Final Exam: NR 565 / NR565 (Latest 2025/ 2026 Update) Advanced Pharmacology Exam Review | Weeks 5-8 Covered| Complete Guide with Questions and Verified Answers - Chamberlain

Final Exam: NR 565 / NR565 (Latest 2025/
2026 Update) Advanced Pharmacology Exam
Review | Weeks 5-8 Covered| Complete Guide
with Questions and Verified Answers -
Chamberlain


QUESTION
A patient receives his first lab results showing an A1C of 7.2%. What is the diagnosis?
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Answer:
-Cannot confirm because you need a second A1C after 3 months (value is borderline)
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QUESTION
An A1C of
bq bq is considered prediabetes.
bq bq




Answer:
5.7%-6.4%



QUESTION
A random glucose of
bq bq bq is considered diabetic.
bq bq




Answer:
200 with signs and symptoms
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QUESTION
A person with diabetes has recurrent severe hypoglycemia events. What should his A1C goal be?
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Answer:
8%

,QUESTION
When is it okay for a patient to have an A1C goal of 6.5%?
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Answer:
When they can tolerate it and have no comorbidities.
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QUESTION
How often should an A1C be monitored when stable or when unstable?-
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Answer:
-Stable: every 6 months bq bq bq



-Unstable: every 3 months (A1C of 7 or >)
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QUESTION
A person comes in with an A1C of 10% and a fasting blood glucose of
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>300.What are the next steps for the provider?
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Answer:
-Start insulin bq



(when A1C is above >9% start at step 2= insulin combo therapy)
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QUESTION
Who should not take Metformin?
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Answer:
-Due to increased risk of Lactic acidosis:
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patients with CHF, older than 80 years of age, kidney disease (Renal insufficiency)
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QUESTION
Sulfonylureas should not be used during bq bq bq bq bq or with
bq

, or impairments.

Answer:
-Pregnancy
-Liver
-Renal



QUESTION
A patient who has a history of bladder cancer and HF should avoid what class of DM meds?
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Answer:
Pioglitazones
-Can cause renal fluid retention associated with HF
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QUESTION
When is it appropriate to increase insulin needs?
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Answer:
-Pregnancy
-Infection
-Stress
-Growth spurts bq




QUESTION
What is the TDD of a person that weighs 70kg?
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Answer:
TDD= (Kgx0.6) bq




50% will be long acting
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50% Rapid acting
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QUESTION
IF a person is eating a 50 carb meal, how much insulin will be needed based on the TDD from
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the above question?
bq bq bq

, Answer:
500 / TDD = Carb to insulin ratio
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500/42 = 11.9
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50/ 11 = 4.5 Units
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QUESTION
Metformin

Answer:
-Best antidiabetic for patients that skip meals
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-Can be used to treat PCOS
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QUESTION
A patient states that she will take her insulin lispro 30-60 minutes before a meal?
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Answer:
Nope- must be within 15-30 mins of meal
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QUESTION
"As long as the short-acting insulin is drawn up first I can mix my insulin glargine with it".
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Answer:
Nope- Only NPH can be mixed with short acting
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-Always draw regular (Clear) before NPH (Cloudy)
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QUESTION
A patient states, "My sugars have been around 65-68 at times but I feel like the med is working".
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Answer:
Nope- Values are too low bq bq bq bq



-Hypoglycemia unawareness, need to educate bq bq bq bq




QUESTION