NEWEST NUR 635 EXAM | NUR 635 MIDTERM ACTUAL
EXAM 2025/2026 COMPLETE ACCURATE QUESTIONS WITH
WELL ELABORATED ANSWERS (VERIFIED ANSWERS)
LATEST SPRING-SUMMER UPDATE |GUARANTEED PASS A+
(BRAND NEW!) GRAND CANYON UNIVERSITY (GCU)
A patient is preparing for a cortisone injection but is diabetic. What
insulin would you choose to work the quickest to lower blood sugar?
Answer- A rapid acting insulin: Lisper, Apart, Glulisine
How does metformin help to decrease blood sugar?
Answer- By decreasing/inhibiting gluconeogenesis in the liver
When educating a patient about Neutral Protamine Haledon (NPH)
insulin, the NP includes the onset of action for this drug takes place:
Answer- 1-1.5 hours (60-90 minutes).
A 68-year-old is coming in complaining of dizziness, confusion,
sweating, and palpitations. The NP suspects:
Answer- Hypoglycemia "Cold & Clammy, needs some candy"
,This type of insulin is injected 15 minutes prior to meals, is compatible
with Neutral Protamine Haledon (NPH), and has a peak onset of one
hour:
Answer- Insulin Lisper
When changing Neutral Protamine Haledon (NPH) Insulin to Insulin
Glargine, the NP anticipates what to avoid hypoglycemia?
Answer- Decrease the initial dose by 20% (Changing from an
intermediate-acting insulin to a long-acting insulin)
What lab is not concerning to the NP prior to prescribing Metformin?
Answer- CBC (** Labs to check to include Urinary Analysis (UA),
Liver function tests, or Renal function
A 62-year-old patient presents with a history of myocardial infarction
and is complaining of ringing in his ears. What does your work-up
include?
Answer- Assessing the patient for Aspirin toxicity. Aspirin causes
tinnitus at toxic levels.
, A patient I staking Plavix after diagnosis of a deep vein thrombosis. The
NP believes the patient requires additional education when the patient
tells her:
Answer- "I love taking my medication with grapefruit juice" What does
grapefruit juice do when taking Plavix?
The patient is prescribed a low molecular weight heparin and becomes
pregnant. The NP understands that:
Answer- Factor Ax must be monitored closely. Why?
The patient returns to the office 6 weeks after initiating therapeutic live
changes (TLCs) and has lab work showing an LDL of 135. The NP's
next step is to:
Answer- Prescribe Lovastatin (**Know normal LDL/HDL: LDL below
130 mg/ld. and HDL above 40 mg/ld.)
The patient with newly diagnosed pernicious anemia plan of care must
include:
Answer- The patient must have parenterally administered B12 (IM or
IV)
EXAM 2025/2026 COMPLETE ACCURATE QUESTIONS WITH
WELL ELABORATED ANSWERS (VERIFIED ANSWERS)
LATEST SPRING-SUMMER UPDATE |GUARANTEED PASS A+
(BRAND NEW!) GRAND CANYON UNIVERSITY (GCU)
A patient is preparing for a cortisone injection but is diabetic. What
insulin would you choose to work the quickest to lower blood sugar?
Answer- A rapid acting insulin: Lisper, Apart, Glulisine
How does metformin help to decrease blood sugar?
Answer- By decreasing/inhibiting gluconeogenesis in the liver
When educating a patient about Neutral Protamine Haledon (NPH)
insulin, the NP includes the onset of action for this drug takes place:
Answer- 1-1.5 hours (60-90 minutes).
A 68-year-old is coming in complaining of dizziness, confusion,
sweating, and palpitations. The NP suspects:
Answer- Hypoglycemia "Cold & Clammy, needs some candy"
,This type of insulin is injected 15 minutes prior to meals, is compatible
with Neutral Protamine Haledon (NPH), and has a peak onset of one
hour:
Answer- Insulin Lisper
When changing Neutral Protamine Haledon (NPH) Insulin to Insulin
Glargine, the NP anticipates what to avoid hypoglycemia?
Answer- Decrease the initial dose by 20% (Changing from an
intermediate-acting insulin to a long-acting insulin)
What lab is not concerning to the NP prior to prescribing Metformin?
Answer- CBC (** Labs to check to include Urinary Analysis (UA),
Liver function tests, or Renal function
A 62-year-old patient presents with a history of myocardial infarction
and is complaining of ringing in his ears. What does your work-up
include?
Answer- Assessing the patient for Aspirin toxicity. Aspirin causes
tinnitus at toxic levels.
, A patient I staking Plavix after diagnosis of a deep vein thrombosis. The
NP believes the patient requires additional education when the patient
tells her:
Answer- "I love taking my medication with grapefruit juice" What does
grapefruit juice do when taking Plavix?
The patient is prescribed a low molecular weight heparin and becomes
pregnant. The NP understands that:
Answer- Factor Ax must be monitored closely. Why?
The patient returns to the office 6 weeks after initiating therapeutic live
changes (TLCs) and has lab work showing an LDL of 135. The NP's
next step is to:
Answer- Prescribe Lovastatin (**Know normal LDL/HDL: LDL below
130 mg/ld. and HDL above 40 mg/ld.)
The patient with newly diagnosed pernicious anemia plan of care must
include:
Answer- The patient must have parenterally administered B12 (IM or
IV)
