NUR2474 PHARMACOLOGY EXAM 3 -
ADVANCED NURSING CONCEPTS
(LATEST 2026/ 2027 UPDATE)
QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS| GRADE A+
1. A patient with Type 1 Diabetes Mellitus is prescribed Lispro (Humalog) insulin. At what
time should the nurse instruct the patient to eat their meal?
A. Immediately before or within 15 minutes of injection
B. 30 to 60 minutes after injection
C. 2 hours after injection
D. Only when symptoms of hyperglycemia occur
Answer: A
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. To
prevent hypoglycemia, the patient must eat immediately or within 15 minutes of
administration.
,2. A patient is receiving intravenous Gentamicin for a severe infection. Which laboratory
values are most critical for the nurse to monitor to prevent toxicity?
A. Serum Potassium and Sodium
B. BUN and Serum Creatinine
C. ALT and AST
D. Prothrombin time (PT) and INR
Answer: B
Conceptual Explanation: Gentamicin is an aminoglycoside known for nephrotoxicity.
Monitoring BUN and Creatinine is essential to assess renal function.
3. Which instruction is most important for a patient starting Levothyroxine (Synthroid) for
hypothyroidism?
A. Take the medication with a high-calcium snack
B. Take the medication on an empty stomach, 30-60 minutes before breakfast
C. Take the medication at bedtime with a full glass of water
D. Stop the medication immediately if the heart rate exceeds 100 bpm
Answer: B
Conceptual Explanation: Levothyroxine absorption is best on an empty stomach. Taking it
with food or calcium can significantly decrease absorption.
, 4. A patient is prescribed Rifampin as part of a multi-drug regimen for tuberculosis. What side
effect should the nurse warn the patient about?
A. Permanent hearing loss
B. Severe muscle pain and weakness
C. Red-orange discoloration of urine, sweat, and tears
D. White patches in the mouth
Answer: C
Conceptual Explanation: Rifampin commonly causes a harmless red-orange discoloration
of body fluids, which can also stain contact lenses.
5. Which medication is considered the ‘rescue’ inhaler for a patient experiencing an acute
asthma attack?
A. Salmeterol
B. Albuterol
C. Fluticasone
D. Montelukast
Answer: B
Conceptual Explanation: Albuterol is a short-acting beta-2 agonist (SABA) that provides
rapid bronchodilation during acute symptoms.
ADVANCED NURSING CONCEPTS
(LATEST 2026/ 2027 UPDATE)
QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS| GRADE A+
1. A patient with Type 1 Diabetes Mellitus is prescribed Lispro (Humalog) insulin. At what
time should the nurse instruct the patient to eat their meal?
A. Immediately before or within 15 minutes of injection
B. 30 to 60 minutes after injection
C. 2 hours after injection
D. Only when symptoms of hyperglycemia occur
Answer: A
Conceptual Explanation: Lispro is a rapid-acting insulin with an onset of 15 minutes. To
prevent hypoglycemia, the patient must eat immediately or within 15 minutes of
administration.
,2. A patient is receiving intravenous Gentamicin for a severe infection. Which laboratory
values are most critical for the nurse to monitor to prevent toxicity?
A. Serum Potassium and Sodium
B. BUN and Serum Creatinine
C. ALT and AST
D. Prothrombin time (PT) and INR
Answer: B
Conceptual Explanation: Gentamicin is an aminoglycoside known for nephrotoxicity.
Monitoring BUN and Creatinine is essential to assess renal function.
3. Which instruction is most important for a patient starting Levothyroxine (Synthroid) for
hypothyroidism?
A. Take the medication with a high-calcium snack
B. Take the medication on an empty stomach, 30-60 minutes before breakfast
C. Take the medication at bedtime with a full glass of water
D. Stop the medication immediately if the heart rate exceeds 100 bpm
Answer: B
Conceptual Explanation: Levothyroxine absorption is best on an empty stomach. Taking it
with food or calcium can significantly decrease absorption.
, 4. A patient is prescribed Rifampin as part of a multi-drug regimen for tuberculosis. What side
effect should the nurse warn the patient about?
A. Permanent hearing loss
B. Severe muscle pain and weakness
C. Red-orange discoloration of urine, sweat, and tears
D. White patches in the mouth
Answer: C
Conceptual Explanation: Rifampin commonly causes a harmless red-orange discoloration
of body fluids, which can also stain contact lenses.
5. Which medication is considered the ‘rescue’ inhaler for a patient experiencing an acute
asthma attack?
A. Salmeterol
B. Albuterol
C. Fluticasone
D. Montelukast
Answer: B
Conceptual Explanation: Albuterol is a short-acting beta-2 agonist (SABA) that provides
rapid bronchodilation during acute symptoms.
