COMPREHENSIVE PHARMACOLOGY III FINAL EXAM (2025/2026 UPDATED) 100
CORRECTLY SOLVED 100% WELL STRUCTURED Q&A
which instruction should the nurse provide when teaching a patient to mix regular insulin
and NPH insulin in the same syringe? - ✔✔ANSW✔✔..👌draw up the clear regular
insulin first, followed by the cloudy NPH insulin
a patient newly diagnosed with Type I diabetes asks a nurse, how does insulin normally
work in my body? - ✔✔ANSW✔✔..👌it promotes the passage of glucose into cells for
energy
which drug slows the metabolism of the glinides and thereby increases their levels and
the risk of hypoglycemia? - ✔✔ANSW✔✔..👌Gemfibrozil
the nurse tells her patient to administer the glinides? - ✔✔ANSW✔✔..👌30 minutes or
less before eating
which of the following are true about glinides? - ✔✔ANSW✔✔..👌use with caution in
patients with liver impairment, inform patients about signs of hypoglycemia (palpitations,
tachycardia, sweating, fatigue, excessive hunger), treat severe hypoglycemia with IV
glucose, gemfibrozil increases risk of hypoglycemia
which of the following are true about pioglitazone? - ✔✔ANSW✔✔..👌is contraindicated
for patients with severe heart failure, should be used with caution in those with mild
heart failure or even heart failure risk factors, is contraindicated for patients with active
bladder cancer or a history of bladder cancer, exercise caution in patients taking insulin
or drugs that inhibit or induce CYP2C8. strong inhibitors of CYP2C8 (eg atorvastatin,
ketoconazole) can increase pioglitazone levels and prolong its half life necessitating a
reduction in pioglitazone dosage. conversely, strong inducers of CYP2C8 (eg Rifampin,
Cimetidine) can reduce pioglitazone levels and shorten its half life necessitating an
increase in pioglitazone dosage. use caution when pioglitazone is combined with any of
these drugs
a female patient was newly prescribed pioglitazone. which instructions should the nurse
provide when teaching the patient about the adverse effects of pioglitazone? -
✔✔ANSW✔✔..👌may cause liver injury. inform patients about symptoms of liver injury
(nausea, vomiting, abdominal pain, fatigue, anorexia, dark urine, jaundice) and instruct
them to notify the prescriber if these develop. use with caution in patients with liver
impairment, inform patients about the signs of hypoglycemia (palpitations, tachycardia,
sweating, fatigue, excessive hunger) treat severe hypoglycemia with IV glucose, can
cause ovulation in premenopausal anovulatory women thereby posing a risk of
unintended pregnancy. inform women about this action, and educate them about
contraceptive options, increases the risk of fractures in women (but not men), especially
with long term, high dose therapy. advise women about measures to maintain bone
, health, including regular exercise, assuring adequate intake of calcium and vitamin D,
and use of drugs for osteoporosis if needed
age of onset usually older than 40? - ✔✔ANSW✔✔..👌type 2
speed of onset is abrupt? - ✔✔ANSW✔✔..👌type 1
cause of the disease is viral in nature? - ✔✔ANSW✔✔..👌type 1
primary defect is insulin resistance? - ✔✔ANSW✔✔..👌type 2
weight loss, thirst, hunger, frequent urination? - ✔✔ANSW✔✔..👌type 1
glycemic control involves metabolism of carbohydrates, proteins and fats? -
✔✔ANSW✔✔..👌true
a patient who has type 2 diabetes mellitus and has been unable to follow the
recommended diet and exercise regimen for several months. which test would be most
accurate for this client because it evaluates glucose control over the past 3 months? -
✔✔ANSW✔✔..👌HbA1C
a 36 yr old male is newly diagnosed with type 2 diabetes. which of the following
treatments do you expect the patient to be started on initially? - ✔✔ANSW✔✔..👌diet
and exercise regimen and metformin BID by mouth
a nurse counsels a patient who is starting therapy with an alpha glucosidase inhibitor.
the patient should be educated about the potential for which adverse reactions? -
✔✔ANSW✔✔..👌flatulence and diarrhea
a patient newly diagnosed with diabetes expresses concern about losing her vision.
