NUR 2474 PHARMACOLOGY FINAL 2026
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ 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)
◉ 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
◉ 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."
◉ 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
◉ 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.
◉ Which statement is correct about the contrast between acarbose
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.
, ◉ 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
d.Fluid retention
e.Diarrhea.
Answer: b.Flatulence
e.Diarrhea
◉ The nurse is caring for a pregnant patient recently diagnosed with
hypothyroidism. The patient tells the nurse she does not want to
take medications while she is pregnant. What will the nurse explain
to this patient?
a.Hypothyroidism is a normal effect of pregnancy and usually is of
no consequence.
b.Neuropsychologic deficits in the fetus can occur if the condition is
not treated.
c.No danger to the fetus exists until the third trimester.
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ 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)
◉ 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
◉ 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."
◉ 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
◉ 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.
◉ Which statement is correct about the contrast between acarbose
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.
, ◉ 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
d.Fluid retention
e.Diarrhea.
Answer: b.Flatulence
e.Diarrhea
◉ The nurse is caring for a pregnant patient recently diagnosed with
hypothyroidism. The patient tells the nurse she does not want to
take medications while she is pregnant. What will the nurse explain
to this patient?
a.Hypothyroidism is a normal effect of pregnancy and usually is of
no consequence.
b.Neuropsychologic deficits in the fetus can occur if the condition is
not treated.
c.No danger to the fetus exists until the third trimester.
