1
NSG 312 Exam (2024/2025)
NSG 312 Exam 2 (2024/2025) Verified
Questions and Verified Rationalized
Answers, 100% A+ Graded
A client diagnosed with diabetes mellitus receives 8 units of regular insulin subcutaneously at
7:30 am. The nurse should be most alert to signs of hypoglycemia at what time during the
day?
A. 9:30 am to 11:30 am
B. 11:30 am to 1:30 pm
C. 1:30 pm to 3:30 pm
D. 3:30 pm to 5:30 pm –
Correct Answer :A. 9:30 am to 11:30 am.
, 2
NSG 312 Exam (2024/2025)
Regular insulin is a short-acting insulin. Its onset of action occurs in a half hour and peaks in 2
to 4 hours. Its duration of action is 4 to 6 hours. A hypoglycemic reaction will most likely occur
at peak time, which in this situation is between 9:30 am and 11:30 am.
The nurse monitors the client for a hypoglycemic reaction, knowing that NPH insulin peaks in
approximately how many hours following administration?
A. 1 hour
B. 2 to 3 hours
C. 8 to 12 hours
D. 16 to 24 hours –
Correct Answer :C. 8 to 12 hours.
other options give either times that are too long or too short
A client received a dose of regular insulin (Humulin R) this morning at 7:00 a.m. At what
approximate time would the nurse likely anticipate the potential for a hypoglycemic reaction
to occur?
A. 8:00 a.m.
B. 10:00 a.m.
C. 12:00 p.m.
D. 2:00 p.m. –
Correct Answer :B. 10:00 a.m.
Humulin R is a rapid-acting insulin with a peak action of 2 to 4 hours after injection.
Hypoglycemic reactions are most likely to occur during the peak action of insulin, which would
be between 10:00 am and 12:00 noon in this situation. This makes 10:00 a.m. the correct
option.
, 3
NSG 312 Exam (2024/2025)
Regular insulin is prescribed for a child diagnosed with type 1 diabetes mellitus. The nurse is
planning a teaching session with the child and mother about the onset, peak, and duration
times of the insulin. Which information should the nurse provide about this type of insulin?
A. Onset of 1 hour from injection time, peak of 30 to 90 minutes later, and duration time of 5
hours
B. Onset of 30 minutes from injection time, peak of 2 to 4 hours later, and duration time of 4
to 8 hours
C. Onset of 2 to 6 hours from injection time, peak of 4 to 14 hours later, and duration time of
14 to 20 hours
D. Onset of 6 to 14 hours from injection time, peak of 10 to 16 hours later, and duration time
of 20 to 24 hours –
Correct Answer :B. Onset of 30 minutes from injection time, peak of 2 to 4 hours later, and
duration time of 4 to 8 hours.
Regular insulin has an onset of action of 30 minutes from injection time, peak action of 2 to 4
hours later, and a duration time of 4 to 8 hours. Therefore, the remaining options are
incorrect.
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would
be of highest priority for this client?
A. Taking hourly blood pressures with mechanical cuff
B. Encouraging fluid intake of at least 200mL per hour
C. Position in high Fowler's with knee gatch raised
D. Administering Tylenol as ordered –
Correct Answer :B. Encouraging fluid intake of at least 200mL per hour
What are pertinent labs to draw before a paracentesis? - Correct Answer :- Serum albumin
- Protein
, 4
NSG 312 Exam (2024/2025)
- Glucose
- Amylase
- BUN
- Creatinine
A home care nurse is instructing the parents of a child with iron deficiency anemia regarding
the administration of a liquid oral iron supplement. The nurse tells the mother to
1. administer the iron through a straw
2. administer iron at meal times
3. add the iron to the formula for easy administration
4. mix the iron with cereal to administer –
Correct Answer :answer: 1
Iron should be administered through the straw or with a medicine dropper placed at the back
of the mouth because the iron will stain the teeth. the parent should be instructed to brush or
wipe the teeth after administration. Iron is administered between meals because absorption
is decreased if there is food in the stomach. Iron requires an acid environment to facilitate its
absorption in duodenum. Iron is not added to formula or mixed with cereal or other food
items.
A nurse working in an endoscopy center is preparing to provide instructions to clients who are
scheduled to undergo colonoscopies, sigmoidoscopies, and ERCPs. Sort the descriptions the
nurse will include by the type of procedure the clients are having: Colonoscopy,
sigmoidoscopy, or ERCP.
