NURS 5334 EXAM 3 WITH 100%
CORRECT ANSWERS 2025
Drugs for Gestational Diabetes correct answers >>
Metformin and Insulin
A1C Value for Diabetes Mellitus correct answers >> 6.5% or
greater is diabetes, 5.7-6.4% pre-diabetes
Fasting and Random Values for DM correct answers >>
Fasting plasma glucose—126 or greater is diabetes. Random
plasma glucose—anything greater than 200 is diabetes
Complications of Insulin Therapy correct answers >>
Hypoglycemia, Lipohypertrophy, Allergic reactions,
Desensitization procedure, Hypokalemia
Insulin Drug Interactions correct answers >> Hypoglycemic
agents intensify hypoglycemia, Use with caution with
hyperglycemic agents
Beta Blockers' Effect on Insulin correct answers >> Delay
awareness of hypoglycemia, Impair glycogenolysis, Prevent
counter-regulatory response
Other Therapeutic Uses correct answers >> Hyperkalemia,
Diagnosis of GH deficiency, Diabetic ketoacidosis
,Coordinating Insulin Dosage correct answers >>
Carbohydrate intake
Blood Pressure Goal in Diabetes correct answers >>
Controlled within normal 120/80
Medication for Diabetic Nephropathy Risk correct answers >>
ACE inhibitor or ARB
Role of Exercise in DM Treatment correct answers >>
Exercise increases cellular responsiveness to insulin and glucose
tolerance. 150 minutes per week of moderate intensity exercise is
recommended.
4-Step Approach Steps correct answers >> Step 1: Diagnosis
and lifestyle changes plus metformin. Step 2: Lifestyle changes,
metformin, and a second drug. Step 3: Three drug combination.
Step 4: Complex insulin regimen if needed.
Insulin Therapy Blood Glucose Goals correct answers >>
Before meals: 70-130. Bedtime: 100-140.
A1C Goal and Exceptions correct answers >> A1C goal is 7%
or below. Exceptions: Severe hypoglycemia risk, limited life
expectancy, advanced complications.
Types of Insulins correct answers >> Short acting: Rapid
acting insulins. Intermediate: NPH insulin, insulin detemir. Long
acting: Insulin glargine.
, Use of Short Duration Insulins correct answers >>
Administered with meals to control post-prandial blood glucose
rise.
Need for Intermediate Insulins correct answers >>
Administered 2-3 times daily for glycemic control between meals
and at night.
Duration of Insulins correct answers >> Glargine: Up to 24
hours. Levemir: 12-24 hours. Degludec: Up to 42 hours.
Routes of Insulin Administration correct answers >>
Subcutaneous injection and IV infusion. Inhalation: Afrezza for
mealtime insulin.
Insulin Dosing for Type 1 and Type 2 correct answers >>
Type 1: Initial doses 0.5-0.6 units/kg/day. Type 2: Initial doses 0.2-
0.6 units/kg/day, adjusted based on carb intake and activity.
3 Dosing Schedules correct answers >> o Twice daily dosing
o Intensive basal/bolus strategy
o Continued subcutaneous insulin
Metformin Mechanism of Action correct answers >> o Inhibits
glucose production in the liver
o Reduces glucose absorption in the gut
o Sensitizes insulin receptors in target tissues (fat and skeletal
muscle) to increase glucose uptake and response to insulin
CORRECT ANSWERS 2025
Drugs for Gestational Diabetes correct answers >>
Metformin and Insulin
A1C Value for Diabetes Mellitus correct answers >> 6.5% or
greater is diabetes, 5.7-6.4% pre-diabetes
Fasting and Random Values for DM correct answers >>
Fasting plasma glucose—126 or greater is diabetes. Random
plasma glucose—anything greater than 200 is diabetes
Complications of Insulin Therapy correct answers >>
Hypoglycemia, Lipohypertrophy, Allergic reactions,
Desensitization procedure, Hypokalemia
Insulin Drug Interactions correct answers >> Hypoglycemic
agents intensify hypoglycemia, Use with caution with
hyperglycemic agents
Beta Blockers' Effect on Insulin correct answers >> Delay
awareness of hypoglycemia, Impair glycogenolysis, Prevent
counter-regulatory response
Other Therapeutic Uses correct answers >> Hyperkalemia,
Diagnosis of GH deficiency, Diabetic ketoacidosis
,Coordinating Insulin Dosage correct answers >>
Carbohydrate intake
Blood Pressure Goal in Diabetes correct answers >>
Controlled within normal 120/80
Medication for Diabetic Nephropathy Risk correct answers >>
ACE inhibitor or ARB
Role of Exercise in DM Treatment correct answers >>
Exercise increases cellular responsiveness to insulin and glucose
tolerance. 150 minutes per week of moderate intensity exercise is
recommended.
4-Step Approach Steps correct answers >> Step 1: Diagnosis
and lifestyle changes plus metformin. Step 2: Lifestyle changes,
metformin, and a second drug. Step 3: Three drug combination.
Step 4: Complex insulin regimen if needed.
Insulin Therapy Blood Glucose Goals correct answers >>
Before meals: 70-130. Bedtime: 100-140.
A1C Goal and Exceptions correct answers >> A1C goal is 7%
or below. Exceptions: Severe hypoglycemia risk, limited life
expectancy, advanced complications.
Types of Insulins correct answers >> Short acting: Rapid
acting insulins. Intermediate: NPH insulin, insulin detemir. Long
acting: Insulin glargine.
, Use of Short Duration Insulins correct answers >>
Administered with meals to control post-prandial blood glucose
rise.
Need for Intermediate Insulins correct answers >>
Administered 2-3 times daily for glycemic control between meals
and at night.
Duration of Insulins correct answers >> Glargine: Up to 24
hours. Levemir: 12-24 hours. Degludec: Up to 42 hours.
Routes of Insulin Administration correct answers >>
Subcutaneous injection and IV infusion. Inhalation: Afrezza for
mealtime insulin.
Insulin Dosing for Type 1 and Type 2 correct answers >>
Type 1: Initial doses 0.5-0.6 units/kg/day. Type 2: Initial doses 0.2-
0.6 units/kg/day, adjusted based on carb intake and activity.
3 Dosing Schedules correct answers >> o Twice daily dosing
o Intensive basal/bolus strategy
o Continued subcutaneous insulin
Metformin Mechanism of Action correct answers >> o Inhibits
glucose production in the liver
o Reduces glucose absorption in the gut
o Sensitizes insulin receptors in target tissues (fat and skeletal
muscle) to increase glucose uptake and response to insulin
