Question 1

A patient has just been prescribed insulin.
What should the nurse tell this patient to do to take the insulin correctly?

Accepted Answer

A) Use the injection site that is the most accessible. 
B) During times of illness, increase insulin dosage by 25%. 
C) When mixing insulins, draw the cloudy insulin (such as neutral protamine Hagedorn [NPH] insulin) up into the syringe first. 
D) When mixing insulins, draw the clear insulin (such as regular insulin) up into the syringe first. 
A) Use the injection site that is the most accessible. 
B) During times of illness, increase insulin dosage by 25%. 
C) When mixing insulins, draw the cloudy insulin (such as neutral protamine Hagedorn [NPH] insulin) up into the syringe first. 
D) When mixing insulins, draw the clear insulin (such as regular insulin) up into the syringe first. D

Question 2

A patient with a history of chronic obstructive pulmonary disease (COPD)and type 2 diabetes has been treated for pneumonia for the past week.He has been receiving corticosteroids intravenously and antibiotics as part of his therapy.His pneumonia has resolved,but when the nurse monitors his blood glucose levels,his blood glucose is still elevated and he requires small amounts of sliding scale insulin coverage.What is the best explanation for this elevation?

Accepted Answer

A) The antibiotics may have caused an increase in glucose levels. 
B) The corticosteroids may have caused an increase in glucose levels. 
C) His type 2 diabetes has converted to type 1 diabetes. 
D) The hypoxia from the COPD has caused an increased need for insulin. 
A) The antibiotics may have caused an increase in glucose levels. 
B) The corticosteroids may have caused an increase in glucose levels. 
C) His type 2 diabetes has converted to type 1 diabetes. 
D) The hypoxia from the COPD has caused an increased need for insulin. B

Question 3

When should the nurse administer acarbose (Glucobay),an α-glucosidase inhibitor?

Accepted Answer

A) Thirty minutes before breakfast 
B) With the first bite of each main meal 
C) Thirty minutes after breakfast 
D) Once daily, at bedtime 
A) Thirty minutes before breakfast 
B) With the first bite of each main meal 
C) Thirty minutes after breakfast 
D) Once daily, at bedtime B

Question 4

A patient who has type 2 diabetes is scheduled for a laparoscopy and has been NPO (nil per os [taking nothing by mouth])since midnight.The patient is concerned about having to hold the medication.What is the best action for the nurse to take regarding the administration of the patient's oral antidiabetic drug?

Accepted Answer

A) Give the patient half the original dose. 
B) Hold all medications as ordered. 
C) Contact the physician for further orders. 
D) Give the patient the medication with a sip of water. 
A) Give the patient half the original dose. 
B) Hold all medications as ordered. 
C) Contact the physician for further orders. 
D) Give the patient the medication with a sip of water.

Question 5

For each insulin product listed below, identify the type of action by using these designations:
-Regular insulin

Accepted Answer

A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA 
A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA

Question 6

When administering morning medications for a newly admitted patient,the nurse notes that the patient has an allergy to sulfa drugs.The patient has an order for sulfonylurea gliclazide (Diamicron).What is the best action for the nurse to take?

Accepted Answer

A) Give the drug as ordered 30 minutes before breakfast. 
B) Hold the drug, and check the order with the physician. 
C) Give the drug and monitor for adverse effects. 
D) Give a reduced dose of the drug with breakfast. 
A) Give the drug as ordered 30 minutes before breakfast. 
B) Hold the drug, and check the order with the physician. 
C) Give the drug and monitor for adverse effects. 
D) Give a reduced dose of the drug with breakfast.

Question 7

A 48-year-old male patient is diagnosed with metabolic syndrome and is started on biguanide metformin (Glucophage).He asks the nurse why he needs this drug.The nurse's best explanation of the purpose of the metformin is that it

Accepted Answer

A) increases the pancreatic secretion of insulin. 
B) decreases glucose production by the liver. 
C) increases intestinal absorption of glucose. 
D) decreases the pancreatic secretion of insulin. 
A) increases the pancreatic secretion of insulin. 
B) decreases glucose production by the liver. 
C) increases intestinal absorption of glucose. 
D) decreases the pancreatic secretion of insulin.

Question 8

For each insulin product listed below, identify the type of action by using these designations:
-Glargine insulin

Accepted Answer

A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA 
A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA

Question 9

The nurse is teaching a patient about self-injection of insulin.
What should the nurse tell the patient to do regarding injection sites?

Accepted Answer

A) Avoid the abdomen because absorption is irregular. 
B) Choose a different site at random for each injection. 
C) Give the injection in the same area each time to promote consistent absorption. 
D) Rotate sites within the same location for about 1 week before rotating to a new location. 
A) Avoid the abdomen because absorption is irregular. 
B) Choose a different site at random for each injection. 
C) Give the injection in the same area each time to promote consistent absorption. 
D) Rotate sites within the same location for about 1 week before rotating to a new location.

Question 10

For each insulin product listed below, identify the type of action by using these designations:
-NPH insulin

Accepted Answer

A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA 
A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA

Question 11

Which is a true statement regarding acarbose,a glucose-elevating drug?

Accepted Answer

A) It is also naturally synthesized by the pancreas. 
B) It is used for the treatment of hypotensive emergencies. 
C) It is only available as an a-glucosidase inhibitor. 
D) It stimulates insulin release from the pancreas. 
A) It is also naturally synthesized by the pancreas. 
B) It is used for the treatment of hypotensive emergencies. 
C) It is only available as an a-glucosidase inhibitor. 
D) It stimulates insulin release from the pancreas.

