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Pharmacology Exam # questions and answers
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Pharmacology Exam #3 2025-2026 questionsand answers
A nurse is caring for a client who has a prescription for metformin. The nurse should monitor the client
for which of the following adverse effects?
a.) hyperlipidemia
b.) respiratory alkalosis
c.) lactic acidosis
d.) hypoglycemia - answer>>>c.) lactic acidosis
The nurse is reviewing the history of a patient who will be taking the amylin mimetic drug pramlintide.
Which condition is a contraindication to the use of this drug?
a.) gastroparesis
b.) coronary artery disease
c.) hypothyroidism
d.) hypertension - answer>>>a.) gastroparesis
The nurse monitoring a patient for a therapeutic response to oral antidiabetic drugs will look for
a.) fewer episodes of diabetic ketoacidosis (DKA).
b.) glucose levels of 150 mg/dL.
c.) hemoblobin A1C levels of less than 7%.
d.) weight loss of 5 pounds. - answer>>>c.) hemoblobin A1C levels of less than 7%.
A client is to receive insulin before breakfast, and the time of breakfast tray delivery is variable. The
nurse knows that which insulin should not be administered until the breakfast tray has arrived and the
client is ready to eat?
a.) glargine
b.) regular
c.) lispro
d.) NPH - answer>>>c.) lispro
,Normal fasting glucose level - answer>>>74-106
When will the nurse administer the drug acarbose?
a.) 30 minutes before a meal
b.) With the first bite of a meal
c.) 1 hour after eating
d.) The first thing in the morning - answer>>>b.) With the first bite of a meal
A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide.
Which of the following statements made by the client indicates understanding of the administration of
this medication?
a.) "I'll take this medicine as soon as I wake up in the morning."
b.) "I'll take this medicine just before I go to bed."
c.) "I'll take this medicine 30 minutes before I eat."
d.) "I'll take this medicine with the first bite of my meals." - answer>>>c.) "I'll take this medicine 30
minutes before I eat."
A patient taking glipizide asks the nurse, "How does my diabetic pill work, anyway?" Which information
will the nurse provide to the patient regarding the mechanism of action of glipizide?
a.) "It decreases the amount of glucose made by the liver."
b.) "It increases insulin production."
c.) "It decreases the amount of glucose the body takes in from food."
d.) "It helps the body use insulin." - answer>>>b.) "It increases insulin production."
A client is receiving a daily dose of NPH insulin at 0730. The nurse expects the peak effect of this drug to
occur at which time?
a.) 1330
b.) there is no peak for this insulin
c.) 1030
,d.) 0815 - answer>>>a.) 1330
Which of the following statements about biosynthetic long-acting insulins glargine and detemir are
correct? (Select all that apply.)
a.) They have a very high risk of hypoglycemic reactions because of large fluctuations in insulin levels.
b.) They provide a 48-hour basal source of insulin for the body.
c.) Neither insulin glargine or detemir should be mixed with other insulins.
d.) Their onset of action is 1-2 hours.
e.) They are cloudy in appearance. - answer>>>c.) Neither insulin glargine or detemir should be mixed
with other insulins.
d.) Their onset of action is 1-2 hours.
A woman who has hypothyroidism will have to stop her thyroid replacement therapy now that she is
pregnant.
a.) True
b.) False - answer>>>b.) False
Rationale: Fetal growth may be retarded if maternal hypothyroidism is untreated during pregnancy.
A patient on an antithyroid medication is joining his friends for dinner. The best menu choice for this
patient would be:
a.) a seafood platter.
b.) a sushi bar.
c.) a tofu burger.
d.) pasta with marinara sauce - answer>>>d.) pasta with marinara sauce
Rationale: He should avoid foods high in iodine, such as soy, tofu, and seafood.
A patient who is taking a thyroid replacement medication begins to experience cold intolerance,
depression, constipation, and dry skin. What is the concern?
, a.) Inadequate doses of the medication
b.) Possible overdose of the medication
c.) Worsening of the underlying disease
d.) Drug interactions with another medication - answer>>>a.) Inadequate doses of the medication
Rationale: A return of the symptoms of hypothyroidism indicates that the patient is receiving
inadequate doses of the medication.
A patient has been taking levothyroxine for 6 months. After this month's laboratory work, the physician
tells the nurse that the patient is "euthyroid." What does that term mean?
a.) The patient is experiencing hyperthyroidism.
b.) The patient is experiencing hypothyroidism.
c.) The patient's thyroid hormone levels are within normal limits.
d.) The patient's thyroid hormone levels are still fluctuating. - answer>>>c.) The patient's thyroid
hormone levels are within normal limits.
Rationale: The term euthyroid means that normal thyroid hormone levels have been achieved.
•Dosed once a day in mcg
•Will require higher doses in pregnancy
•Monitor for palpitations
•Contraindicated if recent MI
•Takes 6-8 weeks to see full therapeutic effect
•Best to take in the morning to avoid insomnia
•Used to treat hypothyroidism
(Synthroid, Levothroid, Levoxyl) - answer>>>levothyroxine
•Oral medication
•Pregnancy Category D
•methimazole is the only alternative drug in this class
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