NYU HAP Exam 1 (2026/2027) TOP 100
MOST TESTED AND HIGH YIELD
QUESTIONS WITH ANSWERS AND
EXPLANATIONS | RATED GRADE
A+ | GUARANTEED PASS
1.
A nurse is preparing to administer Insulin lispro
to a client with diabetes mellitus. When should
this rapid-acting insulin analog be administered
in relation to meals?
a. 30 minutes before meals
b. Immediately before meals
c. At bedtime only
d. 1 hour after meals
CORRECT ANS: b
EXPERT RATIONALE
Insulin lispro is a rapid-acting insulin analog
with an onset of action of approximately 15
minutes, a peak effect at 30 to 90 minutes, and
,a duration of action of 3 to 5 hours. Because of
its rapid onset, it should be administered
immediately (within 5 to 15 minutes) before a
meal to closely match the postprandial rise in
blood glucose and to reduce the risk of
hypoglycemia. Administering it 30 minutes
before meals (a) would increase the risk of
hypoglycemia, as the insulin would peak before
the meal is fully absorbed. Bedtime
administration (c) is inappropriate for this
rapid-acting insulin, and post-meal
administration (d) is not recommended.
DIF: Cognitive Level: Apply (Application)
REF: Endocrine Pharmacology / Antidiabetic
Medications
OBJ: Identify appropriate administration timing
for rapid-acting insulin
TOP: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity –
Pharmacological and Parenteral Therapies
,2.
A nurse is providing teaching to a client who
has been prescribed clarithromycin. Which
instruction should the nurse emphasize as the
most important aspect of antimicrobial
therapy?
a. Take the medication until all tablets in the
prescribed course are finished
b. Stop the medication once symptoms of the
infection have improved
c. Double the dose if a dose is accidentally
missed
d. Take the medication only when a fever is
present
CORRECT ANS: a
EXPERT RATIONALE
Clarithromycin is a macrolide antibiotic. To
ensure complete eradication of the pathogenic
bacteria and to prevent the development of
, antibiotic resistance, it is imperative that the
client completes the full prescribed course of
therapy, even if symptoms improve before the
medication is finished (a). Stopping the
medication early (b) can lead to recurrence of
infection and the emergence of resistant
organisms. Doubling a missed dose (c) is unsafe
and should only be done if specifically
instructed. Taking the medication only when
febrile (d) is not appropriate; the antibiotic
must be taken on a regular schedule to
maintain therapeutic serum levels.
DIF: Cognitive Level: Apply (Application)
REF: Antimicrobial Pharmacology / Antibiotics
OBJ: Educate on the importance of completing
antibiotic therapy
TOP: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity –
Pharmacological and Parenteral Therapies
MOST TESTED AND HIGH YIELD
QUESTIONS WITH ANSWERS AND
EXPLANATIONS | RATED GRADE
A+ | GUARANTEED PASS
1.
A nurse is preparing to administer Insulin lispro
to a client with diabetes mellitus. When should
this rapid-acting insulin analog be administered
in relation to meals?
a. 30 minutes before meals
b. Immediately before meals
c. At bedtime only
d. 1 hour after meals
CORRECT ANS: b
EXPERT RATIONALE
Insulin lispro is a rapid-acting insulin analog
with an onset of action of approximately 15
minutes, a peak effect at 30 to 90 minutes, and
,a duration of action of 3 to 5 hours. Because of
its rapid onset, it should be administered
immediately (within 5 to 15 minutes) before a
meal to closely match the postprandial rise in
blood glucose and to reduce the risk of
hypoglycemia. Administering it 30 minutes
before meals (a) would increase the risk of
hypoglycemia, as the insulin would peak before
the meal is fully absorbed. Bedtime
administration (c) is inappropriate for this
rapid-acting insulin, and post-meal
administration (d) is not recommended.
DIF: Cognitive Level: Apply (Application)
REF: Endocrine Pharmacology / Antidiabetic
Medications
OBJ: Identify appropriate administration timing
for rapid-acting insulin
TOP: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity –
Pharmacological and Parenteral Therapies
,2.
A nurse is providing teaching to a client who
has been prescribed clarithromycin. Which
instruction should the nurse emphasize as the
most important aspect of antimicrobial
therapy?
a. Take the medication until all tablets in the
prescribed course are finished
b. Stop the medication once symptoms of the
infection have improved
c. Double the dose if a dose is accidentally
missed
d. Take the medication only when a fever is
present
CORRECT ANS: a
EXPERT RATIONALE
Clarithromycin is a macrolide antibiotic. To
ensure complete eradication of the pathogenic
bacteria and to prevent the development of
, antibiotic resistance, it is imperative that the
client completes the full prescribed course of
therapy, even if symptoms improve before the
medication is finished (a). Stopping the
medication early (b) can lead to recurrence of
infection and the emergence of resistant
organisms. Doubling a missed dose (c) is unsafe
and should only be done if specifically
instructed. Taking the medication only when
febrile (d) is not appropriate; the antibiotic
must be taken on a regular schedule to
maintain therapeutic serum levels.
DIF: Cognitive Level: Apply (Application)
REF: Antimicrobial Pharmacology / Antibiotics
OBJ: Educate on the importance of completing
antibiotic therapy
TOP: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity –
Pharmacological and Parenteral Therapies
