NUR 2474 NUR2474 Final Exam Pharmacology for Professional Nursing Final Exam Review (Latest 2021/

NUR2474 Pharmacology Final Exam "Certified
d d d d




for Top Academic Achievement"
d d d d




1. Thednursedworkingdondadhigh-acuitydmedical-
surgicaldunitdisdprioritizingdcaredfordfourdpatientsdwhodweredjustdadmitted.dWhichdpatientdshoulddthednurs
edassessdfirst?



a. ThedNPOdpatientdwithdadblooddglucosedleveldofd80dmg/dLdwhodjustdreceivedd20dunitsdofd70/30dNovoli
ndinsulin.

b. Thedpatientdwithdadpulsedofd58dbeatsdperdminutedwhodisdaboutdtodreceiveddigoxind(Lanoxin)

c. Thedpatientdwithdadblooddpressuredofd136/92dmmdHgdwhodcomplainsdofdhavingdadheadache

d. Thedpatientdwithdandallergydtodpenicillindwhodisdreceivingdandinfusiondofdvancomycind(Vancocin)d-d-
dcorrectdans-d-


a.dThedNPOdpatientdwithdadblooddglucosedleveldofd80dmg/dLdwhodjustdreceivedd20dunitsdofd70/30dNovol
indinsulin.



*low/normaldBGLdanddinsulindwilldcontinuedtoddropdglucosedlevel.dAtdriskdfordhypoglycemia.



2. Adpatientdwithdtyped1ddiabetesdisdeatingdbreakfastdatd7:30dAM.dBlooddsugarsdaredondadslidingdscaledand
daredordereddbeforedadmealdanddatdbedtime.dThedpatient'sdblooddsugardleveldisd317dmg/dL.dWhichdform


ulationdofdinsulindshoulddthednursedpreparedtodadminister?



a. Nodinsulindshoulddbedadministered.

b. NPH

c. 70/30dmix

d. Lisprod(Humalog)d-d-correctdans-d-d.dLisprod(Humalog)



*highdblooddsugardneedsdrapiddactingdinsulin.

,3. Adpatientdwithdtyped1ddiabetesdrecentlydbecamedpregnant.dThednursedplansdadblooddglucosedtesting
dscheduledfordher.dWhatdisdthedrecommendeddmonitoringdschedule?




a. Beforedeachdmealdanddbeforedbed

b. Indthedmorningdfordadfastingdleveldanddatd4dPMdfordthedpeakdlevel

c. Sixdordsevendtimesdadday

d. Threedtimesdadday,dalongdwithdurinedglucosedtestingd-d-correctdans-d-c.dSixdordsevendtimesdadday



*pregnancydcandeffectdglucosedlevels.dFrequentdmonitoringdrequired.



4. Andadolescentdpatientdrecentlydattendeddadhealthdfairdanddhaddadserumdglucosedtest.dThedpatientdtele
phonesdthednursedanddsays,d"Mydleveldwasd125dmg/dL.dDoesdthatdmeandIdhaveddiabetes?"dWhatdisdthednu
rse'sdmostdaccuratedresponse?



a. "Unlessdyoudweredfastingdfordlongerdthand8dhours,dthisddoesdnotdnecessarilydmeandyoudhaveddiabetes."

b. "Atdthisdlevel,dyoudprobablydhaveddiabetes.dYoudwilldneeddandoraldglucosedtolerancedtestdthisdweek."

c. "Thisdleveldisdconclusivedevidencedthatdyoudhaveddiabetes."

d. "Thisdleveldisdconclusivedevidencedthatdyouddodnotdhaveddiabetes."d-d-correctdans-d-
a.d"Unlessdyoudweredfastingdfordlongerdthand8dhours,dthisddoesdnotdnecessarilydmeandyoudhaveddiabetes.
"



*coulddbedadnormaldleveldwithoutdfastingdandddoesdnotdmeanddiabetesdunlessditdwasdhighdfordadfastingdblo
oddglucosedlevel.



