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PHARMACOLOGY FINAL EXAM QUESTIONS

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PHARMACOLOGY FINAL EXAM QUESTIONS

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PHARMACOLOGY FINAL EXAM QUESTIONS



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Pharmacology Final Exam Questions



Chapter 52: Antidiabetics
MULTIPLE CHOICE

1. The nurse is teaching a group of nursing students about diabetes. The
nurse explains that which type of diabetes is the most common?
a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes
:B
Type 2 diabetes mellitus is the most common type of diabetes.

DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: Page 759
TOP: NURSING PROCESS: Assessment
: NCLEX: Physiological Integrity: Pathophysiology

2. A patient develops type 2 diabetes mellitus. The nurse will explain that this
type of diabetes
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy.
:C
Type 2 diabetes is often caused by obesity and hereditary factors. Secondary
diabetes is triggered by medications. Type 2 diabetes is the most common type of
diabetes. Patients with type 2 diabetes may become insulin-dependent.

DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 759
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pathophysiology

3. A patient who is overweight is being evaluated for diabetes. The patient has
a blood glucose level of 160 mg/dL and a hemoglobin A1c of 5.8%. The nurse
understands that this patient has which condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes
:D
Patients with a hemoglobin A1c between 5.7% and 6.4% are considered to have
prediabetes. A level of 6.5% or more indicates diabetes. The patient is
hyperglycemic.

, Page 3 of 166


DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 759
TOP: NURSING PROCESS: Assessment
: NCLEX: Physiological Integrity: Pathophysiology

4. The nurse is teaching a patient who is newly diagnosed with type 1 diabetes
mellitus about insulin administration. Which statement by the patient indicates
a need for further teaching?
a. "I may use a chosen site daily for up to a week."
b. "I should give each injection a knuckle length away from a previous
injection."
c. "I will not be concerned about a raised knot under my skin from injecting
insulin."
d. "Insulin is absorbed better from subcutaneous sites on my abdomen.
:C
Lipohypertrophy is a raised lump or knot on the skin surface caused by repeated
injections into the same site, and this can interfere with insulin absorption. Patients
are encouraged to use the same site for a week, giving each injection a knuckle
length away from the previous injection. Insulin absorption is greater when given in
abdominal areas.

DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

5. The nurse is teaching a patient how to administer insulin. The patient is thin
with very little body fat. The nurse will suggest injecting insulin
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
d. using the thigh and buttocks areas exclusively.
:C
In a thin person, with little fatty tissue, the needle is inserted at a 45- to 60-degree
angle. In other patients, a 45- to 90-degree angle is acceptable. There is no
recommendation for preferring one site over another.

DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

6. The nurse receives the following order for insulin: IV NPH (Humulin NPH) 10
units. The nurse will perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
c. Give the drug subcutaneously.
d. Question the insulin dose.
:B
Only regular insulin can be given intravenously. The nurse should clarify the order. It
is not correct to give Humulin NPH insulin IV. The nurse should not administer the
drug by a different route without first discussing with the provider.

, Page 4 of 166


DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

7. The nurse will administer parenteral insulin to a patient who will receive a
mixture of NPH (Humulin NPH) and regular (Humulin R). The nurse will give
this medication via which route?
a. Intradermal
b. Intramuscular
c. Intravenous
d. Subcutaneous
:D
Insulin is given by the subcutaneous route. Only regular insulin may be given IV.

DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

8. The nurse is teaching a patient about home administration of insulin. The
patient will receive regular (Humulin R) and NPH (Humulin NPH) insulin at 0700
every day. What is important to teach this patient?
a. "Draw up the medications in separate syringes."
b. "Draw up the NPH insulin first."
c. "Draw up the regular insulin first."
d. "Draw up the medications after mixing them in a vial."
:C
Patients should be instructed to draw up regular insulin first so that NPH is not mixed
into the vial of regular insulin. It is not necessary to use separate syringes. Patients
do not mix the medications in a vial.

DIF: COGNITIVE LEVEL: Applying (Application) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

9. A patient is ordered to receive insulin lispro at mealtimes. The nurse will
instruct this patient to administer the medication at which time?
a. 5 minutes before eating
b. 15 minutes after eating
c. 30 minutes before eating
d. 10 minutes after eating
:A
Lispro acts faster than other insulins, and patients should be taught to give this
medication not more than 5 minutes before eating.

DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: Page 760
TOP: NURSING PROCESS: Nursing Intervention: Patient Teaching
: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

10. The parent of a junior high-school child who has type 1 diabetes asks the
nurse if the child can participate in sports. The nurse will tell the parent

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