Chapter 33 Antidiabetic Drugs
Sealock Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. Which is a true statement about Humulin-N® insulin?
a. It is a long-acting insulin.
b. It is a rapid-acting
insulin.
c. It is an intermediate-acting insulin.
d. It is given based on blood glucose levels measured before meals.
ANS C
Humulin-N insulin is an intermediate-acting
insulin. DIF Cognitive Level Knowledge
2. What early signs of hypoglycemia should the nurse should tell the patient about?
a. Urticaria and rash
b. Nausea and diarrhea
c. Irritability and confusion
d. Fruity, acetone odour to the breath
ANS C
Irritability and confusion are early signs of
hypoglycemia. DIF Cognitive Level Application
3. A patient has just been prescribed insulin.
What should the nurse tell this patient to do to take the insulin correctly?
a. Use the injection site that is the most accessible.
b. During times of illness, increase insulin dosage by 25%.
c. When mixing insulins, draw the cloudy insulin (such as neutral protamine
Hagedorn [NPH] insulin) up into the syringe first.
, d. When mixing insulins, draw the clear insulin (such as regular insulin) up into the syringe first.
ANS D
When mixing insulins, the regular insulin should always be drawn up into the syringe first. Patients
taking insulin should always rotate the injection sites and should notify their physician if they become ill.
DIF Cognitive Level Application
4. Which is a true statement regarding acarbose, a glucose-elevating drug?
a. It is also naturally synthesized by the pancreas.
b. It is used for the treatment of hypotensive
emergencies. c. It is only available as an -glucosidase
inhibitor.
d. It stimulates insulin release from the pancreas.
ANS C
Acarbose (Glucobay®) is the only available -glucosidase inhibitor. Acarbose works by blunting
the elevation of blood glucose levels after a meal.
DIF Cognitive Level Comprehension
5. A 75-year-old patient with type 2 diabetes mellitus has recently been placed on glyburide (DiaBeta®)
10 mg daily. When is the
best time to take this
medication? a. At night
b. With breakfast
c. After the midday
meal d. Any time of day
ANS B
Sealock Lilley’s Pharmacology for Canadian Health Care Practice
MULTIPLE CHOICE
1. Which is a true statement about Humulin-N® insulin?
a. It is a long-acting insulin.
b. It is a rapid-acting
insulin.
c. It is an intermediate-acting insulin.
d. It is given based on blood glucose levels measured before meals.
ANS C
Humulin-N insulin is an intermediate-acting
insulin. DIF Cognitive Level Knowledge
2. What early signs of hypoglycemia should the nurse should tell the patient about?
a. Urticaria and rash
b. Nausea and diarrhea
c. Irritability and confusion
d. Fruity, acetone odour to the breath
ANS C
Irritability and confusion are early signs of
hypoglycemia. DIF Cognitive Level Application
3. A patient has just been prescribed insulin.
What should the nurse tell this patient to do to take the insulin correctly?
a. Use the injection site that is the most accessible.
b. During times of illness, increase insulin dosage by 25%.
c. When mixing insulins, draw the cloudy insulin (such as neutral protamine
Hagedorn [NPH] insulin) up into the syringe first.
, d. When mixing insulins, draw the clear insulin (such as regular insulin) up into the syringe first.
ANS D
When mixing insulins, the regular insulin should always be drawn up into the syringe first. Patients
taking insulin should always rotate the injection sites and should notify their physician if they become ill.
DIF Cognitive Level Application
4. Which is a true statement regarding acarbose, a glucose-elevating drug?
a. It is also naturally synthesized by the pancreas.
b. It is used for the treatment of hypotensive
emergencies. c. It is only available as an -glucosidase
inhibitor.
d. It stimulates insulin release from the pancreas.
ANS C
Acarbose (Glucobay®) is the only available -glucosidase inhibitor. Acarbose works by blunting
the elevation of blood glucose levels after a meal.
DIF Cognitive Level Comprehension
5. A 75-year-old patient with type 2 diabetes mellitus has recently been placed on glyburide (DiaBeta®)
10 mg daily. When is the
best time to take this
medication? a. At night
b. With breakfast
c. After the midday
meal d. Any time of day
ANS B
