N352 Unit 3 Practice Questions With
Complete Solutions
Which is a rare but potentially fatal complication of metformin use in the
management of type 2 diabetes mellitus?
A. renal failure
B. liver disease
C. lactic acidosis
D. hypoglycemia - ANSWER C. lactic acidosis
The nurse is teaching a patient who has type 1 diabetes mellitus how to prevent
hypoglycemia. Which clinical indicator of hypoglycemia will the nurse identify
for the patient and family? Select all that apply.
A. sweating
B. headache
C. fatigue
D. weight loss
E. dehydration
F. tachycardia - ANSWER A. sweating
B. headache
C. fatigue
F. tachycardia
A patient is scheduled to start taking insulin glargine (U-100). Which information
would the nurse give the patient regarding this medication?
A. this medication provides blood glucose control for 18 to 24 hours
B. the peak effect of this medication is achieved in 2 to 4 hours
C. this medication provides mealtime coverage of blood glucose
D. less frequent blood glucose monitoring is required when taking this
medication - ANSWER A. this medication provides blood glucose control for 18
to 24 hours
Which precaution would the nurse take before administering isophane insulin,
also known as neutral protamine Hagedorn (NPH) insulin suspension, to a
patient? Select all that apply.
A. discard the insulin if it is cloudy
B. eliminate air bubbles from syringe
C. identify the intramuscular injection site
D. monitor the patient's fastring serum glucose level
,E. shake the drug vial gently for a short period of time - ANSWER B. eliminate air
bubbles from syringe
D. monitor the patient's fastring serum glucose level
Which parameter will the nurse assess in a patient who is prescribed metformin
for type 2 diabetes mellitus?
A. headache
B. weight gain
C. renal function
D. cholesterol level - ANSWER C. renal function
Which long-acting insulin mimics natural, basal insulin with its duration of 18 to
24 hours?
A. insulin aspart
B. insulin glargine
C. regular insulin
D. insulin glulisine - ANSWER B. insulin glargine
Which site provides the most consistent insulin levels and effects?
A. deltoid
B. abdomen
C. vastus lateralis
D. gluteus maximus - ANSWER B. abdomen
Which technique is most appropriate regarding mixing insulin when a patient
must administer 30 units regular insulin and 70 units neutral protamine
hagedorn (NPH) insulin in the morning?
A. use the Z-track method for administration
B. draw the medication into two separate syringes but inject into the same spot
C. draw up the clear regular insulin into the syringe first, followed by the cloudy
NPH insulin
D. administer these insulins at least 10 minutes apart, so you will know when
they are working - ANSWER C. draw up the clear regular insulin into the syringe
first, followed by the cloudy NPH insulin
Which rationale does the nurse recognize explains how insulin works?
A. it promotes the uptake of glucose into cells
B. It stimulates the pancreas to reabsorb glucose
C. it stimulates the liver to convert glycogen to glucose
D. it promotes the synthesis of amino acids into glucose - ANSWER A. it
promotes the uptake of glucose into cells
Which condition is seen in a patient with hyperosmolar hyperglycemic nonkeotic
syndrome (HHNS)?
A. acute pancreatitis
B. recurrent headaches
, C. insidious weight gain
D. extreme hyperglycemia - ANSWER D. extreme hyperglycemia
Which instruction would the nurse give when a patient receiving metformin
therapy whill undergo angiography?
A. "You can take the medication an hour after the test."
B. "There are chances of renal failure after the test."
C. "Your blood glucose levels need to be reevaluated."
D. "Do not take your metformin on the day of the test." - ANSWER D. "Do not take
your metformin on the day of the test."
Which instruction will the nurse provide a patient who self-administers regular
insulin injections for type 1 diabetes mellitus?
A. "Allow 0.5 inches between each injection site."
B. "Administer the insulin injection subcutaneously."
C. "Store the insulin in the freezer after usage."
D. "Administer the insulin 15 minutes after meals." - ANSWER B. "Administer the
insulin injection subcutaneously."
Which instruction will the nurse provide a patient who takes neutral protamine
hagedorn (NPH) insulin?
A. "Gently roll the vial between your palms before drawing it into the syringe."
B. "You need to obtain your blood glucose levels every hour."
C. "Unused vials can be stored in the freezer."
D. "Discontinue insulin if you are undergoing diagnostic studies." - ANSWER A.
"Gently roll the vial between your palms before drawing it into the syringe."
A patient with type 1 diabetes mellitus has been prescribed insulin aspart 10
units at 7:00 am. Which nursing intervention would the nurse perform after
administering this medication?
A. Perform a fingerstick blood sugar test
B. flush the intravenous (IV) line
C. have the patient void and dipstick the urine
D. make sure the patient eats breakfast immediately - ANSWER D. make sure the
patient eats breakfast immediately
Which insulin would the nurse administer to supplement basal insulin to imitate
the pancreatic surge of insulin that accompanies eating?
A. insulin glargine
B. insulin glulisine
C. insulin detemir
D. neutral protamine hagedorn (NPH) insulin - ANSWER B. insulin glulisine
Which statement by the nurse about insulin glargine (U-100) is accurate?
