Nurs 316B Final Study Guide Questions With Complete Solutions

NURS 316B FINAL STUDY GUIDE QUESTIONS
WITH COMPLETE SOLUTIONS


The nurse plans to teach a client with type 1
diabetes about the use of an insulin pump. Which
information will the nurse include in client
teaching?
A. Insulin pumps mimic the way a healthy pancreas
works.
B. The insulin pump's needle should be changed
every day.
C. Pumps are implanted in a subcutaneous pocket
near the abdomen.
D. The insulin pump's advantage is that it only
requires glucose monitoring once a day.
A
Which advice will the nurse give the client to avoid
lipodystrophy when self-administering insulin
therapy?
A. Exercise regularly.
B. Rotate injection sites.
C. Use the Z-track technique.
D. Vigorously massage the injection site.
B
The nurse identifies a nontender 5-cm indurated
region on the upper arm of a client with type 1

,diabetes. The client says to the nurse, 'That is
where I give myself insulin shots.' The nurse
concludes that the nodule is a result of which
condition?
A. Callus
B. An allergy
C. An infection
D. Lipodystrophy
D
A nurse is educating a client on insulin
administration. Which statement made by the
client indicates further teaching is required?
A. I will inject the insulin in the same site every day
B. The best injection area is around my abdomen
C. I will squeeze my skin together to inject the
medication
D. Gentle pressure should be applied to the site
after injection
A
A nurse receives a prescription to administer
regular insulin U-500 to a client with diabetes
mellitus. How will the nurse administer this
medication?
A. Intravenously using an infusion pump
B. Subcutaneously using an insulin pump
C. Intramuscularly using a U-100 syringe
D. Subcutaneously using a U-500 syringe

,D
The nurse is preparing to administer a client's
prescribed NPH and regular insulins. Which action
should the nurse take first when mixing the insulins
in one syringe?
A. Draw up the NPH
B. Draw up the regular insulin
C. Inject air into the NPH
D. Inject air into the regular insulin
C
A nurse is preparing to administer insulin to a
client with diabetes mellitus type 1. The client has
regular insulin and insulin glargine prescribed. How
will the nurse prepare these medications?
A. Draw up the glargine insulin before the regular
insulin
B. Mix the insulins in a larger syringe
C. Use a separate syringe for each insulin
D. Draw up the regular insulin before the glargine
insulin
C
The nurse is preparing to administer a client's
prescribed insulins and needs to mix NPH and
lispro. Which of the following actions should the
nurse take first?
A. Inject air into the long-acting insulin

, B. Draw up the short-acting insulin
C. Draw up the long-acting insulin
D. Inject air into the short-acting insulin
A
A nurse is preparing to withdraw insulin into a
syringe in the medication room. The nurse notes an
open, full vial of regular insulin with no labeled
expiration date. Which action does the nurse take?
A. Discard the vial and request a new one from the
pharmacy
B. Label the vial with the current date and
withdraw the medication
C. Withdraw the medication and discard the vial
D. Store the medication in the refrigerator and
notify the pharmacy
A
A client with type 1 diabetes mellitus has a finger-
stick glucose level of 258 mg/dL (14.3 mmol/L) at
bedtime. A prescription for sliding-scale regular
insulin exists. Which would the nurse do?
A. Call the health care provider.
B. Encourage intake of fluids.
C. Administer the insulin as prescribed.
D. Give the client 4 ounces of orange juice.
C