NUR 2474 Pharmacology Final Exam NCLEX STYLE
(Questions & Answers) A+ Graded
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?
a.The NPO patient with a blood glucose level of 80 mg/dL who just received 20 units of
70/30 Novolin insulin
b.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 a
headache
d.The patient with an allergy to penicillin who is receiving an infusion of vancomycin
[Vancocin]
ANS: A
The NPO patient with hypoglycemia who just received 70/30 Novolin insulin takes
priority, because this patient needs to consume a good source of glucose immediately
or
perhaps the NPO status will be discontinued for this shift. The digoxin may be withheld
for the patient with a pulse of 58 beats per minute, but this is not a priority action. The
patient with a headache needs to be followed up, but because the blood pressure is
136/92
mm Hg, the headache is probably not caused by hypertension. The patient with an
allergy
to penicillin will not have a reaction to the vancomycin.
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?
a.No insulin should be administered.
b.NPH
c.70/30 mix
d.Lispro [Humalog]
ANS: D
Regular insulin is indicated for sliding scale coverage. Insulin is definitely indicated for
this high blood sugar level. NPH is used for scheduled insulin doses and is a
longeracting
insulin. A 70/30 mix is also used for scheduled insulin coverage
A nurse is educating the staff nurses about ketoacidosis. To evaluate the
group's understanding, the nurse asks, "Which sign or symptom would not be consistent
with ketoacidosis?" The group gives which correct answer?
a.Blood glucose level of 600 mg/dL
b.Blood glucose level of 60 mg/dL
c.Acidosis
d.Ketones in the urine
ANS: B
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