NRS 2020 - Pharmacology
PHARMACOLOGY NRS 2020 EXAM 3 UPDATED 2026/2027
QUESTION WITH VERIFIED ANSWER (ORIGINAL EXAM)
GRADED A OAKLAND UNIVERSITY
The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes.
Which of these is most helpful in evaluating this patient's long-term glucose management?
Urine specific gravity
Hemoglobin A1c (Hgb A1C)
Fasting blood glucose level
Urine glucose
Hemoglobin A1c (Hgb A1C)
The nurse is discussing storage of insulin vials with the client. Which statement indicates the
client understands the teaching concerning the storage of insulin?
"I can keep my insulin in the trunk of my car so I will have it at all times."
"If I prefill my insulin syringes, I must use them within 1 to 2 days."
"It is all right to put my unopened insulin vials in the freezer."
"I will keep my unopened vials of insulin in the refrigerator."
"I will keep my unopened vials of insulin in the refrigerator."
Which client is most likely to receive opioids for extended periods of time?
A client with progressive pancreatic cancer
A client with trigeminal neuralgia
A client with phantom limb pain
A client with fibromyalgia
A client with progressive pancreatic cancer
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin. What
is the nurse's best response about why the client needs to take insulin?
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
"Your diabetes is getting worse, so you will need to take insulin."
"You must take insulin from now on because the surgery will affect your diabetes."
"You can't take your metformin while in the hospital."
,NRS 2020 - Pharmacology
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
A patient is receiving instructions regarding the use of caffeine for migraine headaches. The
nurse shares that caffeine should be used with caution if which of these conditions is present?
A history of peptic ulcers
A history of kidney stones
Asthma
Tension headache
A history of peptic ulcers
A nurse assesses a patient with diabetes mellitus who self-administers subcutaneous insulin.
The nurse notes a spongy, swelling area at the site the patient uses most frequently for insulin
injection. What action would the nurse take?
Assess the patient for other signs of cellulitis.
Consult the provider for a new administration route.
Apply ice to the site to reduce inflammation.
Instruct the patient to rotate sites for insulin injection
Instruct the patient to rotate sites for insulin injection
Jane is a 67 year-old woman with a history of mild hypertension and classic angina pectoris.
She is seeking treatment for migraine headaches of moderate intensity. Her headaches are
preceeded by bilateral light flashes and dizziness that last about 10 minutes prior to the onset
of pain. Her headaches are also frequently accompanied by photophobia, severe nausea and
occasional vomiting. What medication would be contraindicated for acute treatment of Jane's
headaches?
Aspirin
Acetaminophen
Sumatriptan
Caffeine
Propranolol
Sumatriptan
, NRS 2020 - Pharmacology
A patient asks the nurse what can be given to alleviate severe, chronic cancer pain of several
months' duration. The patient has been taking oxycodone [OxyContin] and states that it is no
longer effective. The nurse will suggest discussing which medication with the provider?
Hydrocodone [Vicodin] PO
Pentazocine [Talwin] PO
Fentanyl [Duragesic] transdermal patch
Naloxone (Narcan)
Fentanyl [Duragesic] transdermal patch
A client with type 1 diabetes mellitus received regular insulin at 7:00 a.m. The client will need to
be monitored for hypoglycemia at which time?
11:00am
2:00pm
7:30am
7:30pm
11:00am
A patient with chronic pain has been receiving morphine sulfate but now has decreased pain.
The prescriber changes the medication to ketolorac [Toradol]. The nurse will monitor the
patient for:
hypotension.
respiratory depression.
euphoria.
nausea and sweating.
nausea and sweating.
A nurse is providing teaching to a client who has migraine headache and a new prescription
for Ergotamine. For which of the following manifestations indicating a possible adverse
reaction should the nurse instruct the client to stop taking the medication and notify the
provider? Select all apply:
numbness and tingling in fingers
b. visual disturbance
c. positive home pregnancy test
d. muscle pain
A, C, D
PHARMACOLOGY NRS 2020 EXAM 3 UPDATED 2026/2027
QUESTION WITH VERIFIED ANSWER (ORIGINAL EXAM)
GRADED A OAKLAND UNIVERSITY
The healthcare provider is assessing the glucose level of a patient with a diagnosis of diabetes.