which interventions should be included in the plan of care to reduce this risk? -
✔✔ANSW✔✔..👌initiation of reliable contraception to prevent pregnancy, smoking
cessation, emphasis on the importance of taking antihypertensive drugs consistently
which of the following symptoms do not present in hyperglycemia? -
✔✔ANSW✔✔..👌blood glucose less than 60mg/dL
when performing the initial morning assessment on a patient with diabetes, the nurse
notes that the patient is diaphoretic and confused. the nurse checks the SMBG, which is
37mg/dL. what is the priority assessment before administering orange juice? -
✔✔ANSW✔✔..👌swallowing reflex
CORRECTLY SOLVED 100% WELL STRUCTURED Q&A
which instruction should the nurse provide when teaching a patient to mix regular insulin
and NPH insulin in the same syringe? - ✔✔ANSW✔✔..👌draw up the clear regular
insulin first, followed by the cloudy NPH insulin
a patient newly diagnosed with Type I diabetes asks a nurse, how does insulin normally
work in my body? - ✔✔ANSW✔✔..👌it promotes the passage of glucose into cells for
energy
which drug slows the metabolism of the glinides and thereby increases their levels and
the risk of hypoglycemia? - ✔✔ANSW✔✔..👌Gemfibrozil
the nurse tells her patient to administer the glinides? - ✔✔ANSW✔✔..👌30 minutes or
less before eating
which of the following are true about glinides? - ✔✔ANSW✔✔..👌use with caution in
patients with liver impairment, inform patients about signs of hypoglycemia (palpitations,
tachycardia, sweating, fatigue, excessive hunger), treat severe hypoglycemia with IV
glucose, gemfibrozil increases risk of hypoglycemia
which of the following are true about pioglitazone? - ✔✔ANSW✔✔..👌is contraindicated
for patients with severe heart failure, should be used with caution in those with mild
heart failure or even heart failure risk factors, is contraindicated for patients with active
bladder cancer or a history of bladder cancer, exercise caution in patients taking insulin
or drugs that inhibit or induce CYP2C8. strong inhibitors of CYP2C8 (eg atorvastatin,
ketoconazole) can increase pioglitazone levels and prolong its half life necessitating a
reduction in pioglitazone dosage. conversely, strong inducers of CYP2C8 (eg Rifampin,
Cimetidine) can reduce pioglitazone levels and shorten its half life necessitating an
increase in pioglitazone dosage. use caution when pioglitazone is combined with any of
these drugs
a female patient was newly prescribed pioglitazone. which instructions should the nurse
provide when teaching the patient about the adverse effects of pioglitazone? -
✔✔ANSW✔✔..👌may cause liver injury. inform patients about symptoms of liver injury
(nausea, vomiting, abdominal pain, fatigue, anorexia, dark urine, jaundice) and instruct
them to notify the prescriber if these develop. use with caution in patients with liver
impairment, inform patients about the signs of hypoglycemia (palpitations, tachycardia,
sweating, fatigue, excessive hunger) treat severe hypoglycemia with IV glucose, can
cause ovulation in premenopausal anovulatory women thereby posing a risk of
unintended pregnancy. inform women about this action, and educate them about
contraceptive options, increases the risk of fractures in women (but not men), especially
with long term, high dose therapy. advise women about measures to maintain bone
, health, including regular exercise, assuring adequate intake of calcium and vitamin D,
and use of drugs for osteoporosis if needed
age of onset usually older than 40? - ✔✔ANSW✔✔..👌type 2
speed of onset is abrupt? - ✔✔ANSW✔✔..👌type 1
cause of the disease is viral in nature? - ✔✔ANSW✔✔..👌type 1
primary defect is insulin resistance? - ✔✔ANSW✔✔..👌type 2
weight loss, thirst, hunger, frequent urination? - ✔✔ANSW✔✔..👌type 1
glycemic control involves metabolism of carbohydrates, proteins and fats? -
✔✔ANSW✔✔..👌true
a patient who has type 2 diabetes mellitus and has been unable to follow the
recommended diet and exercise regimen for several months. which test would be most
accurate for this client because it evaluates glucose control over the past 3 months? -
✔✔ANSW✔✔..👌HbA1C
a 36 yr old male is newly diagnosed with type 2 diabetes. which of the following
treatments do you expect the patient to be started on initially? - ✔✔ANSW✔✔..👌diet
and exercise regimen and metformin BID by mouth
a nurse counsels a patient who is starting therapy with an alpha glucosidase inhibitor.
the patient should be educated about the potential for which adverse reactions? -
✔✔ANSW✔✔..👌flatulence and diarrhea
a patient newly diagnosed with diabetes expresses concern about losing her vision.
which interventions should be included in the plan of care to reduce this risk? -
✔✔ANSW✔✔..👌initiation of reliable contraception to prevent pregnancy, smoking
cessation, emphasis on the importance of taking antihypertensive drugs consistently
which of the following symptoms do not present in hyperglycemia? -
✔✔ANSW✔✔..👌blood glucose less than 60mg/dL
when performing the initial morning assessment on a patient with diabetes, the nurse
notes that the patient is diaphoretic and confused. the nurse checks the SMBG, which is
37mg/dL. what is the priority assessment before administering orange juice? -
✔✔ANSW✔✔..👌swallowing reflex