A. "The duration of action of this insulin is about 8 to 10 hours."
B. "You can mix this insulin with regular insulin to enhance its effects."
Complete Solutions
Which is a rare but potentially fatal complication of metformin use in the
management of type 2 diabetes mellitus?
A. renal failure
B. liver disease
C. lactic acidosis
D. hypoglycemia - ANSWER C. lactic acidosis
The nurse is teaching a patient who has type 1 diabetes mellitus how to prevent
hypoglycemia. Which clinical indicator of hypoglycemia will the nurse identify
for the patient and family? Select all that apply.
A. sweating
B. headache
C. fatigue
D. weight loss
E. dehydration
F. tachycardia - ANSWER A. sweating
B. headache
C. fatigue
F. tachycardia
A patient is scheduled to start taking insulin glargine (U-100). Which information
would the nurse give the patient regarding this medication?
A. this medication provides blood glucose control for 18 to 24 hours
B. the peak effect of this medication is achieved in 2 to 4 hours
C. this medication provides mealtime coverage of blood glucose
D. less frequent blood glucose monitoring is required when taking this
medication - ANSWER A. this medication provides blood glucose control for 18
to 24 hours
Which precaution would the nurse take before administering isophane insulin,
also known as neutral protamine Hagedorn (NPH) insulin suspension, to a
patient? Select all that apply.
A. discard the insulin if it is cloudy
B. eliminate air bubbles from syringe
C. identify the intramuscular injection site
D. monitor the patient's fastring serum glucose level
,E. shake the drug vial gently for a short period of time - ANSWER B. eliminate air
bubbles from syringe
D. monitor the patient's fastring serum glucose level
Which parameter will the nurse assess in a patient who is prescribed metformin
for type 2 diabetes mellitus?
A. headache
B. weight gain
C. renal function
D. cholesterol level - ANSWER C. renal function
Which long-acting insulin mimics natural, basal insulin with its duration of 18 to
24 hours?
A. insulin aspart
B. insulin glargine
C. regular insulin
D. insulin glulisine - ANSWER B. insulin glargine
Which site provides the most consistent insulin levels and effects?
A. deltoid
B. abdomen
C. vastus lateralis
D. gluteus maximus - ANSWER B. abdomen
Which technique is most appropriate regarding mixing insulin when a patient
must administer 30 units regular insulin and 70 units neutral protamine
hagedorn (NPH) insulin in the morning?
A. use the Z-track method for administration
B. draw the medication into two separate syringes but inject into the same spot
C. draw up the clear regular insulin into the syringe first, followed by the cloudy
NPH insulin
D. administer these insulins at least 10 minutes apart, so you will know when
they are working - ANSWER C. draw up the clear regular insulin into the syringe
first, followed by the cloudy NPH insulin
Which rationale does the nurse recognize explains how insulin works?
A. it promotes the uptake of glucose into cells
B. It stimulates the pancreas to reabsorb glucose
C. it stimulates the liver to convert glycogen to glucose
D. it promotes the synthesis of amino acids into glucose - ANSWER A. it
promotes the uptake of glucose into cells
Which condition is seen in a patient with hyperosmolar hyperglycemic nonkeotic
syndrome (HHNS)?
A. acute pancreatitis
B. recurrent headaches
, C. insidious weight gain
D. extreme hyperglycemia - ANSWER D. extreme hyperglycemia
Which instruction would the nurse give when a patient receiving metformin
therapy whill undergo angiography?
A. "You can take the medication an hour after the test."
B. "There are chances of renal failure after the test."
C. "Your blood glucose levels need to be reevaluated."
D. "Do not take your metformin on the day of the test." - ANSWER D. "Do not take
your metformin on the day of the test."
Which instruction will the nurse provide a patient who self-administers regular
insulin injections for type 1 diabetes mellitus?
A. "Allow 0.5 inches between each injection site."
B. "Administer the insulin injection subcutaneously."
C. "Store the insulin in the freezer after usage."
D. "Administer the insulin 15 minutes after meals." - ANSWER B. "Administer the
insulin injection subcutaneously."
Which instruction will the nurse provide a patient who takes neutral protamine
hagedorn (NPH) insulin?
A. "Gently roll the vial between your palms before drawing it into the syringe."
B. "You need to obtain your blood glucose levels every hour."
C. "Unused vials can be stored in the freezer."
D. "Discontinue insulin if you are undergoing diagnostic studies." - ANSWER A.
"Gently roll the vial between your palms before drawing it into the syringe."
A patient with type 1 diabetes mellitus has been prescribed insulin aspart 10
units at 7:00 am. Which nursing intervention would the nurse perform after
administering this medication?
A. Perform a fingerstick blood sugar test
B. flush the intravenous (IV) line
C. have the patient void and dipstick the urine
D. make sure the patient eats breakfast immediately - ANSWER D. make sure the
patient eats breakfast immediately
Which insulin would the nurse administer to supplement basal insulin to imitate
the pancreatic surge of insulin that accompanies eating?
A. insulin glargine
B. insulin glulisine
C. insulin detemir
D. neutral protamine hagedorn (NPH) insulin - ANSWER B. insulin glulisine
Which statement by the nurse about insulin glargine (U-100) is accurate?
A. "The duration of action of this insulin is about 8 to 10 hours."
B. "You can mix this insulin with regular insulin to enhance its effects."