Which of these is most helpful in evaluating this patient's long-term glucose management?
Urine specific gravity
Hemoglobin A1c (Hgb A1C)
Fasting blood glucose level
Urine glucose
Hemoglobin A1c (Hgb A1C)
The nurse is discussing storage of insulin vials with the client. Which statement indicates the
client understands the teaching concerning the storage of insulin?
"I can keep my insulin in the trunk of my car so I will have it at all times."
"If I prefill my insulin syringes, I must use them within 1 to 2 days."
"It is all right to put my unopened insulin vials in the freezer."
"I will keep my unopened vials of insulin in the refrigerator."
"I will keep my unopened vials of insulin in the refrigerator."
Which client is most likely to receive opioids for extended periods of time?
A client with progressive pancreatic cancer
A client with trigeminal neuralgia
A client with phantom limb pain
A client with fibromyalgia
A client with progressive pancreatic cancer
A client with type 2 diabetes controlled with Metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin. What
is the nurse's best response about why the client needs to take insulin?
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
"Your diabetes is getting worse, so you will need to take insulin."
"You must take insulin from now on because the surgery will affect your diabetes."
"You can't take your metformin while in the hospital."
,NRS 2020 - Pharmacology
"Stress, such as surgery, increases blood glucose levels. You'll need insulin to control your
blood glucose temporarily."
A patient is receiving instructions regarding the use of caffeine for migraine headaches. The
nurse shares that caffeine should be used with caution if which of these conditions is present?
A history of peptic ulcers
A history of kidney stones
Asthma
Tension headache
A history of peptic ulcers
A nurse assesses a patient with diabetes mellitus who self-administers subcutaneous insulin.
The nurse notes a spongy, swelling area at the site the patient uses most frequently for insulin
injection. What action would the nurse take?
Assess the patient for other signs of cellulitis.
Consult the provider for a new administration route.
Apply ice to the site to reduce inflammation.
Instruct the patient to rotate sites for insulin injection
Instruct the patient to rotate sites for insulin injection
Jane is a 67 year-old woman with a history of mild hypertension and classic angina pectoris.
She is seeking treatment for migraine headaches of moderate intensity. Her headaches are
preceeded by bilateral light flashes and dizziness that last about 10 minutes prior to the onset
of pain. Her headaches are also frequently accompanied by photophobia, severe nausea and
occasional vomiting. What medication would be contraindicated for acute treatment of Jane's
headaches?
Aspirin
Acetaminophen
Sumatriptan
Caffeine
Propranolol
Sumatriptan
, NRS 2020 - Pharmacology
A patient asks the nurse what can be given to alleviate severe, chronic cancer pain of several
months' duration. The patient has been taking oxycodone [OxyContin] and states that it is no
longer effective. The nurse will suggest discussing which medication with the provider?
Hydrocodone [Vicodin] PO
Pentazocine [Talwin] PO
Fentanyl [Duragesic] transdermal patch
Naloxone (Narcan)
Fentanyl [Duragesic] transdermal patch
A client with type 1 diabetes mellitus received regular insulin at 7:00 a.m. The client will need to
be monitored for hypoglycemia at which time?
11:00am
2:00pm
7:30am
7:30pm
11:00am
A patient with chronic pain has been receiving morphine sulfate but now has decreased pain.
The prescriber changes the medication to ketolorac [Toradol]. The nurse will monitor the
patient for:
hypotension.
respiratory depression.
euphoria.
nausea and sweating.
nausea and sweating.
A nurse is providing teaching to a client who has migraine headache and a new prescription
for Ergotamine. For which of the following manifestations indicating a possible adverse
reaction should the nurse instruct the client to stop taking the medication and notify the
provider? Select all apply:
numbness and tingling in fingers
b. visual disturbance
c. positive home pregnancy test
d. muscle pain
A, C, D
