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NUR 2474 Pharmacology Final Exam NCLEX Style Pract

High-yield pharmacology questions covering insulin types, diabetes management, hypothyroidism in pregnancy, and med safety. Perfect for med-surg and NCLEX prep. Sharpen your clinical judgment now.

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NUR 2474 / NUR 2474 PharmacologyFinal Exam NCLEX Style PracticeThe nurse working on a high-acuity medical-surgical unit is prioritizing care for fourpatients who were just admitted. Which patient should the nurse assess first?a.The NPO patientwith a blood glucose level of 80 mg/dL who just received 20 units of70/30 Novolin insulinb.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 aheadached.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 whojust received 20 units of 70/30 Novolin insulinA patient with type 1 diabetes is eating breakfast at 7:30 AM. Blood sugars are on asliding scale and are ordered before a meal and at bedtime. The patient's blood sugarlevel is 317 mg/dL. Which formulation of insulin should the nurse prepare to administer?a.No insulin should be administered.b.NPHc.70/30 mixd.Lispro (Humalog) - ANSWER-d.Lispro (Humalog)A patient with type 1 diabetes recently became pregnant. The nurse plans a bloodglucose testing schedule for her. What is the recommended monitoring schedule?a.Before each meal and before bedb.lnthe morning for a fasting level and at 4 PM for the peak levelc.Six or seven times a dayd.Three times a day, along with urine glucose testing - ANSWER-c.Six or seven times adayAn 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 Ihave diabetes?' What is the nurse's most accurate response?a."Unless you were fasting for longer than 8 hours, this does not necessarily meanyou have diabetes.”b."At this level, you probably have diabetes. You will need an oral glucose tolerancetest this week."c.'This level is conclusive evidence that you have diabetes."

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