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NUR 2474 Pharmacology Final Exam NCLEX Style Practice Questions & Answers
NUR 2474 Pharmacology Final Exam NCLEX Style Practice Questions & Answers
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NUR 2474 Pharmacology Final Exam NCLEX StylePractice Questions & Answers
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?
a.The NPO patient with a blood glucose level of 80 mg/dL who just received
20 units of 70/30 Novolin insulin
b.The patient with a pulse of 58 beats per minute who is about to receive
digoxin (Lanoxin)
c.The patient with a blood pressure of 136/92 mm Hg who complains of
having a headache
d.The patient with an allergy to penicillin who is receiving an infusion of
vancomycin (Vancocin) ✔️Ans - a.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 is eating breakfast at 7:30 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?
a.No insulin should be administered.
b.NPH
c.70/30 mix
d.Lispro (Humalog) ✔️Ans - d.Lispro (Humalog)
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?
a.Before each meal and before bed
b.In the morning for a fasting level and at 4 PM for the peak level
c.Six or seven times a day
d.Three times a day, along with urine glucose testing ✔️Ans - c.Six or seven
times a day
,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?
a."Unless you were fasting for longer than 8 hours, this does not necessarily
mean you have diabetes."
b."At this level, you probably have diabetes. You will need an oral glucose
tolerance test this week."
c."This level is conclusive evidence that you have diabetes."
d."This level is conclusive evidence that you do not have diabetes." ✔️Ans -
a."Unless you were fasting for longer than 8 hours, this does not necessarily
mean you have diabetes."
Insulin glargine is prescribed for a hospitalized patient who is diabetic. When
will the nurse administer this drug?
a.Approximately 15 to 30 minutes before each meal
b.In the morning and at 4 PM
c.Once daily at bedtime
d.After meals and at bedtime ✔️Ans - c.Once daily at bedtime
A patient with type 1 diabetes who takes insulin reports taking propranolol
for hypertension. Why is the nurse concerned?
a.The beta blocker can cause insulin resistance.
b.Using the two agents together increases the risk of ketoacidosis.
c.Propranolol increases insulin requirements because of receptor blocking.
d.The beta blocker can mask the symptoms of hypoglycemia. ✔️Ans - d.The
beta blocker can mask the symptoms of hypoglycemia.
Which statement is correct about the contrast between acarbose and miglitol?
a.Miglitol has not been associated with hepatic dysfunction.
b.With miglitol, sucrose can be used to treat hypoglycemia.
c.Miglitol is less effective in African Americans.
d.Miglitol has no gastrointestinal side effects. ✔️Ans - a.Miglitol has not been
associated with hepatic dysfunction.
,A nurse counsels a patient with diabetes who is starting therapy with an
alpha-glucosidase inhibitor. The patient should be educated about the
potential for which adverse reactions? (Select all that apply.)
a.Hypoglycemia
b.Flatulence
c.Elevated iron levels in the blood
d.Fluid retention
e.Diarrhea ✔️Ans - b.Flatulence
e.Diarrhea
The nurse is caring for a pregnant patient recently diagnosed with
hypothyroidism. The patient tells the nurse she does not want to take
medications while she is pregnant. What will the nurse explain to this patient?
a.Hypothyroidism is a normal effect of pregnancy and usually is of no
consequence.
b.Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
c.No danger to the fetus exists until the third trimester.
d.Treatment is required only if the patient is experiencing symptoms. ✔️Ans
- b.Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
A nurse is teaching a patient who has been diagnosed with hypothyroidism
about levothyroxine (Synthroid). Which statement by the patient indicates a
need for further teaching?
a."I should not take heartburn medication without consulting my provider."
b."I should report insomnia, tremors, and an increased heart rate to my
provider."
c."If I take a multivitamin with iron, I should take it 4 hours after the
Synthroid."
d."If I take calcium supplements, I may need to decrease my dose of
Synthroid." ✔️Ans - d."If I take calcium supplements, I may need to decrease
my dose of Synthroid."
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 per 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?
a.Beta blocker
b.Increased dose of PO levothyroxine
c.Intravenous levothyroxine
d.Methimazole (Tapazole) ✔️Ans - c.Intravenous levothyroxine
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.
a.reducing levothyroxine
b.reducing warfarin
c.increasing levothyroxine
d.increasing warfarin ✔️Ans - b.reducing; warfarin
An older adult patient is diagnosed with hypothyroidism. The initial free T4
level is 0.5 mg/dL, and the TSH level is 8 microunits/mL. The prescriber
orders levothyroxine (Levothroid) 100 mcg/day PO. What will the nurse do?
a.Administer the medication as ordered.
b.Contact the provider to discuss giving the levothyroxine IV.
c.Request an order to give desiccated thyroid (Armour Thyroid).
d.Suggest that the provider lower the dose. ✔️Ans - d.Suggest that the
provider lower the dose.
A 1-year-old child with cretinism has been receiving 8 mcg/kg/day of
levothyroxine (Synthroid). The child comes to the clinic for a well-child check
up. The nurse will expect the provider to:
a.change the dose of levothyroxine to 6 mcg/kg/day.
b.discontinue the drug if the child's physical and mental development is
normal.
c.increase the dose to accommodate the child's increased growth.
d.stop the drug for 4 weeks and check the child's TSH level. ✔️Ans - a.change
the dose of levothyroxine to 6 mcg/kg/day.
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