NUR PHARMACOLOGY EXAM LATEST 2024 WITH UPDATED AND VERIFIED QUESTIONS AND DETAILED ANSWERS (GUARANTEED A+)

NUR PHARMACOLOGY EXAM LATEST 2024
WITH UPDATED AND VERIFIED QUESTIONS
AND DETAILED ANSWERS (GUARANTEED
A+)
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] - ANSWER-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 longer- acting
insulin. A 70/30 mix is also used for scheduled insulin
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coverage.
PTS: 1 DIF: Cognitive Level: Application REF: p. 676 | pp. 678-679
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?
a.
Before each meal and before bed
b.
In the morning for a fasting level and at 4:00 PM for the peak level
c.
Six or seven times a day
d.
Three times a day, along with urine glucose testing - ANSWERANS: C
A pregnant patient with type 1 diabetes must have frequent
blood sugar monitoring (eg, six or seven times a day) to
manage both the patient and the fetus so that no teratogenic
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effects occur. Monitoring the blood sugar level before meals
and at bedtime is not significant enough to provide the
necessary glycemic control. Morning and 4:00 PM monitoring
is not enough to provide glycemic control. Urine glucose
testing is not sensitive enough to aid glycemic control, and
monitoring three times a day is not enough.
PTS: 1 DIF: Cognitive Level: Application REF: p. 670
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?
a.
"Unless you were fasting for longer than 8 hours, this does not
necessarily mean you have diabetes."
b.
"At this level, you probably have diabetes. You will need an oral
glucose tolerance test this week."
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c.
"This level is conclusive evidence that you have diabetes." d.
"This level is conclusive evidence that you do not have diabetes." -
ANSWER-ANS: A
If a person has not fasted for 8 hours, a blood sugar level of
125 mg/dL would be considered normal, because it is less
than 200 mg/dL for a random sampling. Also, a person must
have positive outcomes on two separate days to be diagnosed
with diabetes. This patient does not need to have an oral
glucose tolerance test, because the 125 mg/dL reading is so
far below 200 mg/dL, which would require further work-up. No
conclusive evidence indicates that this patient has diabetes,
because the random sample value is so low, and the patient
has not had two separate tests on different days. However,
this also is not conclusive evidence that the patient does not
have diabetes.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 671