NURS 6015 Exam 5: Dr. Jennie Peter's Review Notes with
Q/A from Dr. Jennie Peter's Review
A diabetic pt is prescribed PO Prednisone (Corticosteroid) for an
autoimmune condition. What assessment should the nurse
prioritize?
A. Increasing the Na+ & H2O intake
B. Standing up right for 30 minutes after taking
C. Monitoring for hyperglycemia & adjusting insulin
D. Monitoring for blood count (RBC, WBC) Correct Answers
C
Note: Alendronate is hard on esophagus
A diabetic pt is taking scheduled 5 units of regular insulin before
meals 3X/day & long-acting Glargine every 24 hr. Pt inquires
why the need to be on two different insulin types. What should
the nurse educate the pt?
A. The use of long-acting Glargine increases the duration of
action of regular insulin by PX metabolism
B. Glargine stimulates the beta cells of pancreas to produce
more insulin to better control blood sugars
C. Using regular insulin allow to decrease the dose of long-
acting insulin which is ass'd with more hypoglycemia
D. The different onset & peaks of regular-insulin and long
acting and fasting sugar level in b/t, respectively Correct
Answers D
,Note: Better control of meal spike and fasting blood glucose
level in b/t. Can't mix Glargine with anything in vial.
A diabetic pt who missed a meal due to a procedure after getting
SubQ injection of regular insulin complaints of restlessness,
confusion, irritation, diaphoresis, and palpitations. What should
be the best next steps to perform by the nurse? SATA
A. Check the blood sugar immediately
B. Administer prescribed stand by Glucagon if blood sugar <70
C. Administer prescribed scheduled Propranolol early
D. Get an order for urine toxicology to screen for drug abuse
Correct Answers AB
Note: always have stand-by Glucagon. Propranolol masks
hypoglycemia and there is no need for toxicology.
A nurse is administering IV corticosteroid to a pt with active
inflammation. The nurse recognizes which other medication the
pt is taking increases risk of adverse event?
A. Albuterol inhaler
B. Aspirin
C. Diphenhydramine (Anit-histamine)
D. Insulin (Anti-hyperglycemic) Correct Answers B
A nurse is mixing insulin to be administered to a pt with Type 1
diabetes to control prandial & basal blood sugar. Which of the
following denotes the correct action performed by the nurse?
, A. Mixes Glargine with regular insulin to be administered in 15
mins
B. Mixes NPH with regular insulin to be administered in 15
mins
C. Mixes Glargine with Lispro insulin to be administered in 15
mins
D. Mixes Lispro and regular insulin to be administered in 15
mins Correct Answers B
Note: Can't mix Glargine. Lispro is rapid-acting. Do not mix
Lispro and regular. Do not mix NPH with regular insulin.
A nurse is providing discharge education to a pt taking
Rosiglitazone (Glitazone). Which of the following statement by
the pt is correct? SATA
A. This med will cause fluid retention & if it interferes w/ my
breathing, I should contact doctor
B. If I notice any S/S of liver disease, like jaundice, I should
contact PCP.
C. This med has high potential of causing hypoglycemia.
D. This med can be used for my Type 1 DM instead of SubQ
insulin Correct Answers AB
Note: black box warning
A pt is admitted to the ICU with DKA (diabetic ketoacidosis)
with S/S of fruity breath, dehydration, deep rapid breathing, and
blood sugar of 500. Pt needs rapid correction of blood sugar to
PX further dehydration & AB imbalances. Which med will the
Q/A from Dr. Jennie Peter's Review
A diabetic pt is prescribed PO Prednisone (Corticosteroid) for an
autoimmune condition. What assessment should the nurse
prioritize?
A. Increasing the Na+ & H2O intake
B. Standing up right for 30 minutes after taking
C. Monitoring for hyperglycemia & adjusting insulin
D. Monitoring for blood count (RBC, WBC) Correct Answers
C
Note: Alendronate is hard on esophagus
A diabetic pt is taking scheduled 5 units of regular insulin before
meals 3X/day & long-acting Glargine every 24 hr. Pt inquires
why the need to be on two different insulin types. What should
the nurse educate the pt?
A. The use of long-acting Glargine increases the duration of
action of regular insulin by PX metabolism
B. Glargine stimulates the beta cells of pancreas to produce
more insulin to better control blood sugars
C. Using regular insulin allow to decrease the dose of long-
acting insulin which is ass'd with more hypoglycemia
D. The different onset & peaks of regular-insulin and long
acting and fasting sugar level in b/t, respectively Correct
Answers D
,Note: Better control of meal spike and fasting blood glucose
level in b/t. Can't mix Glargine with anything in vial.
A diabetic pt who missed a meal due to a procedure after getting
SubQ injection of regular insulin complaints of restlessness,
confusion, irritation, diaphoresis, and palpitations. What should
be the best next steps to perform by the nurse? SATA
A. Check the blood sugar immediately
B. Administer prescribed stand by Glucagon if blood sugar <70
C. Administer prescribed scheduled Propranolol early
D. Get an order for urine toxicology to screen for drug abuse
Correct Answers AB
Note: always have stand-by Glucagon. Propranolol masks
hypoglycemia and there is no need for toxicology.
A nurse is administering IV corticosteroid to a pt with active
inflammation. The nurse recognizes which other medication the
pt is taking increases risk of adverse event?
A. Albuterol inhaler
B. Aspirin
C. Diphenhydramine (Anit-histamine)
D. Insulin (Anti-hyperglycemic) Correct Answers B
A nurse is mixing insulin to be administered to a pt with Type 1
diabetes to control prandial & basal blood sugar. Which of the
following denotes the correct action performed by the nurse?
, A. Mixes Glargine with regular insulin to be administered in 15
mins
B. Mixes NPH with regular insulin to be administered in 15
mins
C. Mixes Glargine with Lispro insulin to be administered in 15
mins
D. Mixes Lispro and regular insulin to be administered in 15
mins Correct Answers B
Note: Can't mix Glargine. Lispro is rapid-acting. Do not mix
Lispro and regular. Do not mix NPH with regular insulin.
A nurse is providing discharge education to a pt taking
Rosiglitazone (Glitazone). Which of the following statement by
the pt is correct? SATA
A. This med will cause fluid retention & if it interferes w/ my
breathing, I should contact doctor
B. If I notice any S/S of liver disease, like jaundice, I should
contact PCP.
C. This med has high potential of causing hypoglycemia.
D. This med can be used for my Type 1 DM instead of SubQ
insulin Correct Answers AB
Note: black box warning
A pt is admitted to the ICU with DKA (diabetic ketoacidosis)
with S/S of fruity breath, dehydration, deep rapid breathing, and
blood sugar of 500. Pt needs rapid correction of blood sugar to
PX further dehydration & AB imbalances. Which med will the
