NUR2474||NUR2474 Pharmacology Final
Exam QUESTION/ANSWERS(latest
update)2024/2025 distinction assurance!!
1. The nurse working on a high-acuity medical-surgical unit is
prioritizing care for four patients who were just admitted. Which patient
should the nurse assess first?
a. The NPO patient with a blood glucose level of 80 mg/dL who just
received 20 units of 70/30 Novolin insulin.
b. The patient with a pulse of 58 beats per minute who is about to
receive digoxin (Lanoxin)
c. The patient with a blood pressure of 136/92 mm Hg who complains of
having a headache
d. The patient with an allergy to penicillin who is receiving an infusion
of vancomycin (Vancocin) (CORRECT ANSWERS) a. The NPO patient
with a blood glucose level of 80 mg/dL who just received 20 units of
70/30 Novolin insulin.
*low/normal BGL and insulin will continue to drop glucose level. At
risk for hypoglycemia.
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) (CORRECT ANSWERS) 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 (CORRECT
ANSWERS) 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."
(CORRECT ANSWERS) 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 (CORRECT ANSWERS) 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.
(CORRECT ANSWERS) 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. (CORRECT ANSWERS)
a. Miglitol has not been associated with hepatic dysfunction.
*key difference is that acarbose has been associated with rare cases of
hepatic dysfunction
Exam QUESTION/ANSWERS(latest
update)2024/2025 distinction assurance!!
1. The nurse working on a high-acuity medical-surgical unit is
prioritizing care for four patients who were just admitted. Which patient
should the nurse assess first?
a. The NPO patient with a blood glucose level of 80 mg/dL who just
received 20 units of 70/30 Novolin insulin.
b. The patient with a pulse of 58 beats per minute who is about to
receive digoxin (Lanoxin)
c. The patient with a blood pressure of 136/92 mm Hg who complains of
having a headache
d. The patient with an allergy to penicillin who is receiving an infusion
of vancomycin (Vancocin) (CORRECT ANSWERS) a. The NPO patient
with a blood glucose level of 80 mg/dL who just received 20 units of
70/30 Novolin insulin.
*low/normal BGL and insulin will continue to drop glucose level. At
risk for hypoglycemia.
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) (CORRECT ANSWERS) 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 (CORRECT
ANSWERS) 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."
(CORRECT ANSWERS) 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 (CORRECT ANSWERS) 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.
(CORRECT ANSWERS) 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. (CORRECT ANSWERS)
a. Miglitol has not been associated with hepatic dysfunction.
*key difference is that acarbose has been associated with rare cases of
hepatic dysfunction