5. Insulindglarginedisdprescribeddfordadhospitalizeddpatientdwhodisddiabetic.dWhendwilldthednursedadminister
dthisddrug?




a. Approximatelyd15dtod30dminutesdbeforedeachdmeal

b. Indthedmorningdanddatd4dPM

,c. Onceddailydatdbedtime

d. Afterdmealsdanddatdbedtimed-d-correctdans-d-c.dOnceddailydatdbedtime



*goodnightdglargine



6. Adpatientdwithdtyped1ddiabetesdwhodtakesdinsulindreportsdtakingdpropranololdfordhypertension.dWhydis
dthednursedconcerned?




a. Thedbetadblockerdcandcausedinsulindresistance.

b. Usingdthedtwodagentsdtogetherdincreasesdthedriskdofdketoacidosis.

c. Propranololdincreasesdinsulindrequirementsdbecausedofdreceptordblocking.

d. Thedbetadblockerdcandmaskdthedsymptomsdofdhypoglycemia.d-d-correctdans-d-
d.dThedbetadblockerdcandmaskdthedsymptomsdofdhypoglycemia.



*betadblockersdblockdadrenalinedwhichdsignalsdthedliverdtodreleasedglucosedindthedblooddwhendglucosedisdlo
wdtodavoiddhypoglycemia.



7. Whichdstatementdisdcorrectdaboutdthedcontrastdbetweendadcarbosedanddmiglitol?



a. Miglitoldhasdnotdbeendassociateddwithdhepaticddysfunction.

b. Withdmiglitol,dsucrosedcandbeduseddtodtreatdhypoglycemia.

c. MiglitoldisdlessdeffectivedindAfricandAmericans.

d. Miglitoldhasdnodgastrointestinaldsidedeffects.d-d-correctdans-d-
a.dMiglitoldhasdnotdbeendassociateddwithdhepaticddysfunction.



*keyddifferencedisdthatdacarbosedhasdbeendassociateddwithdraredcasesdofdhepaticddysfunction

, 8. Adnursedcounselsdadpatientdwithddiabetesdwhodisdstartingdtherapydwithdandalpha-
dglucosidasedinhibitor.dThedpatientdshoulddbededucateddaboutdthedpotentialdfordwhichdadversedreactions


?d(Selectdalldthatdapply.)



a. Hypoglycemia

b. Flatulence

c. Elevateddirondlevelsdindthedblood

d. Fluiddretention

e. Diarrhead-d-correctdans-d-b.dFlatulence

e.dDiarrhea



*duedtodbuilddupdofdgassesd(flatulence)dfromdtodundigesteddcarbohydratesdreachingdthedcolondanddcausing
dandosmoticdeffectd(diarrhea)




9. Thednursedisdcaringdfordadpregnantdpatientdrecentlyddiagnoseddwithdhypothyroidism.dThedpatientdtells
dthednursedsheddoesdnotdwantdtodtakedmedicationsdwhiledshedisdpregnant.dWhatdwilldthednursedexplaindt


odthisdpatient?



a. Hypothyroidismdisdadnormaldeffectdofdpregnancydanddusuallydisdofdnodconsequence.

b. Neuropsychologicddeficitsdindthedfetusdcandoccurdifdthedconditiondisdnotdtreated.

c. Noddangerdtodthedfetusdexistsduntildthedthirddtrimester.

d. Treatmentdisdrequireddonlydifdthedpatientdisdexperiencingdsymptoms.d-d-correctdans-d-
b.dNeuropsychologicddeficitsdindthedfetusdcandoccurdifdthedconditiondisdnotdtreated.



*Thyroiddhormonesdaredcrucialdfordthednormalddevelopmentdofdthedfetaldbraindanddnervousdsystemdanddm
ustdbedtreateddindpregnancy.



10. Adnursedisdteachingdadpatientdwhodhasdbeenddiagnoseddwithdhypothyroidismdaboutdlevothyroxine
d(Synthroid).dWhichdstatementdbydthedpatientdindicatesdadneeddfordfurtherdteaching?