Ati nurs 113 pharmacology exam. Questions and Answers 2025
1. The client is admitted to the intensive care department diagnosed with
myxedema coma. Which assessement data warrant immediate intervention
by the nurse?
A. Pulse oximeter reading 96%
B. Serum blood glucose level of 74 mg/dL
C. The client is lethargic and sleeps all the time
D. Telemetry reading showing sinus bradycardia
2. A client newly diagnosed with type 2 diabetes mellitus has a nursing
diagnosis of Knowledge deficit: diabetes, medical regimen, diet, exercise,
and self-care management skills. Which nursing goal is appropriate for this
client?
A. to use the food pyramid for meal planning
B. to relate importance of an exercise program
C. to maintain current weight
D. to maintain vital signs within normal limits
3. A nurse is in a provider's office is reviewing the health record of a client
who is being evaluated for Grave's disease. Which of the following is an
expected laboratory finding for this client?
A. Decreased free thyroxine index
B. Decreased thyroid stimulating hormone
C. Decreased triiodothyronine
D. Decreased thyrotropin receptor antibodies
4. The nurse is developing a care plan for the client diagnosed with type 1
diabetes. The nurse identifies the problem "high risk for hyperglycemia
related to noncompliance with the medication regimen." Which statement
is an appropriate short-term goal for the client?
A. The nurse will monitor the client's blood glucose levels four (4) times a day.
B. The client will demonstrate appropriate insulin injection techniques
C. The client will maintain normal kidney function with 30-ml/hr urine output.
D. The client will have a blood glucose level between 60-110 mg/dl at 1600.
,Ati nurs 113 pharmacology exam. Questions and Answers 2025
5. The nurse should instruct clients with diabetes about "sick day
management" of their disease by emphasizing which action?
A. Use sliding scale insulin to manage hypoglycemia.
B. Continue taking the scheduled insulin or oral hypoglycemic agent.
C. Increase intake of carbohydrates for the duration of the illness.
D. Report blood glucose lower than 100 mg/dL to the health care provider.
6. The physician orders erythromycin 1 g in 100 mL of D5W to infuse in 30
minutes. Calculate the flow rate in milliliters per hour. _____________
(LABEL CORRECTLY TO RECEIVE CREDIT: DO NOT USE SPACES IN YOUR
ANSWER, I.e. 33mL/hr)
Correct Answer (mL/hr) : 200
Solution
Total volume to be infused = 100 mL.
Infusion time in minutes = 30 minutes.
● Convert the infusion time from minutes to hours.
Infusion time in hours = 30 minutes / 60 minutes/hour
= 0.5 hours.
● Calculate the flow rate in milliliters per hour (mL/hr).
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
7. A nurse has provided diabetic teaching with the family of a client newly
diagnosed with diabetes. The nurse determines that the family understands
the reason for having glucagon on hand for emergency home use if the
family indicates that the purpose of the medication is to treat
,Ati nurs 113 pharmacology exam. Questions and Answers 2025
A. Hyperglycemia occurring on "sick days"
B. Diabetic ketoacidosis
C. Hyperglycemia from insufficient insulin
D. Hypoglycemia from insulin overdose
8. Which signs/symptoms should make the nurse suspect the client is
experiencing a thyroid storm?
A. Hypotension and bradycardia
B. Decreased respirations and hypoxia
C. Obstipation and hypoactive bowel sounds
D. Hyperpyrexia and extreme tachycardia
9. A patient is admitted with a subtotal thyroidectomy. She is returned to the
surgical unit after a short stay in the post anesthesia care unit. She is
receiving fluids intravenously. When this patient has completely recovered
from anesthesia, and her vital signs are stable, which position would be
most appropriate for her?
A. Fowler's
B. Trendelenburg
C. Supine
D. Prone
10.A patient with type 1 diabetes is prescribed a sliding scale insulin regimen
using regular insulin before meals. The sliding scale is as follows:
Blood glucose 150-199 mg/dL: 2 units
Blood glucose 200-249 mg/dL: 4 units
Blood glucose 250-299 mg/dL: 6 units
Blood glucose 300-349 mg/dL: 8 units
Blood glucose >350 mg/dL: Call provider
The patient's blood glucose before lunch is 278 mg/dL. The patient is also
prescribed 0.1 units/kg of insulin glargine (Lantus) once daily. The patient weighs
70 kg.
, Ati nurs 113 pharmacology exam. Questions and Answers 2025
How many total units of insulin should the nurse administer at this time?
Correct Answer (units) : 13
Solution
Calculation:
● Determine the regular insulin dose based on the sliding scale.
The patient's blood glucose before lunch is 278 mg/dL.
According to the sliding scale:
Blood glucose 250-299 mg/dL: 6 units
Therefore, the regular insulin dose is 6 units.
● Calculate the insulin glargine (Lantus) dose.
Client weight = 70 kg.
Prescription for insulin glargine = 0.1 units/kg once daily.
Insulin glargine dose = 0.1 units/kg × 70 kg = 7 units.
● Calculate the total units of insulin to administer.
Total units = Regular insulin units + Insulin glargine units
Total units = 6 units + 7 units
= 13 units.
