NR 293 EXAM 1 PRACTICE QUESTIONS

What effects do the kidney, liver, and GI systems have on the pharmacokinetic phase? The nurse is administering medications to the patient who is in renal failure resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would most likely have problems with which pharmacokinetic phase? a. Absorption b. Distribution c. Metabolism d. Excretion 2. Differentiate between the various types of insulin: type (short-acting, intermediate-acting, etc.), onset, duration of action. A nurse is teaching a client who has type 2 diabetes mellitus about a prescription for insulin lispro. Which of the following statements should the nurse include in the teaching? a. “The effects of the insulin lispro can last for 8 to 12 hours.” b. “Administer insulin lispro 30 to 60 minutes before eating.” c. “Insulin lispro has an onset of about 15 minutes.” d. “This insulin can be given as a continuous intravenous bolus.” A nurse is administering insulin glulisine 10 unites subcutaneously at 0730 to an adolescent client who has type 1 diabetes mellitus. The nurse should anticipate the onset of action of the insulin at which of the following times? a. 0800 b. 0745 c. 0900 d. 1030 A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include? a. Discard the NPH solution if it appears cloudy. b. Shake the insulin vigorously before loading the syringe. c. Expect the NPH insulin to peak in 6 to 16 hours. d. Freeze unopened insulin vials. Lispro is an insulin analog produced by recombinant DNA technology. Which of the following statements about this form of insulin is NOT true? a. Optimal time for preprandial injection is 15 minutes b. Duration of action is increased when the dose is increased c. It is compatible with neutral protamine Hagedorn insulin d. It has no pronounced peak Insulin preparations are divided into categories based on the onset, duration, & intensity of action following subcutaneous injection. Which of the following insulin preparations has the shortest onset & duration of action? a. Lispro b. Glulisine c. Glargine d. Detemir The nurse is administering insulin lispro (Humalog) 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 Insulin glargine is prescribed for a hospitalized patient who has diabetes. When will the nurse expect to administer this drug? a. Approximately 15 to 30 minutes before each meal b. In the morning and at 4:00 PM c. Once daily at bedtime d. After meals and at bedtime