NU 308- Pharmacology Made Easy 4.0 -
Endocrine System UPDATED ACTUAL
Exam Questions and CORRECT Answers
The client will self-inject eight units of NPH insulin and four units of regular insulin each day
before breakfast. As you show the client how to self-administer insulin, you should include
which of the following instructions? (Select all that apply.)
a) draw the regular insulin into the syringe first, then the NPH insulin
b) inject the insulin mixture into a large muscle
c) discard any unused premixed syringes within 5 days
d) use a 5-mL syringe when mixing two types of insulin
e) use one syringe to reduce the number of injections - CORRECT ANSWER - a) draw the
regular insulin into the syringe first, then NPH insulin
e) use one syringe to reduce the number of injections
You instruct the client to watch for and report which of the following indications of an adverse
reaction to insulin?
a) palpations
b) weight gain
c) low urine output
d) constipation - CORRECT ANSWER - a) palpations
As you continue to talk with the client about managing her diabetes with regular insulin
(Humulin R), you should include which of the following instructions? (Select all that apply...)
a) self-inject chilled insulin
b) carry a carbohydrate snack
c) rotate injection sites
d) wear a medical alert bracelet
e) expect to adjust the dosage during illness - CORRECT ANSWER - b) carry a
carbohydrate snack
, c) rotate injection sites
d) wear a medical alert bracelet
e) expect to adjust the dosage during illness
You give the client five units of lispro insulin (Humalog) and 10 units of insulin glargine
subcutaneously at 1400. Based on your instructions, the client should expect her blood glucose
level to be at the lowest at which of the following times?
a) 1500
b) 1730
c) 1900
d) 2130 - CORRECT ANSWER - 1500
Two hours after self-administering regular insulin subcutaneously, the client contacts you at the
provider's office to report that she is sweating, shaky, and has a rapid pulse. Which of the
following actions should you adviser her to take? (Select all that apply)
a) drink 4 ox of orange juice
b) check blood glucose level
c) take an oral hypoglycemic
d) measure her urine output
e) self administer a long acting insulin - CORRECT ANSWER - a) drink 4 ox of orange
juice
b) check blood glucose level
You are caring for a client who is taking exenatide (Byetta) to treat type 2 diabetes mellitus. The
client reports severe abdominal pain. You suspect which of the following adverse reactions to
this drug?
a) peptic ulcer disease
b) hyperkalemia
c) hyperglycemia
d) pancreatitis - CORRECT ANSWER - Pancreatitis
Endocrine System UPDATED ACTUAL
Exam Questions and CORRECT Answers
The client will self-inject eight units of NPH insulin and four units of regular insulin each day
before breakfast. As you show the client how to self-administer insulin, you should include
which of the following instructions? (Select all that apply.)
a) draw the regular insulin into the syringe first, then the NPH insulin
b) inject the insulin mixture into a large muscle
c) discard any unused premixed syringes within 5 days
d) use a 5-mL syringe when mixing two types of insulin
e) use one syringe to reduce the number of injections - CORRECT ANSWER - a) draw the
regular insulin into the syringe first, then NPH insulin
e) use one syringe to reduce the number of injections
You instruct the client to watch for and report which of the following indications of an adverse
reaction to insulin?
a) palpations
b) weight gain
c) low urine output
d) constipation - CORRECT ANSWER - a) palpations
As you continue to talk with the client about managing her diabetes with regular insulin
(Humulin R), you should include which of the following instructions? (Select all that apply...)
a) self-inject chilled insulin
b) carry a carbohydrate snack
c) rotate injection sites
d) wear a medical alert bracelet
e) expect to adjust the dosage during illness - CORRECT ANSWER - b) carry a
carbohydrate snack
, c) rotate injection sites
d) wear a medical alert bracelet
e) expect to adjust the dosage during illness
You give the client five units of lispro insulin (Humalog) and 10 units of insulin glargine
subcutaneously at 1400. Based on your instructions, the client should expect her blood glucose
level to be at the lowest at which of the following times?
a) 1500
b) 1730
c) 1900
d) 2130 - CORRECT ANSWER - 1500
Two hours after self-administering regular insulin subcutaneously, the client contacts you at the
provider's office to report that she is sweating, shaky, and has a rapid pulse. Which of the
following actions should you adviser her to take? (Select all that apply)
a) drink 4 ox of orange juice
b) check blood glucose level
c) take an oral hypoglycemic
d) measure her urine output
e) self administer a long acting insulin - CORRECT ANSWER - a) drink 4 ox of orange
juice
b) check blood glucose level
You are caring for a client who is taking exenatide (Byetta) to treat type 2 diabetes mellitus. The
client reports severe abdominal pain. You suspect which of the following adverse reactions to
this drug?
a) peptic ulcer disease
b) hyperkalemia
c) hyperglycemia
d) pancreatitis - CORRECT ANSWER - Pancreatitis