11.The nurse is caring for a client with an autoimmune disease characterized
by the production of antibodies that destroy essential enzymes needed for
1. The client is admitted to the intensive care department diagnosed with
myxedema coma. Which assessement data warrant immediate intervention
by the nurse?
A. Pulse oximeter reading 96%
B. Serum blood glucose level of 74 mg/dL
C. The client is lethargic and sleeps all the time
D. Telemetry reading showing sinus bradycardia
2. A client newly diagnosed with type 2 diabetes mellitus has a nursing
diagnosis of Knowledge deficit: diabetes, medical regimen, diet, exercise,
and self-care management skills. Which nursing goal is appropriate for this
client?
A. to use the food pyramid for meal planning
B. to relate importance of an exercise program
C. to maintain current weight
D. to maintain vital signs within normal limits
3. A nurse is in a provider's office is reviewing the health record of a client
who is being evaluated for Grave's disease. Which of the following is an
expected laboratory finding for this client?
A. Decreased free thyroxine index
B. Decreased thyroid stimulating hormone
C. Decreased triiodothyronine
D. Decreased thyrotropin receptor antibodies
4. The nurse is developing a care plan for the client diagnosed with type 1
diabetes. The nurse identifies the problem "high risk for hyperglycemia
related to noncompliance with the medication regimen." Which statement
is an appropriate short-term goal for the client?
A. The nurse will monitor the client's blood glucose levels four (4) times a day.
B. The client will demonstrate appropriate insulin injection techniques
C. The client will maintain normal kidney function with 30-ml/hr urine output.
D. The client will have a blood glucose level between 60-110 mg/dl at 1600.
,Ati nurs 113 pharmacology exam. Questions and Answers 2025
5. The nurse should instruct clients with diabetes about "sick day
management" of their disease by emphasizing which action?
A. Use sliding scale insulin to manage hypoglycemia.
B. Continue taking the scheduled insulin or oral hypoglycemic agent.
C. Increase intake of carbohydrates for the duration of the illness.
D. Report blood glucose lower than 100 mg/dL to the health care provider.
6. The physician orders erythromycin 1 g in 100 mL of D5W to infuse in 30
minutes. Calculate the flow rate in milliliters per hour. _____________
(LABEL CORRECTLY TO RECEIVE CREDIT: DO NOT USE SPACES IN YOUR
ANSWER, I.e. 33mL/hr)
Correct Answer (mL/hr) : 200
Solution
Total volume to be infused = 100 mL.
Infusion time in minutes = 30 minutes.
● Convert the infusion time from minutes to hours.
Infusion time in hours = 30 minutes / 60 minutes/hour
= 0.5 hours.
● Calculate the flow rate in milliliters per hour (mL/hr).
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hr)
= 100 mL / 0.5 hr
= 200 mL/hr.
7. A nurse has provided diabetic teaching with the family of a client newly
diagnosed with diabetes. The nurse determines that the family understands
the reason for having glucagon on hand for emergency home use if the
family indicates that the purpose of the medication is to treat
,Ati nurs 113 pharmacology exam. Questions and Answers 2025
A. Hyperglycemia occurring on "sick days"
B. Diabetic ketoacidosis
C. Hyperglycemia from insufficient insulin
D. Hypoglycemia from insulin overdose
8. Which signs/symptoms should make the nurse suspect the client is
experiencing a thyroid storm?
A. Hypotension and bradycardia
B. Decreased respirations and hypoxia
C. Obstipation and hypoactive bowel sounds
D. Hyperpyrexia and extreme tachycardia
9. A patient is admitted with a subtotal thyroidectomy. She is returned to the
surgical unit after a short stay in the post anesthesia care unit. She is
receiving fluids intravenously. When this patient has completely recovered
from anesthesia, and her vital signs are stable, which position would be
most appropriate for her?
A. Fowler's
B. Trendelenburg
C. Supine
D. Prone
10.A patient with type 1 diabetes is prescribed a sliding scale insulin regimen
using regular insulin before meals. The sliding scale is as follows:
Blood glucose 150-199 mg/dL: 2 units
Blood glucose 200-249 mg/dL: 4 units
Blood glucose 250-299 mg/dL: 6 units
Blood glucose 300-349 mg/dL: 8 units
Blood glucose >350 mg/dL: Call provider
The patient's blood glucose before lunch is 278 mg/dL. The patient is also
prescribed 0.1 units/kg of insulin glargine (Lantus) once daily. The patient weighs
70 kg.
, Ati nurs 113 pharmacology exam. Questions and Answers 2025
How many total units of insulin should the nurse administer at this time?
Correct Answer (units) : 13
Solution
Calculation:
● Determine the regular insulin dose based on the sliding scale.
The patient's blood glucose before lunch is 278 mg/dL.
According to the sliding scale:
Blood glucose 250-299 mg/dL: 6 units
Therefore, the regular insulin dose is 6 units.
● Calculate the insulin glargine (Lantus) dose.
Client weight = 70 kg.
Prescription for insulin glargine = 0.1 units/kg once daily.
Insulin glargine dose = 0.1 units/kg × 70 kg = 7 units.
● Calculate the total units of insulin to administer.
Total units = Regular insulin units + Insulin glargine units
Total units = 6 units + 7 units
= 13 units.
11.The nurse is caring for a client with an autoimmune disease characterized
by the production of antibodies that destroy essential enzymes needed for
