NUR 221 Exam 2 Practice Questions
With Correct Answers
1. bA bnurse bis bcaring bfor ba bclient bwho bis breceiving binsulin. bFor bwhich bof bthe
bfollowing bsigns bof bhypoglycemic breaction bshould bthe bnurse bobserve bthe bclient?
a. bfruity bbreath
b. bflushing bof bthe bface
c. bhunger
d. bdry, bflaky bskin b- bcorrect banswers✔✔1. bAnswer: bc
Hunger, bnausea, bpale, bcool bskin, band bsweating bare bsigns bof ba bhypoglycemic
breaction. bFruity bbreath bmay baccompany bketoacidosis. bFlushing bof bthe bface bmay
baccompany bhyperglycemia. bDry, bflaky bskin bis bunrelated bto bhypoglycemia.
2. bThe bnurse bis bevaluating bthe bclient's bknowledge bof btreatment bif ban binsulin
breaction boccurs. bWhich bof bthe bfollowing bactions bis bmost bappropriate bfor bthe bclient
bto bunderstand?
a. bnotify bthe bdoctor
b. binject ba bdose bof bregular binsulin
c. blie bdown band bwait bfor bthe breaction bto bdisappear
d. btake ban boral bform bof bglucose. b- bcorrect banswers✔✔2. bAnswer: bd
The binitial breaction bby bthe bclient bis bto btake bsome bform bof boral bglucose bin border
bto braise bthe bblood bglucose blevel. bOption b1 bwould bdelay bappropriate bself
btreatment. bOption b2 band b3 bwould bcause bfurther bharm bto bthe bclient.
3. bThe bnurse bis binstructing bthe bclient babout binsulin badministration. bWhich bof bthe
bfollowing bpieces bof bclient binformation balerts bthe bnurse bthat bspecial binstruction
bregarding binsulin bis bnecessary?
a. bclient blives bin ban bapartment bwith bspouse
b. bclient bwishes bto bteach bspouse bhow bto badminister binsulin
c. bclient bjogs b3 bto b4 bmiles bevery bother bday
d. bclient btakes ba bnap bin bthe bafternoon b- bcorrect banswers✔✔3. bAnswer: bc
, Jogging bincreases binsulin brequirements band babsorption bcan bbe bincreased bif bthe
bdrug bis binjected binto bthe bthigh. bThis blifestyle bfactor bof bthe bclient brequires bspecial
binstruction.
4. bA bclient bwith ba bhistory bof balcoholism bhas bjust bbeen bdiagnosed bwith btype b2 bDM
band bis bplaced bon btolbutamide b(Orinase). bThe bnurse bexplains bthat bwhich bof bthe
bfollowing breactions bmay boccur bif bthe bclient bdrinks balcohol bwhile btaking bthis
bmedication? b
a. bdecreased bdiuresis
b. bdisulfiram-like breaction
c. banaphylaxis
d. bincreased btolerance bto bthe bmedication b- bcorrect banswers✔✔4. bAnswer: bb
Tolbutamide binteracting bwith balcohol bcan blead bto ba bdisulfiram-like breaction bcausing
bcomplaints bof bheadache band bflushing bof bthe bskin. bThis bis ban bimportant bteaching
bpoint bfor bthe bclient bwho bhas ba bhistory bof balcoholism, beven bif bcurrently bnot
bdrinking.
5. bThe bphysician borders b36 bunits bof bNPH band b12 bunits bof bregular binsulin. bThe
bnurse bplans bto badminister bthese bdrugs bin b1 bsyringe. bIdentify bthe bsteps bin bthis
bprocedure bby blisting bthem bin bpriority border. b
1. binject bair bequal bto bNPH bdose binto bNPH bvial
2. binvert bregular binsulin bbottle band bwithdraw bregular binsulin bdose
3. binject bair bequal bto bregular bdose binto bregular bdose
4. binvert bNPH bvial band bwithdraw bNPH bdose
a. b1, b2, b3, b4 b
b. b1, b4, b3, b2
c. b1, b4, b2, b3
d. b1, b3, b2, b4 b- bcorrect banswers✔✔5. bAnswer: bd
6. bA bclient bwith bDM bvisits ba bhealthcare bclinic. bThe bclient's bDM bpreviously bhad
bbeen bwell bcontrolled bwith bglyburide b(Diabeta), b5 bmg bPO bdaily, bbut brecently bthe
bfasting bblood bglucose bhas bbeen brunning b180-200 bmg/dL. bWhich bmedication, bif
badded bto bthe bclient's bregimen, bmay bhave bcontributed bto bthe bhyperglycemia?
a. bprednisone b(Deltasone)
b. batenolol b(Tenormin)
c. bphenelzine b(Nardil)
d. ballopurinol b(Zyloprim) b- bcorrect banswers✔✔6. bAnswer: ba
Prednisone bmay bdecrease bthe beffect bof boral bhypoglycemics, binsulin, bdiuretics, band
bK bsupplements.
