PHARMACOLOGY FINAL PROCTORED EXAM
2020 WITH NGN QUESTIONS 2 VERSIONS EACH
WITH 70 QUESTIONS/A+ GRADE
• 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)
• 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)
• 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
• 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."
• Insulin glargine is prescribed for a hospitalized patient who is
diabetic. When will the nurse administer this drug?
• Approximately 15 to 30 minutes before each meal
• In the morning and at 4 PM
• Once daily at bedtime
• After meals and at bedtime
• 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.
,• Which statement is correct about the contrast between a carbose and
miglitol?
• Miglitol has not been associated with hepatic dysfunction.
• With miglitol, sucrose can be used to treat hypoglycemia.
• Miglitol is less effective in African Americans.
• Miglitol has no gastrointestinal side effects.
• 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.)
• Hypoglycemia
• Flatulence
• Elevated iron levels in the blood
• Fluid retention
• 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?
• Hypothyroidism is a normal effect of pregnancy and usually is of no
consequence.
• Neuropsychologic deficits in the fetus can occur if the condition is not
treated.
• No danger to the fetus exists until the third trimester.
• Treatment is required only if the patient is experiencing symptoms.
, • 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?
• "I should not take heartburn medication without consulting my provider."
• "I should report insomnia, tremors, and an increased heart rate to my
provider."
• "If I take a multivitamin with iron, I should take it 4 hours after the Synthroid."
• "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?
• Beta blocker
• Increased dose of PO levothyroxine
• Intravenous levothyroxine
• Methimazole (Tapazole)
• 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.
• reducing levothyroxine
• reducing warfarin
• increasing levothyroxine
• increasing warfarin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Hosmerit. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