A. Allows visualization of entire colon
B. Requires a bowl prep at least one day before the procedure
C. Allows visualization of bile duct and pancreatic duct
D. Side effects may include sore throat
NSG 312 Exam (2024/2025)
NSG 312 Exam 2 (2024/2025) Verified
Questions and Verified Rationalized
Answers, 100% A+ Graded
A client diagnosed with diabetes mellitus receives 8 units of regular insulin subcutaneously at
7:30 am. The nurse should be most alert to signs of hypoglycemia at what time during the
day?
A. 9:30 am to 11:30 am
B. 11:30 am to 1:30 pm
C. 1:30 pm to 3:30 pm
D. 3:30 pm to 5:30 pm –
Correct Answer :A. 9:30 am to 11:30 am.
, 2
NSG 312 Exam (2024/2025)
Regular insulin is a short-acting insulin. Its onset of action occurs in a half hour and peaks in 2
to 4 hours. Its duration of action is 4 to 6 hours. A hypoglycemic reaction will most likely occur
at peak time, which in this situation is between 9:30 am and 11:30 am.
The nurse monitors the client for a hypoglycemic reaction, knowing that NPH insulin peaks in
approximately how many hours following administration?
A. 1 hour
B. 2 to 3 hours
C. 8 to 12 hours
D. 16 to 24 hours –
Correct Answer :C. 8 to 12 hours.
other options give either times that are too long or too short
A client received a dose of regular insulin (Humulin R) this morning at 7:00 a.m. At what
approximate time would the nurse likely anticipate the potential for a hypoglycemic reaction
to occur?
A. 8:00 a.m.
B. 10:00 a.m.
C. 12:00 p.m.
D. 2:00 p.m. –
Correct Answer :B. 10:00 a.m.
Humulin R is a rapid-acting insulin with a peak action of 2 to 4 hours after injection.
Hypoglycemic reactions are most likely to occur during the peak action of insulin, which would
be between 10:00 am and 12:00 noon in this situation. This makes 10:00 a.m. the correct
option.
, 3
NSG 312 Exam (2024/2025)
Regular insulin is prescribed for a child diagnosed with type 1 diabetes mellitus. The nurse is
planning a teaching session with the child and mother about the onset, peak, and duration
times of the insulin. Which information should the nurse provide about this type of insulin?
A. Onset of 1 hour from injection time, peak of 30 to 90 minutes later, and duration time of 5
hours
B. Onset of 30 minutes from injection time, peak of 2 to 4 hours later, and duration time of 4
to 8 hours
C. Onset of 2 to 6 hours from injection time, peak of 4 to 14 hours later, and duration time of
14 to 20 hours
D. Onset of 6 to 14 hours from injection time, peak of 10 to 16 hours later, and duration time
of 20 to 24 hours –
Correct Answer :B. Onset of 30 minutes from injection time, peak of 2 to 4 hours later, and
duration time of 4 to 8 hours.
Regular insulin has an onset of action of 30 minutes from injection time, peak action of 2 to 4
hours later, and a duration time of 4 to 8 hours. Therefore, the remaining options are
incorrect.
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would
be of highest priority for this client?
A. Taking hourly blood pressures with mechanical cuff
B. Encouraging fluid intake of at least 200mL per hour
C. Position in high Fowler's with knee gatch raised
D. Administering Tylenol as ordered –
Correct Answer :B. Encouraging fluid intake of at least 200mL per hour
What are pertinent labs to draw before a paracentesis? - Correct Answer :- Serum albumin
- Protein
, 4
NSG 312 Exam (2024/2025)
- Glucose
- Amylase
- BUN
- Creatinine
A home care nurse is instructing the parents of a child with iron deficiency anemia regarding
the administration of a liquid oral iron supplement. The nurse tells the mother to
1. administer the iron through a straw
2. administer iron at meal times
3. add the iron to the formula for easy administration
4. mix the iron with cereal to administer –
Correct Answer :answer: 1
Iron should be administered through the straw or with a medicine dropper placed at the back
of the mouth because the iron will stain the teeth. the parent should be instructed to brush or
wipe the teeth after administration. Iron is administered between meals because absorption
is decreased if there is food in the stomach. Iron requires an acid environment to facilitate its
absorption in duodenum. Iron is not added to formula or mixed with cereal or other food
items.
A nurse working in an endoscopy center is preparing to provide instructions to clients who are
scheduled to undergo colonoscopies, sigmoidoscopies, and ERCPs. Sort the descriptions the
nurse will include by the type of procedure the clients are having: Colonoscopy,
sigmoidoscopy, or ERCP.
A. Allows visualization of entire colon
B. Requires a bowl prep at least one day before the procedure
C. Allows visualization of bile duct and pancreatic duct
D. Side effects may include sore throat
