NUR 2474 PHARMACOLOGY FINAL 2026
CERTIFICATION EVALUATION TEST PAPER
QUESTIONS SOLUTIONS GRADED A PLUS
◉ 2. A patient with type 1 diabetes is eating breakfast at 7:30 AM.
Blood sugars are on a sliding scale and are ordered before a meal
and at bedtime. The patient's blood sugar level is 317 mg/dL. Which
formulation of insulin should the nurse prepare to administer?
a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Lispro (Humalog)
Answer: d. Lispro (Humalog)
*high blood sugar needs rapid acting insulin.
◉ 3. A patient with type 1 diabetes recently became pregnant. The
nurse plans a blood glucose testing schedule for her. What is the
recommended monitoring schedule?
a. Before each meal and before bed
,b. In the morning for a fasting level and at 4 PM for the peak level
c. Six or seven times a day
d. Three times a day, along with urine glucose testing
Answer: c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring required.
◉ 4. An adolescent patient recently attended a health fair and had a
serum glucose test. The patient telephones the nurse and says, "My
level was 125 mg/dL. Does that mean I have diabetes?" What is the
nurse's most accurate response?
a. "Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
b. "At this level, you probably have diabetes. You will need an oral
glucose tolerance test this week."
c. "This level is conclusive evidence that you have diabetes."
d. "This level is conclusive evidence that you do not have diabetes."
Answer: a. "Unless you were fasting for longer than 8 hours, this
does not necessarily mean you have diabetes."
*could be a normal level without fasting and does not mean diabetes
unless it was high for a fasting blood glucose level.
,◉ 5. Insulin glargine is prescribed for a hospitalized patient who is
diabetic. When will the nurse administer this drug?
a. Approximately 15 to 30 minutes before each meal
b. In the morning and at 4 PM
c. Once daily at bedtime
d. After meals and at bedtime
Answer: c. Once daily at bedtime
*goodnight glargine
◉ 6. A patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
b. Using the two agents together increases the risk of ketoacidosis.
c. Propranolol increases insulin requirements because of receptor
blocking.
d. The beta blocker can mask the symptoms of hypoglycemia.
Answer: d. The beta blocker can mask the symptoms of
hypoglycemia.
, *beta blockers block adrenaline which signals the liver to release
glucose in the blood when glucose is low to avoid hypoglycemia.
◉ 7. Which statement is correct about the contrast between a
carbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction.
b. With miglitol, sucrose can be used to treat hypoglycemia.
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
Answer: a. Miglitol has not been associated with hepatic dysfunction.
*key difference is that acarbose has been associated with rare cases
of hepatic dysfunction
◉ 8. A nurse counsels a patient with diabetes who is starting
therapy with an alpha- glucosidase inhibitor. The patient should be
educated about the potential for which adverse reactions? (Select all
that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
CERTIFICATION EVALUATION TEST PAPER
QUESTIONS SOLUTIONS GRADED A PLUS
◉ 2. A patient with type 1 diabetes is eating breakfast at 7:30 AM.
Blood sugars are on a sliding scale and are ordered before a meal
and at bedtime. The patient's blood sugar level is 317 mg/dL. Which
formulation of insulin should the nurse prepare to administer?
a. No insulin should be administered.
b. NPH
c. 70/30 mix
d. Lispro (Humalog)
Answer: d. Lispro (Humalog)
*high blood sugar needs rapid acting insulin.
◉ 3. A patient with type 1 diabetes recently became pregnant. The
nurse plans a blood glucose testing schedule for her. What is the
recommended monitoring schedule?
a. Before each meal and before bed
,b. In the morning for a fasting level and at 4 PM for the peak level
c. Six or seven times a day
d. Three times a day, along with urine glucose testing
Answer: c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring required.
◉ 4. An adolescent patient recently attended a health fair and had a
serum glucose test. The patient telephones the nurse and says, "My
level was 125 mg/dL. Does that mean I have diabetes?" What is the
nurse's most accurate response?
a. "Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
b. "At this level, you probably have diabetes. You will need an oral
glucose tolerance test this week."
c. "This level is conclusive evidence that you have diabetes."
d. "This level is conclusive evidence that you do not have diabetes."
Answer: a. "Unless you were fasting for longer than 8 hours, this
does not necessarily mean you have diabetes."
*could be a normal level without fasting and does not mean diabetes
unless it was high for a fasting blood glucose level.
,◉ 5. Insulin glargine is prescribed for a hospitalized patient who is
diabetic. When will the nurse administer this drug?
a. Approximately 15 to 30 minutes before each meal
b. In the morning and at 4 PM
c. Once daily at bedtime
d. After meals and at bedtime
Answer: c. Once daily at bedtime
*goodnight glargine
◉ 6. A patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resistance.
b. Using the two agents together increases the risk of ketoacidosis.
c. Propranolol increases insulin requirements because of receptor
blocking.
d. The beta blocker can mask the symptoms of hypoglycemia.
Answer: d. The beta blocker can mask the symptoms of
hypoglycemia.
, *beta blockers block adrenaline which signals the liver to release
glucose in the blood when glucose is low to avoid hypoglycemia.
◉ 7. Which statement is correct about the contrast between a
carbose and miglitol?
a. Miglitol has not been associated with hepatic dysfunction.
b. With miglitol, sucrose can be used to treat hypoglycemia.
c. Miglitol is less effective in African Americans.
d. Miglitol has no gastrointestinal side effects.
Answer: a. Miglitol has not been associated with hepatic dysfunction.
*key difference is that acarbose has been associated with rare cases
of hepatic dysfunction
◉ 8. A nurse counsels a patient with diabetes who is starting
therapy with an alpha- glucosidase inhibitor. The patient should be
educated about the potential for which adverse reactions? (Select all
that apply.)
a. Hypoglycemia
b. Flatulence
c. Elevated iron levels in the blood
