ProfAmelia - 2026
2026 Pharmacology Clear and Simple
Test Bank and Review Workbook
Which of the following is a main reason to rotate insulin injection sites?
a) To reduce insulin dosage requirement
b) Allows insulin to be evenly absorbed and maintain steady glucose levels
c) Prevents insulin contamination
d) Increases insulin potency
Rationale: Rotating sites ensures even absorption and prevents tissue damage. Other options
do not reflect the key purpose.
When teaching patients about insulin site rotation, what should you include?
a) Use the same spot daily for consistency
b) Rotate only between arms
c) Use each site only once per month and inject 1 inch away from previous site
d) Massage the area after injection
Rationale: Each site should be reused only after several weeks to avoid lipodystrophy.
Massaging and repeated use can cause issues.
Why are patients spared discomfort and cost when mixing insulin?
a) Because insulin is more potent when mixed
b) Only one injection is needed if regular and longer-acting insulin are drawn into one syringe
c) It prevents infection
d) It increases insulin shelf life
Rationale: Mixing insulins in one syringe avoids multiple injections, saving cost and discomfort.
When drawing up insulin, which should be drawn into the syringe first?
a) Clear, regular insulin
b) Cloudy, long-acting insulin
c) Intermediate insulin
d) Any order is safe
Rationale: Clear insulin is drawn first to avoid contaminating the vial with cloudy insulin.
ProfAmelia - 2026
,ProfAmelia - 2026
Which type of insulin is used in an insulin pump? a)
Long-acting only
b) Short-acting insulin only
c) Intermediate-acting insulin
d) Any type of insulin
Rationale: Pumps deliver continuous short-acting insulin to mimic physiological release.
In cystic fibrosis patients, why are pancreatic enzymes needed?
a) To regulate blood sugar
b) Thick mucus blocks pancreatic ducts, preventing enzyme secretion
c) To increase insulin production
d) To prevent hypoglycemia
Rationale: Blocked ducts stop enzyme release; replacement enzymes are needed for digestion.
Which medication is an example of pancreatic enzyme replacement?
a) Metformin
b) Pancrelipase (Creon, Pancrease, Ultrase)
c) Insulin glargine
d) Hydrocortisone
Rationale: Pancrelipase replaces digestive enzymes; the others are unrelated.
Addison’s disease occurs due to:
a) Overproduction of glucocorticoids
b) Undersecretion of glucocorticoids by the adrenal cortex
c) Excess insulin
d) Overproduction of aldosterone
Rationale: Addison’s is adrenal insufficiency; Cushing’s is excess.
A key sign of Addison’s disease is:
a) Moon face
b) Hyperglycemia
c) Weight loss and fatigue
d) Buffalo hump
Rationale: Weight loss and fatigue are classic symptoms of adrenal insufficiency.
ProfAmelia - 2026
, ProfAmelia - 2026
Cushing’s disease results from: a)
Low cortisol levels
b) Overproduction of glucocorticoids
c) Excess insulin
d) Thyroid hormone deficiency
Rationale: Cushing’s is characterized by high cortisol levels.
Which hormone stimulates the thyroid gland to release hormones?
a) ACTH
b) TSH
c) ADH
d) Glucagon
Rationale: TSH (thyroid-stimulating hormone) directly triggers thyroid hormone release.
When should insulin be refrigerated?
a) After injection
b) Before opening or while storing
c) Only during transport
d) Never
Rationale: Unopened insulin must be refrigerated; opened vials may remain at room
temperature for short periods.
Which is a common reason a patient is prescribed an insulin pump? a)
Hyperthyroidism
b) Poor control of blood sugar
c) To avoid all insulin injections
d) To treat Cushing’s disease
Rationale: Pumps are used in patients whose blood glucose is hard to control with injections.
Which organization protects healthcare workers from workplace hazards?
a) FDA
b) CDC
ProfAmelia - 2026
2026 Pharmacology Clear and Simple
Test Bank and Review Workbook
Which of the following is a main reason to rotate insulin injection sites?
a) To reduce insulin dosage requirement
b) Allows insulin to be evenly absorbed and maintain steady glucose levels
c) Prevents insulin contamination
d) Increases insulin potency
Rationale: Rotating sites ensures even absorption and prevents tissue damage. Other options
do not reflect the key purpose.
When teaching patients about insulin site rotation, what should you include?
a) Use the same spot daily for consistency
b) Rotate only between arms
c) Use each site only once per month and inject 1 inch away from previous site
d) Massage the area after injection
Rationale: Each site should be reused only after several weeks to avoid lipodystrophy.
Massaging and repeated use can cause issues.
Why are patients spared discomfort and cost when mixing insulin?
a) Because insulin is more potent when mixed
b) Only one injection is needed if regular and longer-acting insulin are drawn into one syringe
c) It prevents infection
d) It increases insulin shelf life
Rationale: Mixing insulins in one syringe avoids multiple injections, saving cost and discomfort.
When drawing up insulin, which should be drawn into the syringe first?
a) Clear, regular insulin
b) Cloudy, long-acting insulin
c) Intermediate insulin
d) Any order is safe
Rationale: Clear insulin is drawn first to avoid contaminating the vial with cloudy insulin.
ProfAmelia - 2026
,ProfAmelia - 2026
Which type of insulin is used in an insulin pump? a)
Long-acting only
b) Short-acting insulin only
c) Intermediate-acting insulin
d) Any type of insulin
Rationale: Pumps deliver continuous short-acting insulin to mimic physiological release.
In cystic fibrosis patients, why are pancreatic enzymes needed?
a) To regulate blood sugar
b) Thick mucus blocks pancreatic ducts, preventing enzyme secretion
c) To increase insulin production
d) To prevent hypoglycemia
Rationale: Blocked ducts stop enzyme release; replacement enzymes are needed for digestion.
Which medication is an example of pancreatic enzyme replacement?
a) Metformin
b) Pancrelipase (Creon, Pancrease, Ultrase)
c) Insulin glargine
d) Hydrocortisone
Rationale: Pancrelipase replaces digestive enzymes; the others are unrelated.
Addison’s disease occurs due to:
a) Overproduction of glucocorticoids
b) Undersecretion of glucocorticoids by the adrenal cortex
c) Excess insulin
d) Overproduction of aldosterone
Rationale: Addison’s is adrenal insufficiency; Cushing’s is excess.
A key sign of Addison’s disease is:
a) Moon face
b) Hyperglycemia
c) Weight loss and fatigue
d) Buffalo hump
Rationale: Weight loss and fatigue are classic symptoms of adrenal insufficiency.
ProfAmelia - 2026
, ProfAmelia - 2026
Cushing’s disease results from: a)
Low cortisol levels
b) Overproduction of glucocorticoids
c) Excess insulin
d) Thyroid hormone deficiency
Rationale: Cushing’s is characterized by high cortisol levels.
Which hormone stimulates the thyroid gland to release hormones?
a) ACTH
b) TSH
c) ADH
d) Glucagon
Rationale: TSH (thyroid-stimulating hormone) directly triggers thyroid hormone release.
When should insulin be refrigerated?
a) After injection
b) Before opening or while storing
c) Only during transport
d) Never
Rationale: Unopened insulin must be refrigerated; opened vials may remain at room
temperature for short periods.
Which is a common reason a patient is prescribed an insulin pump? a)
Hyperthyroidism
b) Poor control of blood sugar
c) To avoid all insulin injections
d) To treat Cushing’s disease
Rationale: Pumps are used in patients whose blood glucose is hard to control with injections.
Which organization protects healthcare workers from workplace hazards?
a) FDA
b) CDC
ProfAmelia - 2026
