NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
NUR2474 FINAL EXAM 2023-
d d d
2024 (ORIGINAL EXAM) WITH ANSWERS |100% CORRECT GRAD
d d d d d d d
ED A+
d
1. Thednursedworkingdondadhigh-acuitydmedical-
surgicaldunitdisdprioritizingdcaredfordfourdpatientsdwhodweredjustdadmitted.dWhichdpatientd
shoulddthednursedassessdfirst?
a. ThedNPOdpatientdwithdadblooddglucosedleveldofd80dmg/dLdwhodjustdreceivedd20dunitsdofd7
0/30dNovolindinsulin
b. Thedpatientdwithdadpulsedofd58dbeatsdperdminutedwhodisdaboutdtodreceiveddigoxind(
Lanoxin)
c. Thedpatientdwithdadblooddpressuredofd136/92dmmdHgdwhodcomplainsdofdhavingdadh
eadache
d. Thedpatientdwithdandallergydtodpenicillindwhodisdreceivingdandinfusiondofdvancomycind(
Vancocin)
2. Adpatientdwithdtyped1ddiabetesdisdeatingdbreakfastdatd7:30dAM.dBlooddsugarsdaredondadsli
dingdscaledanddaredordereddbeforedadmealdanddatdbedtime.dThedpatient'sdblooddsugardlevel
disd317dmg/dL.dWhichdformulationdofdinsulindshoulddthednursedpreparedtodadminister?
a. Nodinsulindshoulddbedadministered.
b. NPH
c. 70/30dmix
d. Lisprod(Humalog)
3. Adpatientdwithdtyped1ddiabetesdrecentlydbecamedpregnant.dThednursedplansdadbloodd
glucosedtestingdscheduledfordher.dWhatdisdthedrecommendeddmonitoringdschedule?
a. Beforedeachdmealdanddbeforedbed
b. Indthedmorningdfordadfastingdleveldanddatd4dPMdfordthedpeakdlevel
c. Sixdordsevendtimesdadday
d. Threedtimesdadday,dalongdwithdurinedglucosedtesting
,NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
4. Andadolescentdpatientdrecentlydattendeddadhealthdfairdanddhaddadserumdglucosedtest.dTh
edpatientdtelephonesdthednursedanddsays,d"Mydleveldwasd125dmg/dL.dDoesdthatdmeandIdhav
eddiabetes?"dWhatdisdthednurse'sdmostdaccuratedresponse?
a. "Unlessdyoudweredfastingdfordlongerdthand8dhours,dthisddoesdnotdnecessarilydmeandyoudh
aveddiabetes."
b. "Atdthisdlevel,dyoudprobablydhaveddiabetes.dYoudwilldneeddandoraldglucosedtolerancedt
estdthisdweek."
c. "Thisdleveldisdconclusivedevidencedthatdyoudhaveddiabetes."
d. "Thisdleveldisdconclusivedevidencedthatdyouddodnotdhaveddiabetes."
5. Insulindglarginedisdprescribeddfordadhospitalizeddpatientdwhodisddiabetic.dWhendwilldthedn
ursedadministerdthisddrug?
a. Approximatelyd15dtod30dminutesdbeforedeachdmeal
b. Indthedmorningdanddatd4dPM
c. Onceddailydatdbedtime
d. Afterdmealsdanddatdbedtime
6. Adpatientdwithdtyped1ddiabetesdwhodtakesdinsulindreportsdtakingdpropranololdford
hypertension.dWhydisdthednursedconcerned?
a. Thedbetadblockerdcandcausedinsulindresistance.
b. Usingdthedtwodagentsdtogetherdincreasesdthedriskdofdketoacidosis.
c. Propranololdincreasesdinsulindrequirementsdbecausedofdreceptordblocking.
d. Thedbetadblockerdcandmaskdthedsymptomsdofdhypoglycemia.
7. Whichdstatementdisdcorrectdaboutdthedcontrastdbetweendadcarbosedanddmiglitol?
a. Miglitoldhasdnotdbeendassociateddwithdhepaticddysfunction.
b. Withdmiglitol,dsucrosedcandbeduseddtodtreatdhypoglycemia.
,NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
c. MiglitoldisdlessdeffectivedindAfricandAmericans.
d. Miglitoldhasdnodgastrointestinaldsidedeffects.
8. Adnursedcounselsdadpatientdwithddiabetesdwhodisdstartingdtherapydwithdandalpha-
dglucosidasedinhibitor.dThedpatientdshoulddbededucateddaboutdthedpotentialdfordwhichd
adversedreactions?d(Selectdalldthatdapply.)
a. Hypoglycemia
b. Flatulence
c. Elevateddirondlevelsdindthedblood
d. Fluiddretention
e. Diarrhea
9. Thednursedisdcaringdfordadpregnantdpatientdrecentlyddiagnoseddwithdhypothyroidism.dTh
edpatientdtellsdthednursedsheddoesdnotdwantdtodtakedmedicationsdwhiledshedisdpregnant.dWh
atdwilldthednursedexplaindtodthisdpatient?
a. Hypothyroidismdisdadnormaldeffectdofdpregnancydanddusuallydisdofdnodconsequence.
b. Neuropsychologicddeficitsdindthedfetusdcandoccurdifdthedconditiondisdnotdtreated.
c. Noddangerdtodthedfetusdexistsduntildthedthirddtrimester.
d. Treatmentdisdrequireddonlydifdthedpatientdisdexperiencingdsymptoms.
10. Adnursedisdteachingdadpatientdwhodhasdbeenddiagnoseddwithdhypothyroidismd aboutd
levothyroxined(Synthroid).dWhichdstatementdbydthedpatientdindicatesdadneeddfordfurthert
eaching?
a. "Idshoulddnotdtakedheartburndmedicationdwithoutdconsultingdmydprovider."
b. "Idshoulddreportdinsomnia,dtremors,danddandincreaseddheartdratedtodmydprovider."
c. "IfdIdtakedadmultivitamindwithdiron,dIdshoulddtakeditd4dhoursdafterdthedSynthroid."
d. "IfdIdtakedcalciumdsupplements,dIdmaydneeddtoddecreasedmyddosedofdSynthroid."
, NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
11. AdpatientdwithdhypothyroidismdbeginsdtakingdPOdlevothyroxined(Synthroid).dThednursed
assessesdthedpatientdatdthedbeginningdofdthedshiftdanddnotesdadheartdratedofd62dbeatsdperdmi
nutedanddadtemperaturedofd97.2°dF.dThedpatientdisdlethargicdandddifficultdtodarouse.dThednur
sedwilldcontactdthedproviderdtodrequestdandorderdfordwhichddrug?
a. Betadblocker
b. IncreasedddosedofdPOdlevothyroxine
c. Intravenousdlevothyroxine
d. Methimazoled(Tapazole)
12. Adpatientdisdadmitteddtodthedhospitaldanddwilldbegindtakingdlevothyroxined (Synthroid).d
Thednursedlearnsdthatdthedpatientdalsodtakesdwarfarind(Coumadin).dThednursedwilldnotifyth
edproviderdtoddiscussd d thed dose.
a. reducingdlevothyroxine
b. reducingdwarfarin
c. increasingdlevothyroxine
d. increasingdwarfarin
13. Andolderdadultdpatientdisddiagnoseddwithdhypothyroidism.dThedinitialdfreedT4dleveldis
0.5dmg/dL,danddthedTSHdleveldisd8dmicrounits/mL.dThedprescriberdordersdlevothyroxined(Levo
throid)d100dmcg/daydPO.dWhatdwilldthednurseddo?
a. Administerdthedmedicationdasdordered.
b. ContactdthedproviderdtoddiscussdgivingdthedlevothyroxinedIV.
c. Requestdandorderdtodgiveddesiccateddthyroidd(ArmourdThyroid).
d. Suggestdthatdthedproviderdlowerdtheddose.
