NUR 2474 FINAL EXAM NEWEST 2025

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NUR 2474 FINAL EXAM NEWEST 2025

PHARMACOLOGY FOR PROFFESIONAL NURSING

ACTUAL EXAM COMPLETE 1 50 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+(RASMUSSEN)

• 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?

• The NPO patient with a blood glucose level of 80 mg/dL who

just received 20 units of 70/30 Novolin insulin.

• The patient with a pulse of 58 beats per minute who is about

to receive digoxin (Lanoxin)

• The patient with a blood pressure of 136/92 mm Hg who

complains of having a headache

• The patient with an allergy to penicillin who is receiving an

infusion of vancomycin (Vancocin) - CORRECT 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 hypoglycemia.

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2. 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?

• No insulin should be administered.
• NPH
• 70/30 mix
• Lispro (Humalog) - CORRECT ANSWER -d. Lispro

(Humalog)

*high blood sugar needs rapid acting insulin.

• 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?

• Before each meal and before bed
• In the morning for a fasting level and at 4 PM for the peak

level

• Six or seven times a day
• Three times a day, along with urine glucose testing -

CORRECT ANSWER -c. Six or seven times a day 2 / 4

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*pregnancy can effect glucose levels. Frequent monitoring required.

• 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?

• "Unless you were fasting for longer than 8 hours, this does not

necessarily mean you have diabetes."

• "At this level, you probably have diabetes. You will need an

oral glucose tolerance test this week."

• "This level is conclusive evidence that you have diabetes."
• "This level is conclusive evidence that you do not have

diabetes." - CORRECT 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.

• Insulin glargine is prescribed for a hospitalized patient who is

diabetic. When will the nurse administer this drug? 3 / 4

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• Approximately 15 to 30 minutes before each meal
• In the morning and at 4 PM
• Once daily at bedtime
• After meals and at bedtime - CORRECT ANSWER -c. Once

daily at bedtime

*goodnight glargine

• A patient with type 1 diabetes who takes insulin reports taking

propranolol for hypertension. Why is the nurse concerned?

• The beta blocker can cause insulin resistance.
• Using the two agents together increases the risk of

ketoacidosis.

• Propranolol increases insulin requirements because of

receptor blocking.

• The beta blocker can mask the symptoms of hypoglycemia. -

CORRECT ANSWER -d. The beta blocker can mask the symptoms of hypoglycemia.

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