NR565 Final Exam | NR 565 Advanced Pharmacology Fundamentals
Final Exam Actual Review Questions with Verified Answers Latest
- Chamberlain
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?
The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30
Novolin insulin.
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?
six or seven times a day.
Which statement is correct about the contrast between acarbose and miglitol?
Miglitol has not been associated with hepatic dysfunction.
A nurse is educating the staff nurses about ketoacidosis. To evaluate the group's understanding,
the nurse asks, "Which sign or symptom would not be consistent with ketoacidosis?" The group
gives which correct answer?
Blood glucose level of 60 mg/dL
The nurse assesses a newly diagnosed patient for short-term complications of diabetes. What
does this assessment include?
Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis.
A patient with type 1 diabetes is eating breakfast at 730 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?
70/30 mix
1 | NR 565 Advanced Pharmacology Fundamentals Final Exam
,A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.
Why is the nurse concerned?
The beta blocker can mask the symptoms of hypoglycemia.
A nurse provides dietary counseling for a patient newly diagnosed with type 1 diabetes. Which
instruction should be included?
"You should use a carbohydrate counting approach to maintain glycemic control."
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection.
What should the nurse tell the patient?
This is an acceptable practice
Which statement is accurate about the long-term complications of diabetes?-
Optimal control of both types of diabetes reduces the risk of eye, kidney, and nerve damage.
An elderly patient who has type 2 diabetes has a history of severe hypoglycemia. The patient's
spouse asks the nurse what the optimal A1c level is for the patient. Which is correct?
Below 8.0
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?
"Unless you were fasting for longer than 8 hours, this does not necessarily mean you have
diabetes."
A patient who has type 2 diabetes will begin taking glipizide [Glucotrol]. Which statement by
the patient is concerning to the nurse?
"I may continue to have a glass of wine with dinner."
2 | NR 565 Advanced Pharmacology Fundamentals Final Exam
, What is the most reliable measure for assessing diabetes control over the preceding 3- month
period?
Glycosylated hemoglobin level
Insulin glargine is prescribed for a hospitalized patient who has diabetes. When will the nurse
expect to administer this drug?
Once daily at bedtime
A patient with hypothyroidism begins taking PO levothyroxine [Synthroid]. The nurse assesses
the patient at the beginning of the shift and notes a heart rate of 62 beats/minute and a
temperature of 97.2°F. The patient is lethargic and difficult to arouse. The nurse will contact the
provider to request an order for which drug?
Intravenous levothyroxine
A patient has been taking levothyroxine for several years and reports that "for the past 2
weeks, the drug does not seem to work as well as before." What will the nurse do?
Ask the patient when the prescription was last refilled.
A nurse is teaching a patient who will begin taking methimazole [Tapazole] for Graves disease
about the medication. Which statement by the patient indicates understanding of the
teaching?
"I should report a sore throat or fever to my provider if either occurs."
A patient is admitted to the hospital and will begin taking levothyroxine [Synthroid]. The nurse
learns that the patient also takes warfarin [Coumadin]. The nurse will notify the provider to
discuss the dose.
Reducing; warfarin
The nurse prepares a patient with Graves disease for radioactive iodine (131I) therapy. Which
statement made by the patient best demonstrates understanding of 131I therapy?
3 | NR 565 Advanced Pharmacology Fundamentals Final Exam
Final Exam Actual Review Questions with Verified Answers Latest
- Chamberlain
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?
The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30
Novolin insulin.
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?
six or seven times a day.
Which statement is correct about the contrast between acarbose and miglitol?
Miglitol has not been associated with hepatic dysfunction.
A nurse is educating the staff nurses about ketoacidosis. To evaluate the group's understanding,
the nurse asks, "Which sign or symptom would not be consistent with ketoacidosis?" The group
gives which correct answer?
Blood glucose level of 60 mg/dL
The nurse assesses a newly diagnosed patient for short-term complications of diabetes. What
does this assessment include?
Evaluation for hyperglycemia, hypoglycemia, and ketoacidosis.
A patient with type 1 diabetes is eating breakfast at 730 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?
70/30 mix
1 | NR 565 Advanced Pharmacology Fundamentals Final Exam
,A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension.
Why is the nurse concerned?
The beta blocker can mask the symptoms of hypoglycemia.
A nurse provides dietary counseling for a patient newly diagnosed with type 1 diabetes. Which
instruction should be included?
"You should use a carbohydrate counting approach to maintain glycemic control."
A patient with type 1 diabetes reports mixing NPH and regular insulin to allow for one injection.
What should the nurse tell the patient?
This is an acceptable practice
Which statement is accurate about the long-term complications of diabetes?-
Optimal control of both types of diabetes reduces the risk of eye, kidney, and nerve damage.
An elderly patient who has type 2 diabetes has a history of severe hypoglycemia. The patient's
spouse asks the nurse what the optimal A1c level is for the patient. Which is correct?
Below 8.0
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?
"Unless you were fasting for longer than 8 hours, this does not necessarily mean you have
diabetes."
A patient who has type 2 diabetes will begin taking glipizide [Glucotrol]. Which statement by
the patient is concerning to the nurse?
"I may continue to have a glass of wine with dinner."
2 | NR 565 Advanced Pharmacology Fundamentals Final Exam
, What is the most reliable measure for assessing diabetes control over the preceding 3- month
period?
Glycosylated hemoglobin level
Insulin glargine is prescribed for a hospitalized patient who has diabetes. When will the nurse
expect to administer this drug?
Once daily at bedtime
A patient with hypothyroidism begins taking PO levothyroxine [Synthroid]. The nurse assesses
the patient at the beginning of the shift and notes a heart rate of 62 beats/minute and a
temperature of 97.2°F. The patient is lethargic and difficult to arouse. The nurse will contact the
provider to request an order for which drug?
Intravenous levothyroxine
A patient has been taking levothyroxine for several years and reports that "for the past 2
weeks, the drug does not seem to work as well as before." What will the nurse do?
Ask the patient when the prescription was last refilled.
A nurse is teaching a patient who will begin taking methimazole [Tapazole] for Graves disease
about the medication. Which statement by the patient indicates understanding of the
teaching?
"I should report a sore throat or fever to my provider if either occurs."
A patient is admitted to the hospital and will begin taking levothyroxine [Synthroid]. The nurse
learns that the patient also takes warfarin [Coumadin]. The nurse will notify the provider to
discuss the dose.
Reducing; warfarin
The nurse prepares a patient with Graves disease for radioactive iodine (131I) therapy. Which
statement made by the patient best demonstrates understanding of 131I therapy?
3 | NR 565 Advanced Pharmacology Fundamentals Final Exam
