycin (Vancocin)
2. A patient with type 1 diabetes is eating breakfast at
d.Lispro (Huma-
7:30 AM. Blood sugars are on a sliding scale and are
log)
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?
a.No insulin should be administered.
b.NPH
c.70/30 mix
d.Lispro (Humalog)
3. A patient with type 1 diabetes recently became preg-
c.Six or seven
nant. The nurse plans a blood glucose testing sched-
times a day
ule 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
4. An adolescent patient recently attended a health fair
and had a serum glucose test. The patient telephones a."Unless you
were fasting for
, NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Study online at https://quizlet.com/_9y99m4
the nurse and says, "My level was 125 mg/dL. Does longer than 8
that mean I have diabetes?" What is the nurse's most hours, this does
accurate response? not necessarily
mean you have di-
a."Unless you were fasting for longer than 8 hours, abetes."
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."
5. Insulin glargine is prescribed for a hospitalized pa- c.Once daily at
tient who is diabetic. When will the nurse administer bedtime
this drug?
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
6. A patient with type 1 diabetes who takes insulin re- d.The beta block-
ports taking propranolol for hypertension. Why is the er can mask the
nurse concerned? symptoms of hy-
a.The beta blocker can cause insulin resistance. poglycemia.
b.Using the two agents together increases the risk of
ketoacidosis.
c.Propranolol increases insulin requirements be-
cause of receptor blocking.
d.The beta blocker can mask the symptoms of hypo-
glycemia.
7. Which statement is correct about the contrast be- a.Miglitol has not
tween acarbose and miglitol? been associated
with hepatic dys-
a. Miglitol has not been associated with hepatic dys- function.
function.
b. With miglitol, sucrose can be used to treat hypo-
, NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Study online at https://quizlet.com/_9y99m4
glycemia.
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
8. A nurse counsels a patient with diabetes who is start- b.Flatulence
ing therapy with an alpha-glucosidase inhibitor. The e.Diarrhea
patient should be educated about the potential for
which adverse reactions? (Select all that apply.)
a.Hypoglycemia
b.Flatulence
c.Elevated iron levels in the blood
d.Fluid retention
e. Diarrhea
9. The nurse is caring for a pregnant patient recently b.Neuropsycholog-
diagnosed with hypothyroidism. The patient tells the ic deficits in the
nurse she does not want to take medications while fetus can occur if
she is pregnant. What will the nurse explain to this the condition is
patient? not treated.
a.Hypothyroidism is a normal effect of pregnancy and
usually is of no consequence.
b.Neuropsychologic deficits in the fetus can occur if
the condition is not treated.
c.No danger to the fetus exists until the third
trimester.
d.Treatment is required only if the patient is experi-
encing symptoms.
10. A nurse is teaching a patient who has been diagnosed d."If I take calci-
with hypothyroidism about levothyroxine (Synthroid). um supplements, I
Which statement by the patient indicates a need for may need to de-
further teaching? crease my dose of
Synthroid."
a. "I should not take heartburn medication without
consulting my provider."
b. "I should report insomnia, tremors, and an in-
creased heart rate to my provider."
EXAM NCLEX LATEST 2023 100%
GRADED A + WITH VERIFIED
QUESTIONS AND ANSWERS
, NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Study online at https://quizlet.com/_9y99m4
1. The nurse working on a high-acuity medical-surgical
a.The NPO patient
unit is prioritizing care for four patients who were
with a blood glu-
just admitted. Which patient should the nurse assess
cose level of 80
first?
mg/dL who just re-
ceived 20 units of
a.The NPO patient with a blood glucose level of 80
70/30 Novolin in-
mg/dL who just received 20 units of 70/30 Novolin
sulin
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 re-
ceiving an infusion of vancomycin (Vancocin)
2. A patient with type 1 diabetes is eating breakfast at
d.Lispro (Huma-
7:30 AM. Blood sugars are on a sliding scale and are
log)
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?
a.No insulin should be administered.
b.NPH
c.70/30 mix
d.Lispro (Humalog)
3. A patient with type 1 diabetes recently became preg-
c.Six or seven
nant. The nurse plans a blood glucose testing sched-
times a day
ule 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
4. An adolescent patient recently attended a health fair
and had a serum glucose test. The patient telephones a."Unless you
were fasting for
, NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Study online at https://quizlet.com/_9y99m4
the nurse and says, "My level was 125 mg/dL. Does longer than 8
that mean I have diabetes?" What is the nurse's most hours, this does
accurate response? not necessarily
mean you have di-
a."Unless you were fasting for longer than 8 hours, abetes."
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."
5. Insulin glargine is prescribed for a hospitalized pa- c.Once daily at
tient who is diabetic. When will the nurse administer bedtime
this drug?
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
6. A patient with type 1 diabetes who takes insulin re- d.The beta block-
ports taking propranolol for hypertension. Why is the er can mask the
nurse concerned? symptoms of hy-
a.The beta blocker can cause insulin resistance. poglycemia.
b.Using the two agents together increases the risk of
ketoacidosis.
c.Propranolol increases insulin requirements be-
cause of receptor blocking.
d.The beta blocker can mask the symptoms of hypo-
glycemia.
7. Which statement is correct about the contrast be- a.Miglitol has not
tween acarbose and miglitol? been associated
with hepatic dys-
a. Miglitol has not been associated with hepatic dys- function.
function.
b. With miglitol, sucrose can be used to treat hypo-
, NUR 2474 Pharmacology Final Exam NCLEX Style Practice
Study online at https://quizlet.com/_9y99m4
glycemia.
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
8. A nurse counsels a patient with diabetes who is start- b.Flatulence
ing therapy with an alpha-glucosidase inhibitor. The e.Diarrhea
patient should be educated about the potential for
which adverse reactions? (Select all that apply.)
a.Hypoglycemia
b.Flatulence
c.Elevated iron levels in the blood
d.Fluid retention
e. Diarrhea
9. The nurse is caring for a pregnant patient recently b.Neuropsycholog-
diagnosed with hypothyroidism. The patient tells the ic deficits in the
nurse she does not want to take medications while fetus can occur if
she is pregnant. What will the nurse explain to this the condition is
patient? not treated.
a.Hypothyroidism is a normal effect of pregnancy and
usually is of no consequence.
b.Neuropsychologic deficits in the fetus can occur if
the condition is not treated.
c.No danger to the fetus exists until the third
trimester.
d.Treatment is required only if the patient is experi-
encing symptoms.
10. A nurse is teaching a patient who has been diagnosed d."If I take calci-
with hypothyroidism about levothyroxine (Synthroid). um supplements, I
Which statement by the patient indicates a need for may need to de-
further teaching? crease my dose of
Synthroid."
a. "I should not take heartburn medication without
consulting my provider."
b. "I should report insomnia, tremors, and an in-
creased heart rate to my provider."
