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NUR 2474 ( LATEST 2024 / 2025 ) PHARMACOLOGY FINAL EXAM 1 | GRADED A+ QUESTIONS & ANSWERS
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NUR 2474 ( LATEST 2024 / 2025 ) PHARMACOLOGY FINAL EXAM 1 | GRADED A+ QUESTIONS & ANSWERS
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NUR 2474 Pharmacology Final Exam 11. 1. 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)
Answer
a.The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of 70/30
Novolin insulin.
*low/normal BGL and insulin will continue to drop glucose level. At risk for hypo- glycemia.
2. 2. A patient with type 1 diabetes is eating breakfast at 7
Answer
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)
Answer
d. Lispro (Humalog)
*high blood sugar needs rapid acting insulin.
3. 3. 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
Answer
c. Six or seven times a day
*pregnancy can effect glucose levels. Frequent monitoring required.
4. 4. 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."
Answer
a. "Unless you were fasting for longer than 8 hours, this does not necessarily mean you have
diabetes."
*could be a normal level without fasting and does not mean diabetes unless it was high for a
fasting blood glucose level.
5. 5. 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
Answer
c. Once daily at bedtime
*goodnight glargine
,6. 6. A patient with type 1 diabetes who takes insulin reports taking propra- nolol 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.
Answer
d. The beta blocker can mask the symptoms of hypoglycemia.
*beta blockers block adrenaline which signals the liver to release glucose in the blood when
glucose is low to avoid hypoglycemia.
7. 7. Which statement is correct about the contrast between a carbose 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.
Answer
a. Miglitol has not been associated with hepatic dysfunction.
*key difference is that acarbose has been associated with rare cases of hepatic dysfunction
8. 8. 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
Answer
b. Flatulence
, e. Diarrhea
*due to build up of gasses (flatulence) from to undigested carbohydrates reaching the colon and
causing an osmotic effect (diarrhea)
9. 9. 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.
Answer
b. Neuropsychologic deficits in the fetus can occur if the condition is not treated.
*Thyroid hormones are crucial for the normal development of the fetal brain and nervous
system and must be treated in pregnancy.
10. 10. 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."
Answer
d."If I take calcium supplements, I may need to decrease my dose of Synthroid."
*this statement is incorrect since calcium interferes with the absorption of Synthroid, it may need
to be increased not decreased.
11. 11. 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
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