NR 304 EXAM 10 ALL QUESTIONS WITH CORRECT
ANSWERS
What 2 insulins are to be given 15 mins before meals?
Humalog and Novolog
Give the Onset, peak and duration of Short-acting insulin.
Onset is 30 mins-1 hr;
Peak is 2-4 hrs;
Duration is 6-8 hrs;
Give the Onset, peak and duration of Intermediate-acting insulin.
Onset is 1-2 hour,
peak at 6-12 hours,
duration 18-24 hours.
Give the Onset, peak and duration of Long-acting insulin.
Onset is 2-4 hrs;
NO PEAK
Duration is up to 36 hrs
what are sick day guidelines for a diabetic pt to prevent DKA?
Take insulin even if vomiting
Self monitor glucose more often 2-4h
If premeal glucose is > 250, test for uring ketones and contact physician
eat 10 to 15 g of carbohydrates every 1 to 2 hours
call my physician if I am ill for more than 24 hours
drink small quantities of fluid every 15 to 30 minutes
what is the rationale for rotation of insulin injection sites?
prevents lipodystrophy
What is the only type insulin that can be administered IV?
Regular
which clinical manifestation may be seen in a client experiencing a
hypoglycemic reaction?
(5)
,1. Headache
2. Nervousness
3. Tremor
4. Excessive perspiration
5. Tachycardia
which clinical manifestation may be seen in a client experiencing diabetic
ketoacidosis?
(5)
1. Thirst
2. Polyuria
3. Kussmaul's sign
4. Dry mucous membranes
5. Fruity breath odor
How should the nurse or client prepare insulin prior to administration?
Rolling the bottle in the hands
What type of insulin is Lantus?
Long-acting
The insulin pump, though expensive, has become popular in the management
of insulin. What does the nurse know about this method of insulin delivery?
It is effective in lessening long-term diabetic complications
What substance promotes glucose transport into the cell?
Insulin
What substance will decrease blood glucose levels?
Insulin
How does Glucagon affect blood glucose levels?
It increases it
What insulin can not be mixed with any other insulin or solution?
Lantus
Which insulin has no definite peak?
Lantus
Name (3) rapid-acting insulin?
Lispro (Humalog)
aspart (Novolog)
Glulisine (Apidra)
, Name (3) short-acting insulin?
Regular (Humulin R)
Novolin R,
ReliOn R)
Name (3) intermediate-acting insulin?
NPH (Humulin N
Novolin N
ReliOn N)
Name (2) Long acting insulins?
glargine (Lantus)
detemir (Levemir)
Is regular insulin cloud or clear?
Clear
Is Novolin N cloudy or clear?
Cloudy
What are (5) symptoms manifested on onset of diabetes type I?
1. Sudden weight loss,
2. Polydipsia,
3. Polyuria,
4. Polyphagia,
5. Weakness/fatigue
How is prediabetes diagnosed?
Diagnosed when fasting glucose levels are higher than normal (100 mg/dl) but lower
than 126 mg/dl
What is a hemoglobin A1c?
A test done that shows the amount of glucose attached to hemoblogin molecules
over their lifespan (3 months)
Why is the hemoglobin A1c considered the most accurate measurement of
glucose control?
Because it looks at the bigger picture (across a 3 month span)
Give the Onset, peak and duration of rapid-acting insulin.
Onset is 5 - 15 minutes;
Peak is 1-3 hours;
Duration is 3-5 hours;
ANSWERS
What 2 insulins are to be given 15 mins before meals?
Humalog and Novolog
Give the Onset, peak and duration of Short-acting insulin.
Onset is 30 mins-1 hr;
Peak is 2-4 hrs;
Duration is 6-8 hrs;
Give the Onset, peak and duration of Intermediate-acting insulin.
Onset is 1-2 hour,
peak at 6-12 hours,
duration 18-24 hours.
Give the Onset, peak and duration of Long-acting insulin.
Onset is 2-4 hrs;
NO PEAK
Duration is up to 36 hrs
what are sick day guidelines for a diabetic pt to prevent DKA?
Take insulin even if vomiting
Self monitor glucose more often 2-4h
If premeal glucose is > 250, test for uring ketones and contact physician
eat 10 to 15 g of carbohydrates every 1 to 2 hours
call my physician if I am ill for more than 24 hours
drink small quantities of fluid every 15 to 30 minutes
what is the rationale for rotation of insulin injection sites?
prevents lipodystrophy
What is the only type insulin that can be administered IV?
Regular
which clinical manifestation may be seen in a client experiencing a
hypoglycemic reaction?
(5)
,1. Headache
2. Nervousness
3. Tremor
4. Excessive perspiration
5. Tachycardia
which clinical manifestation may be seen in a client experiencing diabetic
ketoacidosis?
(5)
1. Thirst
2. Polyuria
3. Kussmaul's sign
4. Dry mucous membranes
5. Fruity breath odor
How should the nurse or client prepare insulin prior to administration?
Rolling the bottle in the hands
What type of insulin is Lantus?
Long-acting
The insulin pump, though expensive, has become popular in the management
of insulin. What does the nurse know about this method of insulin delivery?
It is effective in lessening long-term diabetic complications
What substance promotes glucose transport into the cell?
Insulin
What substance will decrease blood glucose levels?
Insulin
How does Glucagon affect blood glucose levels?
It increases it
What insulin can not be mixed with any other insulin or solution?
Lantus
Which insulin has no definite peak?
Lantus
Name (3) rapid-acting insulin?
Lispro (Humalog)
aspart (Novolog)
Glulisine (Apidra)
, Name (3) short-acting insulin?
Regular (Humulin R)
Novolin R,
ReliOn R)
Name (3) intermediate-acting insulin?
NPH (Humulin N
Novolin N
ReliOn N)
Name (2) Long acting insulins?
glargine (Lantus)
detemir (Levemir)
Is regular insulin cloud or clear?
Clear
Is Novolin N cloudy or clear?
Cloudy
What are (5) symptoms manifested on onset of diabetes type I?
1. Sudden weight loss,
2. Polydipsia,
3. Polyuria,
4. Polyphagia,
5. Weakness/fatigue
How is prediabetes diagnosed?
Diagnosed when fasting glucose levels are higher than normal (100 mg/dl) but lower
than 126 mg/dl
What is a hemoglobin A1c?
A test done that shows the amount of glucose attached to hemoblogin molecules
over their lifespan (3 months)
Why is the hemoglobin A1c considered the most accurate measurement of
glucose control?
Because it looks at the bigger picture (across a 3 month span)
Give the Onset, peak and duration of rapid-acting insulin.
Onset is 5 - 15 minutes;
Peak is 1-3 hours;
Duration is 3-5 hours;
