{"id":115199,"date":"2023-08-23T12:33:06","date_gmt":"2023-08-23T12:33:06","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115199"},"modified":"2023-08-23T12:33:08","modified_gmt":"2023-08-23T12:33:08","slug":"nur-2474-nur2474-pharmacology-final-exam-questions-with-100-correct-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nur-2474-nur2474-pharmacology-final-exam-questions-with-100-correct-answers\/","title":{"rendered":"NUR 2474 \/ NUR2474 PHARMACOLOGY FINAL EXAM. QUESTIONS WITH 100% CORRECT ANSWERS."},"content":{"rendered":"\n<p>NUR 2474 PHARMACOLOGY<br>FINAL EXAM<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse working on a high-acuity medical-surgical unit is prioritizing care for four<br>patients who were just admitted. Which patient should the nurse assess first?<br>a. The NPO patient with a blood glucose level of 80 mg\/dL who just received 20 units of<br>70\/30 Novolin insulin<br>b. The patient with a pulse of 58 beats per minute who is about to receive digoxin<br>(Lanoxin)<br>c. The patient with a blood pressure of 136\/92 mm Hg who complains of having a<br>headache<br>d. The patient with an allergy to penicillin who is receiving an infusion of vancomycin<br>(Vancocin)<\/li>\n\n\n\n<li>A patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on a<br>sliding scale and are ordered before a meal and at bedtime. The patient&#8217;s blood sugar<br>level is 317 mg\/dL. Which formulation of insulin should the nurse prepare to administer?<br>a. No insulin should be administered.<br>b. NPH<br>c. 70\/30 mix<br>d. Lispro (Humalog)<\/li>\n\n\n\n<li>A patient with type 1 diabetes recently became pregnant. The nurse plans a blood<br>glucose testing schedule for her. What is the recommended monitoring schedule?<br>a. Before each meal and before bed<br>b. In the morning for a fasting level and at 4 PM for the peak level<br>c. Six or seven times a day<br>d. Three times a day, along with urine glucose testing<\/li>\n\n\n\n<li>An adolescent patient recently attended a health fair and had a serum glucose test.<br>The patient telephones the nurse and says, &#8220;My level was 125 mg\/dL. Does that mean I<br>have diabetes?&#8221; What is the nurse&#8217;s most accurate response?<br>a. &#8220;Unless you were fasting for longer than 8 hours, this does not necessarily mean you<br>have diabetes.&#8221;<br>b. &#8220;At this level, you probably have diabetes. You will need an oral glucose tolerance<br>test this week.&#8221;<br>c. &#8220;This level is conclusive evidence that you have diabetes.&#8221;<br>d. &#8220;This level is conclusive evidence that you do not have diabetes.&#8221;<\/li>\n\n\n\n<li>Insulin glargine is prescribed for a hospitalized patient who is diabetic. When will the<br>nurse administer this drug?<br>a. Approximately 15 to 30 minutes before each meal<br>b. In the morning and at 4 PM<br>c. Once daily at bedtime<br>d. After meals and at bedtime<\/li>\n\n\n\n<li>A patient with type 1 diabetes who takes insulin reports taking propranolol for<br>hypertension. Why is the nurse concerned?<br>a. The beta blocker can cause insulin resistance.<br>b. Using the two agents together increases the risk of ketoacidosis.<br>c. Propranolol increases insulin requirements because of receptor blocking.<br>d. The beta blocker can mask the symptoms of hypoglycemia.<\/li>\n\n\n\n<li>Which statement is correct about the contrast between a carbose and miglitol?<br>a. Miglitol has not been associated with hepatic dysfunction.<br>b. With miglitol, sucrose can be used to treat hypoglycemia.<\/li>\n<\/ol>\n\n\n\n<p>c. Miglitol is less effective in African Americans.<br>d. Miglitol has no gastrointestinal side effects.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>A nurse counsels a patient with diabetes who is starting therapy with an alphaglucosidase inhibitor. The patient should be educated about the potential for which<br>adverse reactions? (Select all that apply.)<br>a. Hypoglycemia<br>b. Flatulence<br>c. Elevated iron levels in the blood<br>d. Fluid retention<br>e. Diarrhea<\/li>\n\n\n\n<li>The nurse is caring for a pregnant patient recently diagnosed with hypothyroidism.<br>The patient tells the nurse she does not want to take medications while she is pregnant.<br>What will the nurse explain to this patient?<br>a. Hypothyroidism is a normal effect of pregnancy and usually is of no consequence.<br>b. Neuropsychologic deficits in the fetus can occur if the condition is not treated.<br>c. No danger to the fetus exists until the third trimester.<br>d. Treatment is required only if the patient is experiencing symptoms.<\/li>\n\n\n\n<li>A nurse is teaching a patient who has been diagnosed with hypothyroidism about<br>levothyroxine (Synthroid). Which statement by the patient indicates a need for further<br>teaching?<br>a. &#8220;I should not take heartburn medication without consulting my provider.&#8221;<br>b. &#8220;I should report insomnia, tremors, and an increased heart rate to my provider.&#8221;<br>c. &#8220;If I take a multivitamin with iron, I should take it 4 hours after the Synthroid.&#8221;<br>d.&#8221;If I take calcium supplements, I may need to decrease my dose of Synthroid.&#8221;<\/li>\n\n\n\n<li>A patient with hypothyroidism begins taking PO levothyroxine (Synthroid). The nurse<br>assesses the patient at the beginning of the shift and notes a heart rate of 62 beats per<br>minute and a temperature of 97.2\u00b0 F. The patient is lethargic and difficult to arouse. The<br>nurse will contact the provider to request an order for which drug?<br>a. Beta blocker<br>b. Increased dose of PO levothyroxine<br>c. Intravenous levothyroxine<br>d. Methimazole (Tapazole)<\/li>\n\n\n\n<li>A patient is admitted to the hospital and will begin taking levothyroxine (Synthroid).<br>The nurse learns that the patient also takes warfarin (Coumadin). The nurse will notify<br>the provider to discuss <strong><em>_ the _<\/em><\/strong> dose.<br>a. reducing levothyroxine<br>b. reducing warfarin<br>c. increasing levothyroxine<br>d. increasing warfarin<\/li>\n\n\n\n<li>An older adult patient is diagnosed with hypothyroidism. The initial free T4 level is<br>0.5 mg\/dL, and the TSH level is 8 microunits\/mL. The prescriber orders levothyroxine<br>(Levothroid) 100 mcg\/day PO. What will the nurse do?<br>a. Administer the medication as ordered.<br>b. Contact the provider to discuss giving the levothyroxine IV.<br>c. Request an order to give desiccated thyroid (Armour Thyroid).<br>d. Suggest that the provider lower the dose.<\/li>\n\n\n\n<li>A 1-year-old child with cretinism has been receiving 8 mcg\/kg\/day of levothyroxine<br>(Synthroid). The child comes to the clinic for a well-child check up. The nurse will expect<br>the provider to:<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>NUR 2474 PHARMACOLOGYFINAL EXAM c. Miglitol is less effective in African Americans.d. Miglitol has no gastrointestinal side effects.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115199","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115199","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115199"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115199\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115199"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115199"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115199"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}