With Correct Answers
1. bA bnurse bis bcaring bfor ba bclient bwho bis breceiving binsulin. bFor bwhich bof bthe
bfollowing bsigns bof bhypoglycemic breaction bshould bthe bnurse bobserve bthe bclient?
a. bfruity bbreath
b. bflushing bof bthe bface
c. bhunger
d. bdry, bflaky bskin b- bcorrect banswers✔✔1. bAnswer: bc
Hunger, bnausea, bpale, bcool bskin, band bsweating bare bsigns bof ba bhypoglycemic
breaction. bFruity bbreath bmay baccompany bketoacidosis. bFlushing bof bthe bface bmay
baccompany bhyperglycemia. bDry, bflaky bskin bis bunrelated bto bhypoglycemia.
2. bThe bnurse bis bevaluating bthe bclient's bknowledge bof btreatment bif ban binsulin
breaction boccurs. bWhich bof bthe bfollowing bactions bis bmost bappropriate bfor bthe bclient
bto bunderstand?
a. bnotify bthe bdoctor
b. binject ba bdose bof bregular binsulin
c. blie bdown band bwait bfor bthe breaction bto bdisappear
d. btake ban boral bform bof bglucose. b- bcorrect banswers✔✔2. bAnswer: bd
The binitial breaction bby bthe bclient bis bto btake bsome bform bof boral bglucose bin border
bto braise bthe bblood bglucose blevel. bOption b1 bwould bdelay bappropriate bself
btreatment. bOption b2 band b3 bwould bcause bfurther bharm bto bthe bclient.
3. bThe bnurse bis binstructing bthe bclient babout binsulin badministration. bWhich bof bthe
bfollowing bpieces bof bclient binformation balerts bthe bnurse bthat bspecial binstruction
bregarding binsulin bis bnecessary?
a. bclient blives bin ban bapartment bwith bspouse
b. bclient bwishes bto bteach bspouse bhow bto badminister binsulin
c. bclient bjogs b3 bto b4 bmiles bevery bother bday
d. bclient btakes ba bnap bin bthe bafternoon b- bcorrect banswers✔✔3. bAnswer: bc
, Jogging bincreases binsulin brequirements band babsorption bcan bbe bincreased bif bthe
bdrug bis binjected binto bthe bthigh. bThis blifestyle bfactor bof bthe bclient brequires bspecial
binstruction.
4. bA bclient bwith ba bhistory bof balcoholism bhas bjust bbeen bdiagnosed bwith btype b2 bDM
band bis bplaced bon btolbutamide b(Orinase). bThe bnurse bexplains bthat bwhich bof bthe
bfollowing breactions bmay boccur bif bthe bclient bdrinks balcohol bwhile btaking bthis
bmedication? b
a. bdecreased bdiuresis
b. bdisulfiram-like breaction
c. banaphylaxis
d. bincreased btolerance bto bthe bmedication b- bcorrect banswers✔✔4. bAnswer: bb
Tolbutamide binteracting bwith balcohol bcan blead bto ba bdisulfiram-like breaction bcausing
bcomplaints bof bheadache band bflushing bof bthe bskin. bThis bis ban bimportant bteaching
bpoint bfor bthe bclient bwho bhas ba bhistory bof balcoholism, beven bif bcurrently bnot
bdrinking.
5. bThe bphysician borders b36 bunits bof bNPH band b12 bunits bof bregular binsulin. bThe
bnurse bplans bto badminister bthese bdrugs bin b1 bsyringe. bIdentify bthe bsteps bin bthis
bprocedure bby blisting bthem bin bpriority border. b
1. binject bair bequal bto bNPH bdose binto bNPH bvial
2. binvert bregular binsulin bbottle band bwithdraw bregular binsulin bdose
3. binject bair bequal bto bregular bdose binto bregular bdose
4. binvert bNPH bvial band bwithdraw bNPH bdose
a. b1, b2, b3, b4 b
b. b1, b4, b3, b2
c. b1, b4, b2, b3
d. b1, b3, b2, b4 b- bcorrect banswers✔✔5. bAnswer: bd
6. bA bclient bwith bDM bvisits ba bhealthcare bclinic. bThe bclient's bDM bpreviously bhad
bbeen bwell bcontrolled bwith bglyburide b(Diabeta), b5 bmg bPO bdaily, bbut brecently bthe
bfasting bblood bglucose bhas bbeen brunning b180-200 bmg/dL. bWhich bmedication, bif
badded bto bthe bclient's bregimen, bmay bhave bcontributed bto bthe bhyperglycemia?
a. bprednisone b(Deltasone)
b. batenolol b(Tenormin)
c. bphenelzine b(Nardil)
d. ballopurinol b(Zyloprim) b- bcorrect banswers✔✔6. bAnswer: ba
Prednisone bmay bdecrease bthe beffect bof boral bhypoglycemics, binsulin, bdiuretics, band
bK bsupplements.