Question 12

Which types of insulin can be administered intravenously?

Accepted Answer

A) Regular insulin 
B) NPH insulin 
C) insulin glargine (Lantus) 
D) insulin detemir (Levemir) 
A) Regular insulin 
B) NPH insulin 
C) insulin glargine (Lantus) 
D) insulin detemir (Levemir)

Question 13

A patient with type 2 diabetes self-administers insulin injections as part of therapy.What should the nurse tell this patient to do if she has hypoglycemia?

Accepted Answer

A) Call the physician. 
B) Administer regular insulin. 
C) Take an oral form of glucose. 
D) Rest until the symptoms pass. 
A) Call the physician. 
B) Administer regular insulin. 
C) Take an oral form of glucose. 
D) Rest until the symptoms pass.

Question 14

What early signs of hypoglycemia should the nurse should tell the patient about?

Accepted Answer

A) Urticaria and rash 
B) Nausea and diarrhea 
C) Irritability and confusion 
D) Fruity, acetone odour to the breath 
A) Urticaria and rash 
B) Nausea and diarrhea 
C) Irritability and confusion 
D) Fruity, acetone odour to the breath

Question 15

Which is a true statement about Humulin-N insulin?

Accepted Answer

A) It is a long-acting insulin. 
B) It is a rapid-acting insulin. 
C) It is an intermediate-acting insulin. 
D) It is given based on blood glucose levels measured before meals. 
A) It is a long-acting insulin. 
B) It is a rapid-acting insulin. 
C) It is an intermediate-acting insulin. 
D) It is given based on blood glucose levels measured before meals.

Question 16

Six months after starting treatment for type 2 diabetes,a patient has a follow-up examination.Which laboratory test will best reflect the patient's adherence to the antidiabetic therapy over the past few months?

Accepted Answer

A) Hemoglobin and hematocrit levels 
B) Hemoglobin A1c level 
C) Fingerstick fasting blood glucose 
D) Serum insulin levels 
A) Hemoglobin and hematocrit levels 
B) Hemoglobin A1c level 
C) Fingerstick fasting blood glucose 
D) Serum insulin levels

Question 17

A 75-year-old patient with type 2 diabetes mellitus has recently been placed on glyburide (DiaBeta)10 mg daily.When is the best time to take this medication?

Accepted Answer

A) At night. 
B) With breakfast. 
C) After the midday meal. 
D) Any time of day 
A) At night. 
B) With breakfast. 
C) After the midday meal. 
D) Any time of day

Question 18

For each insulin product listed below, identify the type of action by using these designations:
-Aspart insulin

Accepted Answer

A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA 
A) Rapid-acting: RA 
B) Short-acting: SA 
C) Intermediate-acting: IA 
D) Long-acting: LA

Question 19

A patient has been prescribed a rapid-acting insulin,such as insulin lispro.What important information should the nurse give this patient about taking this type of insulin?

Accepted Answer

A) It should be taken within 15 minutes of beginning a meal. 
B) It should be taken after the meal. 
C) Dosing is once daily at the midday meal. 
D) It is taken only in the evenings with a snack before bedtime. 
A) It should be taken within 15 minutes of beginning a meal. 
B) It should be taken after the meal. 
C) Dosing is once daily at the midday meal. 
D) It is taken only in the evenings with a snack before bedtime.

Exam 33: Antidiabetic Drugs

A patient has just been prescribed insulin. What should the nurse tell this patient to do to take the insulin correctly?

When should the nurse administer acarbose (Glucobay),an α-glucosidase inhibitor?

For each insulin product listed below, identify the type of action by using these designations: -Regular insulin

When administering morning medications for a newly admitted patient,the nurse notes that the patient has an allergy to sulfa drugs.The patient has an order for sulfonylurea gliclazide (Diamicron).What is the best action for the nurse to take?

A 48-year-old male patient is diagnosed with metabolic syndrome and is started on biguanide metformin (Glucophage).He asks the nurse why he needs this drug.The nurse's best explanation of the purpose of the metformin is that it

For each insulin product listed below, identify the type of action by using these designations: -Glargine insulin

The nurse is teaching a patient about self-injection of insulin. What should the nurse tell the patient to do regarding injection sites?

For each insulin product listed below, identify the type of action by using these designations: -NPH insulin

Which is a true statement regarding acarbose,a glucose-elevating drug?

Which types of insulin can be administered intravenously?

A patient with type 2 diabetes self-administers insulin injections as part of therapy.What should the nurse tell this patient to do if she has hypoglycemia?

What early signs of hypoglycemia should the nurse should tell the patient about?

Which is a true statement about Humulin-N insulin?

Six months after starting treatment for type 2 diabetes,a patient has a follow-up examination.Which laboratory test will best reflect the patient's adherence to the antidiabetic therapy over the past few months?

A 75-year-old patient with type 2 diabetes mellitus has recently been placed on glyburide (DiaBeta)10 mg daily.When is the best time to take this medication?

For each insulin product listed below, identify the type of action by using these designations: -Aspart insulin

A patient has been prescribed a rapid-acting insulin,such as insulin lispro.What important information should the nurse give this patient about taking this type of insulin?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

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Antidysrhythmic Drugs

Coagulation Modifier Drugs

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Fluids and Electrolytes

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Thyroid and Antithyroid Drugs

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Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

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Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

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Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

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