14. Ad1-year-
olddchilddwithdcretinismdhasdbeendreceivingd8dmcg/kg/daydofdlevothyroxined(Synthroid).dTh
edchilddcomesdtodthedclinicdfordadwell-childdcheckdup.dThednursedwilldexpectdthedproviderdto:
22023-2024dUPDATE
NUR2474 FINAL EXAM 2023-
d d d
2024 (ORIGINAL EXAM) WITH ANSWERS |100% CORRECT GRAD
d d d d d d d
ED A+
d
1. Thednursedworkingdondadhigh-acuitydmedical-
surgicaldunitdisdprioritizingdcaredfordfourdpatientsdwhodweredjustdadmitted.dWhichdpatientd
shoulddthednursedassessdfirst?
a. ThedNPOdpatientdwithdadblooddglucosedleveldofd80dmg/dLdwhodjustdreceivedd20dunitsdofd7
0/30dNovolindinsulin
b. Thedpatientdwithdadpulsedofd58dbeatsdperdminutedwhodisdaboutdtodreceiveddigoxind(
Lanoxin)
c. Thedpatientdwithdadblooddpressuredofd136/92dmmdHgdwhodcomplainsdofdhavingdadh
eadache
d. Thedpatientdwithdandallergydtodpenicillindwhodisdreceivingdandinfusiondofdvancomycind(
Vancocin)
2. Adpatientdwithdtyped1ddiabetesdisdeatingdbreakfastdatd7:30dAM.dBlooddsugarsdaredondadsli
dingdscaledanddaredordereddbeforedadmealdanddatdbedtime.dThedpatient'sdblooddsugardlevel
disd317dmg/dL.dWhichdformulationdofdinsulindshoulddthednursedpreparedtodadminister?
a. Nodinsulindshoulddbedadministered.
b. NPH
c. 70/30dmix
d. Lisprod(Humalog)
3. Adpatientdwithdtyped1ddiabetesdrecentlydbecamedpregnant.dThednursedplansdadbloodd
glucosedtestingdscheduledfordher.dWhatdisdthedrecommendeddmonitoringdschedule?
a. Beforedeachdmealdanddbeforedbed
b. Indthedmorningdfordadfastingdleveldanddatd4dPMdfordthedpeakdlevel
c. Sixdordsevendtimesdadday
d. Threedtimesdadday,dalongdwithdurinedglucosedtesting
,NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
4. Andadolescentdpatientdrecentlydattendeddadhealthdfairdanddhaddadserumdglucosedtest.dTh
edpatientdtelephonesdthednursedanddsays,d"Mydleveldwasd125dmg/dL.dDoesdthatdmeandIdhav
eddiabetes?"dWhatdisdthednurse'sdmostdaccuratedresponse?
a. "Unlessdyoudweredfastingdfordlongerdthand8dhours,dthisddoesdnotdnecessarilydmeandyoudh
aveddiabetes."
b. "Atdthisdlevel,dyoudprobablydhaveddiabetes.dYoudwilldneeddandoraldglucosedtolerancedt
estdthisdweek."
c. "Thisdleveldisdconclusivedevidencedthatdyoudhaveddiabetes."
d. "Thisdleveldisdconclusivedevidencedthatdyouddodnotdhaveddiabetes."
5. Insulindglarginedisdprescribeddfordadhospitalizeddpatientdwhodisddiabetic.dWhendwilldthedn
ursedadministerdthisddrug?
a. Approximatelyd15dtod30dminutesdbeforedeachdmeal
b. Indthedmorningdanddatd4dPM
c. Onceddailydatdbedtime
d. Afterdmealsdanddatdbedtime
6. Adpatientdwithdtyped1ddiabetesdwhodtakesdinsulindreportsdtakingdpropranololdford
hypertension.dWhydisdthednursedconcerned?
a. Thedbetadblockerdcandcausedinsulindresistance.
b. Usingdthedtwodagentsdtogetherdincreasesdthedriskdofdketoacidosis.
c. Propranololdincreasesdinsulindrequirementsdbecausedofdreceptordblocking.
d. Thedbetadblockerdcandmaskdthedsymptomsdofdhypoglycemia.
7. Whichdstatementdisdcorrectdaboutdthedcontrastdbetweendadcarbosedanddmiglitol?
a. Miglitoldhasdnotdbeendassociateddwithdhepaticddysfunction.
b. Withdmiglitol,dsucrosedcandbeduseddtodtreatdhypoglycemia.
,NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
c. MiglitoldisdlessdeffectivedindAfricandAmericans.
d. Miglitoldhasdnodgastrointestinaldsidedeffects.
8. Adnursedcounselsdadpatientdwithddiabetesdwhodisdstartingdtherapydwithdandalpha-
dglucosidasedinhibitor.dThedpatientdshoulddbededucateddaboutdthedpotentialdfordwhichd
adversedreactions?d(Selectdalldthatdapply.)
a. Hypoglycemia
b. Flatulence
c. Elevateddirondlevelsdindthedblood
d. Fluiddretention
e. Diarrhea
9. Thednursedisdcaringdfordadpregnantdpatientdrecentlyddiagnoseddwithdhypothyroidism.dTh
edpatientdtellsdthednursedsheddoesdnotdwantdtodtakedmedicationsdwhiledshedisdpregnant.dWh
atdwilldthednursedexplaindtodthisdpatient?
a. Hypothyroidismdisdadnormaldeffectdofdpregnancydanddusuallydisdofdnodconsequence.
b. Neuropsychologicddeficitsdindthedfetusdcandoccurdifdthedconditiondisdnotdtreated.
c. Noddangerdtodthedfetusdexistsduntildthedthirddtrimester.
d. Treatmentdisdrequireddonlydifdthedpatientdisdexperiencingdsymptoms.
10. Adnursedisdteachingdadpatientdwhodhasdbeenddiagnoseddwithdhypothyroidismd aboutd
levothyroxined(Synthroid).dWhichdstatementdbydthedpatientdindicatesdadneeddfordfurthert
eaching?
a. "Idshoulddnotdtakedheartburndmedicationdwithoutdconsultingdmydprovider."
b. "Idshoulddreportdinsomnia,dtremors,danddandincreaseddheartdratedtodmydprovider."
c. "IfdIdtakedadmultivitamindwithdiron,dIdshoulddtakeditd4dhoursdafterdthedSynthroid."
d. "IfdIdtakedcalciumdsupplements,dIdmaydneeddtoddecreasedmyddosedofdSynthroid."
, NUR2474dPharmacologydfordProfessionaldNursingd
22023-2024dUPDATE
11. AdpatientdwithdhypothyroidismdbeginsdtakingdPOdlevothyroxined(Synthroid).dThednursed
assessesdthedpatientdatdthedbeginningdofdthedshiftdanddnotesdadheartdratedofd62dbeatsdperdmi
nutedanddadtemperaturedofd97.2°dF.dThedpatientdisdlethargicdandddifficultdtodarouse.dThednur
sedwilldcontactdthedproviderdtodrequestdandorderdfordwhichddrug?
a. Betadblocker
b. IncreasedddosedofdPOdlevothyroxine
c. Intravenousdlevothyroxine
d. Methimazoled(Tapazole)
12. Adpatientdisdadmitteddtodthedhospitaldanddwilldbegindtakingdlevothyroxined (Synthroid).d
Thednursedlearnsdthatdthedpatientdalsodtakesdwarfarind(Coumadin).dThednursedwilldnotifyth
edproviderdtoddiscussd d thed dose.
a. reducingdlevothyroxine
b. reducingdwarfarin
c. increasingdlevothyroxine
d. increasingdwarfarin
13. Andolderdadultdpatientdisddiagnoseddwithdhypothyroidism.dThedinitialdfreedT4dleveldis
0.5dmg/dL,danddthedTSHdleveldisd8dmicrounits/mL.dThedprescriberdordersdlevothyroxined(Levo
throid)d100dmcg/daydPO.dWhatdwilldthednurseddo?
a. Administerdthedmedicationdasdordered.
b. ContactdthedproviderdtoddiscussdgivingdthedlevothyroxinedIV.
c. Requestdandorderdtodgiveddesiccateddthyroidd(ArmourdThyroid).
d. Suggestdthatdthedproviderdlowerdtheddose.
14. Ad1-year-
olddchilddwithdcretinismdhasdbeendreceivingd8dmcg/kg/daydofdlevothyroxined(Synthroid).dTh
edchilddcomesdtodthedclinicdfordadwell-childdcheckdup.dThednursedwilldexpectdthedproviderdto:
