MEDICAL SURGICAL NURSING 5TH
EDITION HOLLY K STROMBERG ALL
CHAPTERS 1-49 EXAM SCRIPT 2026 TESTED
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ onset of lispro insulin (humolog). Answer: under 15 minutes
⩥ peak of lispro insulin (humulog). Answer: 30 min to 1.5 hours
⩥ when to administer lispro insulin (humulog). Answer: 0-15 minutes
prior to a meal
⩥ regular insulin (Humulin R, Novolin R). Answer: short acting insulin
⩥ onset of regular insulin (humulin R, Novolin R). Answer: 30 min to
60 minutes
⩥ peak of regular insulin (humulin R, Novolin R). Answer: 2 to 3 hours
⩥ when to administer regular insulin (humulin R, Novolin R). Answer:
30 minutes before a meal
,⩥ lente insulin (humulin L). Answer: intermediate acting insulin
⩥ onset of lente insulin. Answer: 1 to 2 hours
⩥ when to administer lente insulin. Answer: does not need to be with a
meal
⩥ peak of lente insulin. Answer: 4 to 12 hours
⩥ insulin glargine. Answer: long acting insulin
⩥ precautions with insulin glargine (lantus). Answer: insulin glargine
cannot be mixed with other insulins!!, the action may be affected in an
unpredictable manner.
⩥ onset of insulin glargine. Answer: 1-1.5 hours
⩥ peak of insulin glargine. Answer: has no peak...lasts 24 hr
⩥ storage for insulin. Answer: insulin vials should be stored in a
refrigerator or they can be kept at room temperature for up to 28 days.
cartridges and pens should be stored at room temperature and used
within 28 days..
,⩥ glucagon. Answer: a drug used to treat hypoglycemia. raises blood
glucose levels
⩥ side effects of glucagon. Answer: n/v, hypotension, hypersensitivity,
& hypokalemia
⩥ administration of glucagon. Answer: can be given SQ, IM, or IV. then
as soon as the patient is awake, give the patient some carbohydrate snack
⩥ mixing insulin. Answer: whenever mixing insulin, the short acting
(regular/humilin R) insulin is drawn up first in order to prevent
contamination. short acting is clear insulin and intermediate acting
(humilin L/lente) is cloudy, so it is drawn up clear then cloudy. insulin
glargine cannot be mixed with any kind of insulin.
⩥ metformin. Answer: the most common oral hypoglycemic medication
for pre diabetic patients and non insulin dependent type 2 diabetes. is not
used to treat type 1.
⩥ administration of metformin. Answer: taken each day. administer
WITH food in order to prevent GI upset. also take vitamin B12 and folic
acid supplements
, ⩥ side effects of metformin. Answer: GI effects including anorexia, n/v,
HA, abdominal gas/pain, metallic taste, hypoglycemia,
LACTIC ACIDOSIS!! (unexplained muscle aches, fatigue, lethargy and
hyperventilation)
*ok for pregnancy
⩥ precautions taking metformin. Answer: needs to be stopped 48 hours
before any type of radiographic test with iodinated contrast dye and can't
be resumed until 48 hours after because this can cause lactic acidosis or
ARF. watch renal function when taking metformin.
⩥ when to d/c metformin. Answer: immediately if unexplained
hypoxemia, dehydration, or signs of lactic acidosis
⩥ what foods increase risk of hypoglycemia with oral anti diabetic
drugs. Answer: celery, coriander, dandelion root, garlic, ginseng
⩥ Diabetes mellitus. Answer: is a systemic, chronic, and progressive
metabolic disease that requires lifelong lifestyle modification. people
with DM have the inability to metabolize carbohydrates, proteins, and
fats
⩥ Type 1 DM. Answer: can be genetic or autoimmune. involves the
destruction of pancreatic beta cells. has no or minimal insulin
production.
EDITION HOLLY K STROMBERG ALL
CHAPTERS 1-49 EXAM SCRIPT 2026 TESTED
QUESTIONS WITH SOLUTIONS GRADED A+
⩥ onset of lispro insulin (humolog). Answer: under 15 minutes
⩥ peak of lispro insulin (humulog). Answer: 30 min to 1.5 hours
⩥ when to administer lispro insulin (humulog). Answer: 0-15 minutes
prior to a meal
⩥ regular insulin (Humulin R, Novolin R). Answer: short acting insulin
⩥ onset of regular insulin (humulin R, Novolin R). Answer: 30 min to
60 minutes
⩥ peak of regular insulin (humulin R, Novolin R). Answer: 2 to 3 hours
⩥ when to administer regular insulin (humulin R, Novolin R). Answer:
30 minutes before a meal
,⩥ lente insulin (humulin L). Answer: intermediate acting insulin
⩥ onset of lente insulin. Answer: 1 to 2 hours
⩥ when to administer lente insulin. Answer: does not need to be with a
meal
⩥ peak of lente insulin. Answer: 4 to 12 hours
⩥ insulin glargine. Answer: long acting insulin
⩥ precautions with insulin glargine (lantus). Answer: insulin glargine
cannot be mixed with other insulins!!, the action may be affected in an
unpredictable manner.
⩥ onset of insulin glargine. Answer: 1-1.5 hours
⩥ peak of insulin glargine. Answer: has no peak...lasts 24 hr
⩥ storage for insulin. Answer: insulin vials should be stored in a
refrigerator or they can be kept at room temperature for up to 28 days.
cartridges and pens should be stored at room temperature and used
within 28 days..
,⩥ glucagon. Answer: a drug used to treat hypoglycemia. raises blood
glucose levels
⩥ side effects of glucagon. Answer: n/v, hypotension, hypersensitivity,
& hypokalemia
⩥ administration of glucagon. Answer: can be given SQ, IM, or IV. then
as soon as the patient is awake, give the patient some carbohydrate snack
⩥ mixing insulin. Answer: whenever mixing insulin, the short acting
(regular/humilin R) insulin is drawn up first in order to prevent
contamination. short acting is clear insulin and intermediate acting
(humilin L/lente) is cloudy, so it is drawn up clear then cloudy. insulin
glargine cannot be mixed with any kind of insulin.
⩥ metformin. Answer: the most common oral hypoglycemic medication
for pre diabetic patients and non insulin dependent type 2 diabetes. is not
used to treat type 1.
⩥ administration of metformin. Answer: taken each day. administer
WITH food in order to prevent GI upset. also take vitamin B12 and folic
acid supplements
, ⩥ side effects of metformin. Answer: GI effects including anorexia, n/v,
HA, abdominal gas/pain, metallic taste, hypoglycemia,
LACTIC ACIDOSIS!! (unexplained muscle aches, fatigue, lethargy and
hyperventilation)
*ok for pregnancy
⩥ precautions taking metformin. Answer: needs to be stopped 48 hours
before any type of radiographic test with iodinated contrast dye and can't
be resumed until 48 hours after because this can cause lactic acidosis or
ARF. watch renal function when taking metformin.
⩥ when to d/c metformin. Answer: immediately if unexplained
hypoxemia, dehydration, or signs of lactic acidosis
⩥ what foods increase risk of hypoglycemia with oral anti diabetic
drugs. Answer: celery, coriander, dandelion root, garlic, ginseng
⩥ Diabetes mellitus. Answer: is a systemic, chronic, and progressive
metabolic disease that requires lifelong lifestyle modification. people
with DM have the inability to metabolize carbohydrates, proteins, and
fats
⩥ Type 1 DM. Answer: can be genetic or autoimmune. involves the
destruction of pancreatic beta cells. has no or minimal insulin
production.
