(2026) | Galen College of Nursing | Actual
Exam Questions & Verified Answers with
Detailed Rationales | Latest Study Guide |
A+ Graded
Q1. A patient is prescribed metformin for type 2 diabetes.
Which side effect should the nurse monitor for?
A) Hypoglycemia
B) GI upset (nausea, diarrhea)
C) Lactic acidosis
D) All of the above
Correct Answer: D. All of the above
Rationale: Metformin can cause GI upset (most
common), hypoglycemia (especially with other
antidiabetics), and lactic acidosis (rare but serious). It
should be held before procedures with contrast dye.
,Q2. A patient is prescribed metformin. Which teaching is
appropriate?
A) "Take with food to reduce GI upset."
B) "Report symptoms of lactic acidosis (muscle pain,
weakness, difficulty breathing)."
C) "Monitor blood glucose levels regularly."
D) "All of the above."
Correct Answer: D. "All of the above."
Rationale: Metformin should be taken with food, patients
should report signs of lactic acidosis, and blood glucose
should be monitored regularly.
Q3. A patient is prescribed insulin for type 1 diabetes.
Which teaching is appropriate?
A) "Rotate injection sites to prevent lipodystrophy."
B) "Do not mix different types of insulin."
C) "This medication is given by mouth."
D) "You can share your insulin pen."
, Correct Answer: A. "Rotate injection sites to prevent
lipodystrophy."
Rationale: Insulin injection sites should be rotated to
prevent lipodystrophy. Insulin is given subcutaneously,
not orally, and should not be shared.
Q4. A patient is prescribed rapid-acting insulin (lispro).
Which teaching is appropriate?
A) "Take this insulin 30 minutes before meals."
B) "Take this insulin 5-15 minutes before meals."
C) "This insulin lasts for 24 hours."
D) "This insulin should not be mixed with other insulins."
Correct Answer: B. "Take this insulin 5-15 minutes
before meals."
Rationale: Lispro is a rapid-acting insulin with onset of 5-
15 minutes. Regular insulin (A) is taken 30 minutes before
meals.