NURS 613 advanced pharmacology EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

PHARMACOLOGY EXAM ms




Exam Solution
ms




Pharm Final Exam 2026 A+ GRADE ASSURED COMPLET
ms ms ms ms ms ms ms




E SOLUTIONS AND VERIFIED ANSWERS (62708)
ms ms ms ms ms




QUESTION 1 ms




▪ take 20-30 min before meals
ms ms ms ms ms




ANSWER

*Short duration, rapid-acting insulin (ex: insulin lispro)* ▪ Patient Education -
ms ms ms ms ms ms ms ms ms ms



When should a patient take it?
ms ms ms ms ms ms




QUESTION 2 ms




lispro (Humalog), remember it is rapid-acting
ms ms ms ms ms




ANSWER

Which insulin will we give to someone who is eating breakfast?
ms ms ms ms ms ms ms ms ms ms




QUESTION 3 ms




▪ give once daily at the same time every day, usually at bedtime
ms ms ms ms ms ms ms ms ms ms ms ms




ANSWER

*Long duration insulin (ex: insulin glargine)* ▪ Patient Education - When should a patient take it?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms




QUESTION 4 ms




18-24 hours between doses
ms ms ms




ANSWER

*Long duration insulin (ex: insulin glargine)* ▪ How many hours between doses?
ms ms ms ms ms ms ms ms ms ms ms




QUESTION 5 ms

,▪ the patient with the hypoglycemia risk
ms ms ms ms ms ms




ANSWER

A nurse is starting her shift and gets report on her four patients: ▪ A patient with a pulse above 6
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



0 ▪ A patient with a blood pressure of 136/92 ▪ A patient with an allergy to penicillin who is rece
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



iving vancomycin ▪ A patient not eating with a glucose level of 80 and just received 20 units of ins
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ulin Which patient is the priority?
ms ms ms ms ms




QUESTION 6 ms




▪ do NOT drink alcohol, it has an disulfiram-
ms ms ms ms ms ms ms ms



like reaction "don't gulp alcohol with glip"
ms ms ms ms ms ms




ANSWER

*Sulfonylureas (ex: glipizide)* ▪ Patient Education - What should the patient avoid?
ms ms ms ms ms ms ms ms ms ms ms




QUESTION 7 ms




▪ STOP the Metformin and put the patient on insulin. ▪ The combination of metformi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



n and contrast dye that may be used for CT scan can temporarily reduce kidney functi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



on. ▪ The patient will need to be *off metformin for 24-
ms ms ms ms ms ms ms ms ms ms ms



48 hours before* the CT scan, and a *minimum of 48 hours after* the CT scan to prot
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ect the patient's kidneys.
ms ms ms




ANSWER

*Biguanides (ex: metformin)* ▪ Nursing Interventions: A patient comes into the hospital and is taki
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ng metformin. There is a possibility the patient will need a CT Scan. What might we want to consid
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



er doing?
ms




QUESTION 8 ms




*▪ the fetus can develop neurological and physiological defects* ▪ So, the risks outwei
ms ms ms ms ms ms ms ms ms ms ms ms ms



gh the benefits so the mother should stay on her hypothyroid medication (ex: levothy
ms ms ms ms ms ms ms ms ms ms ms ms ms



roxine)
ANSWER

*Drugs for Hypothyroidism (ex: levothyroxine)* ▪ Patient Education: A patient on hypothyroidism m
ms ms ms ms ms ms ms ms ms ms ms ms



edication becomes pregnant. The patient states she does not want to continue the medications becau
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



se of the baby. What complications do the effects of hypothyroidism have on pregnancy?
ms ms ms ms ms ms ms ms ms ms ms ms ms




QUESTION 9 ms




Yes, the teaching has been effective
ms ms ms ms ms




ANSWER

, *Drugs for Hypothyroidism (ex: levothyroxine)* ▪ Patient Education: Your patient is on levothyroxin
ms ms ms ms ms ms ms ms ms ms ms ms



e. During a teach-back method the patient states "I will learn to take levothyroxine *30-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



60 min before breakfast on an empty stomach*." Was the teaching effective?
ms ms ms ms ms ms ms ms ms ms ms




QUESTION 10 ms




▪ take other medications *4 hours apart* from levothyroxine
ms ms ms ms ms ms ms ms




ANSWER

*Drugs for Hypothyroidism (ex: levothyroxine)* ▪ It has many drug interactions. When should you t
ms ms ms ms ms ms ms ms ms ms ms ms ms ms



ake the other medications?
ms ms ms




QUESTION 11 ms




▪ Transdermal side effects decrease potential side effects of estrogen therapy. Transd
ms ms ms ms ms ms ms ms ms ms ms



ermal patches or cream have the least amount of side effects
ms ms ms ms ms ms ms ms ms ms




ANSWER

*Hormone Replacement Therapy (ex: estrogen/progestin combinations)* ▪ Patient Education: A patie
ms ms ms ms ms ms ms ms ms ms



nt has a hysterectomy. The patient is worried about estrogen therapy. What could we tell the patien
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms



t?



QUESTION 12 ms




endometrial cancer ms




ANSWER

*Hormone Replacement Therapy (ex: estrogen/progestin combinations)* ▪ What does hormone repl
ms ms ms ms ms ms ms ms ms ms



acement therapy prevent? ms ms




QUESTION 13 ms




▪ creates/enhances conditions for fetal growth ▪ the combination with estrogen reduc
ms ms ms ms ms ms ms ms ms ms ms



es cancer risk
ms ms




ANSWER

*Hormone Replacement Therapy (ex: estrogen/progestin combinations)* ▪ What are the benefits of
ms ms ms ms ms ms ms ms ms ms ms ms



progestin?



QUESTION 14 ms




Heparin drip IV ms ms




ANSWER