Chapter 32: Diabetes Drugs Lilley:
Pharmacology and the Nursing Process,
10th Edition Exam Questions With 100%
Verified Answers
1. The nurse is administering insulin lispro and will keep in mind
that this insulin will start to have an effect within which time
frame?
a. 15 minutes
b. 1 to 2 hours
c. 80 minutes
d. 3 to 5 hours -
correct answer ✅ANS: A
The onset of action for insulin lispro is 15 minutes. The peak plasma
concentration is 1 to 2 hours; the elimination half-life is 80 minutes;
and the duration of action is 3 to 5 hours.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and
Parenteral Therapies
2. When teaching about hypoglycemia, the nurse will make sure
that the patient is aware of the early signs of hypoglycemia,
including which of these?
a. Hypothermia and seizures
,Chapter 32: Diabetes Drugs Lilley:
Pharmacology and the Nursing Process,
10th Edition Exam Questions With 100%
Verified Answers
b. Nausea and diarrhea
c. Confusion and sweating
d. Fruity, acetone odor to the breath -
correct answer ✅ANS: C
Early symptoms of hypoglycemia include the central nervous
system manifestations of confusion, irritability, tremor, and
sweating. Hypothermia and seizures are later symptoms of
hypoglycemia. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Health
Promotion and Maintenance
3. The nurse is teaching a group of patients about self-
administration of insulin. What content is important to include?
a. Patients need to use the injection site that is the most accessible.
b. If two different insulins are ordered, they need to be given in
separate injections.
c. When mixing insulins, the cloudy (such as NPH) insulin is drawn
up into the syringe first.
, Chapter 32: Diabetes Drugs Lilley:
Pharmacology and the Nursing Process,
10th Edition Exam Questions With 100%
Verified Answers
d. When mixing insulins, the clear (such as regular) insulin is drawn
up into the syringe first. -
correct answer ✅ANS: D
If mixing insulins in one syringe, the clear (regular) insulin is always
drawn up into the syringe first. Patients always need to rotate
injection sites. Mixing of insulins may be ordered.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and
Parenteral Therapies
4. When monitoring a patient's response to oral antidiabetic drugs,
the nurse knows that which laboratory result would indicate a
therapeutic response?
a. Random blood glucose level 180 mg/dL
b. Blood glucose level of 50 mg/dL after meals
c. Fasting blood glucose level of 92 mg/dL
d. Evening blood glucose level below 80 mg/dL -
correct answer ✅ANS: C
Pharmacology and the Nursing Process,
10th Edition Exam Questions With 100%
Verified Answers
1. The nurse is administering insulin lispro and will keep in mind
that this insulin will start to have an effect within which time
frame?
a. 15 minutes
b. 1 to 2 hours
c. 80 minutes
d. 3 to 5 hours -
correct answer ✅ANS: A
The onset of action for insulin lispro is 15 minutes. The peak plasma
concentration is 1 to 2 hours; the elimination half-life is 80 minutes;
and the duration of action is 3 to 5 hours.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and
Parenteral Therapies
2. When teaching about hypoglycemia, the nurse will make sure
that the patient is aware of the early signs of hypoglycemia,
including which of these?
a. Hypothermia and seizures
,Chapter 32: Diabetes Drugs Lilley:
Pharmacology and the Nursing Process,
10th Edition Exam Questions With 100%
Verified Answers
b. Nausea and diarrhea
c. Confusion and sweating
d. Fruity, acetone odor to the breath -
correct answer ✅ANS: C
Early symptoms of hypoglycemia include the central nervous
system manifestations of confusion, irritability, tremor, and
sweating. Hypothermia and seizures are later symptoms of
hypoglycemia. The other options are incorrect.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Health
Promotion and Maintenance
3. The nurse is teaching a group of patients about self-
administration of insulin. What content is important to include?
a. Patients need to use the injection site that is the most accessible.
b. If two different insulins are ordered, they need to be given in
separate injections.
c. When mixing insulins, the cloudy (such as NPH) insulin is drawn
up into the syringe first.
, Chapter 32: Diabetes Drugs Lilley:
Pharmacology and the Nursing Process,
10th Edition Exam Questions With 100%
Verified Answers
d. When mixing insulins, the clear (such as regular) insulin is drawn
up into the syringe first. -
correct answer ✅ANS: D
If mixing insulins in one syringe, the clear (regular) insulin is always
drawn up into the syringe first. Patients always need to rotate
injection sites. Mixing of insulins may be ordered.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and
Parenteral Therapies
4. When monitoring a patient's response to oral antidiabetic drugs,
the nurse knows that which laboratory result would indicate a
therapeutic response?
a. Random blood glucose level 180 mg/dL
b. Blood glucose level of 50 mg/dL after meals
c. Fasting blood glucose level of 92 mg/dL
d. Evening blood glucose level below 80 mg/dL -
correct answer ✅ANS: C
