NUR 221 Exam 2 Practice Questions &
Answers(RATED A+)
1. A nurse is caring for a client who is receiving insulin. For which of the following signs
of hypoglycemic reaction should the nurse observe the client?
a. fruity breath
b. flushing of the face
c. hunger
d. dry, flaky skin - ANSWER 1. Answer: c
Hunger, nausea, pale, cool skin, and sweating are signs of a hypoglycemic reaction.
Fruity breath may accompany ketoacidosis. Flushing of the face may accompany
hyperglycemia. Dry, flaky skin is unrelated to hypoglycemia.
2. The nurse is evaluating the client's knowledge of treatment if an insulin reaction
occurs. Which of the following actions is most appropriate for the client to understand?
a. notify the doctor
b. inject a dose of regular insulin
c. lie down and wait for the reaction to disappear
d. take an oral form of glucose. - ANSWER 2. Answer: d
The initial reaction by the client is to take some form of oral glucose in order to raise the
blood glucose level. Option 1 would delay appropriate self treatment. Option 2 and 3
would cause further harm to the client.
3. The nurse is instructing the client about insulin administration. Which of the following
pieces of client information alerts the nurse that special instruction regarding insulin is
necessary?
a. client lives in an apartment with spouse
b. client wishes to teach spouse how to administer insulin
c. client jogs 3 to 4 miles every other day
d. client takes a nap in the afternoon - ANSWER 3. Answer: c
Jogging increases insulin requirements and absorption can be increased if the drug is
injected into the thigh. This lifestyle factor of the client requires special instruction.
4. A client with a history of alcoholism has just been diagnosed with type 2 DM and is
placed on tolbutamide (Orinase). The nurse explains that which of the following
reactions may occur if the client drinks alcohol while taking this medication?
a. decreased diuresis
Answers(RATED A+)
1. A nurse is caring for a client who is receiving insulin. For which of the following signs
of hypoglycemic reaction should the nurse observe the client?
a. fruity breath
b. flushing of the face
c. hunger
d. dry, flaky skin - ANSWER 1. Answer: c
Hunger, nausea, pale, cool skin, and sweating are signs of a hypoglycemic reaction.
Fruity breath may accompany ketoacidosis. Flushing of the face may accompany
hyperglycemia. Dry, flaky skin is unrelated to hypoglycemia.
2. The nurse is evaluating the client's knowledge of treatment if an insulin reaction
occurs. Which of the following actions is most appropriate for the client to understand?
a. notify the doctor
b. inject a dose of regular insulin
c. lie down and wait for the reaction to disappear
d. take an oral form of glucose. - ANSWER 2. Answer: d
The initial reaction by the client is to take some form of oral glucose in order to raise the
blood glucose level. Option 1 would delay appropriate self treatment. Option 2 and 3
would cause further harm to the client.
3. The nurse is instructing the client about insulin administration. Which of the following
pieces of client information alerts the nurse that special instruction regarding insulin is
necessary?
a. client lives in an apartment with spouse
b. client wishes to teach spouse how to administer insulin
c. client jogs 3 to 4 miles every other day
d. client takes a nap in the afternoon - ANSWER 3. Answer: c
Jogging increases insulin requirements and absorption can be increased if the drug is
injected into the thigh. This lifestyle factor of the client requires special instruction.
4. A client with a history of alcoholism has just been diagnosed with type 2 DM and is
placed on tolbutamide (Orinase). The nurse explains that which of the following
reactions may occur if the client drinks alcohol while taking this medication?
a. decreased diuresis
