NUR 180 EXAM 3 PRACTICE QUESTIONS 2026/2027 – NURSING STUDY GUIDE,
EXAM REVIEW & TEST PREP
- 1) You are doing some teaching with a client who is starting on a sulfonylurea antidiabetic agent. The
client mentions that he usually has a couple of beers each night and takes an aspirin each day to prevent
heart attack and/or strokes. Which of the following responses would be best on the part of the nurse?
- a. As long as you only drink two beers and take one aspirin, this should not be a problem
- b. The aspirin is alright but you need to give up drinking any alcoholic beverages
- c. Aspirin and alcohol will cause the stomach to bleed more when on a sulfonylurea drug
- D. Taking alcohol and/or aspirin with a sulfonylurea drug can cause development of hypoglycemia
- Alcohol and/or aspirin taken with a sulfonylurea can cause development of hypoglycemia. - correct
answer ✔✔- D. Taking alcohol and/or aspirin with a sulfonylurea drug can cause development of
hypoglycemia
- Alcohol and/or aspirin taken with a sulfonylurea can cause development of hypoglycemia.
Which of the following diabetes drugs acts by decreasing the amount of glucose produced by the liver?
- a. Sulfonylureas
- b. Meglitinides
- c. Biguanides
- d. Alpha-glucosidase inhibitors - correct answer ✔✔c. Biguanides
- Biguanides, such as metformin, lower blood glucose by reducing the amount of glucose produced by
the liver. Sulfonylureas and Meglitinides stimulate the beta cells of the pancreas to produce more insulin.
Alpha- glucosidase inhibitors block the breakdown of starches and some sugars, which helps to reduce
blood glucose levels
An external insulin pump is prescribed for a client with diabetes mellitus and the client asks the nurse
about the functioning of the pump. The nurse bases the response on the information that the pump:
a) is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific
intervals
b) continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring
blood glucose levels
c) is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn
releases the insulin into the bloodstream
D.) gives a small continuously dose of regular insulin subcutaneously, and the client can self-administer a
bolus with an additional dose form the pump before each mealAn insulin pump provides a small
continuous dose of regular insulin subcutaneously throughout the day and night, and the client can self-
administer a bolus with an additional dose fro - correct answer ✔✔- D.) gives a small continuously dose
of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dose form
the pump before each mealAn insulin pump provides a small continuous dose of regular insulin
subcutaneously throughout the day and night, and the client can self-administer a bolus with an
additional dose from the pump before each meal as needed. Regular insulin is used in an insulin pump.
An external pump is not attached surgically to the pancreas.
One of the benefits of Glargine (Lantus) insulin is its ability to:
- a. Release insulin rapidly throughout the day to help control basal glucose.
- b. Release insulin evenly throughout the day and control basal glucose levels.
EXAM REVIEW & TEST PREP
- 1) You are doing some teaching with a client who is starting on a sulfonylurea antidiabetic agent. The
client mentions that he usually has a couple of beers each night and takes an aspirin each day to prevent
heart attack and/or strokes. Which of the following responses would be best on the part of the nurse?
- a. As long as you only drink two beers and take one aspirin, this should not be a problem
- b. The aspirin is alright but you need to give up drinking any alcoholic beverages
- c. Aspirin and alcohol will cause the stomach to bleed more when on a sulfonylurea drug
- D. Taking alcohol and/or aspirin with a sulfonylurea drug can cause development of hypoglycemia
- Alcohol and/or aspirin taken with a sulfonylurea can cause development of hypoglycemia. - correct
answer ✔✔- D. Taking alcohol and/or aspirin with a sulfonylurea drug can cause development of
hypoglycemia
- Alcohol and/or aspirin taken with a sulfonylurea can cause development of hypoglycemia.
Which of the following diabetes drugs acts by decreasing the amount of glucose produced by the liver?
- a. Sulfonylureas
- b. Meglitinides
- c. Biguanides
- d. Alpha-glucosidase inhibitors - correct answer ✔✔c. Biguanides
- Biguanides, such as metformin, lower blood glucose by reducing the amount of glucose produced by
the liver. Sulfonylureas and Meglitinides stimulate the beta cells of the pancreas to produce more insulin.
Alpha- glucosidase inhibitors block the breakdown of starches and some sugars, which helps to reduce
blood glucose levels
An external insulin pump is prescribed for a client with diabetes mellitus and the client asks the nurse
about the functioning of the pump. The nurse bases the response on the information that the pump:
a) is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific
intervals
b) continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring
blood glucose levels
c) is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn
releases the insulin into the bloodstream
D.) gives a small continuously dose of regular insulin subcutaneously, and the client can self-administer a
bolus with an additional dose form the pump before each mealAn insulin pump provides a small
continuous dose of regular insulin subcutaneously throughout the day and night, and the client can self-
administer a bolus with an additional dose fro - correct answer ✔✔- D.) gives a small continuously dose
of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dose form
the pump before each mealAn insulin pump provides a small continuous dose of regular insulin
subcutaneously throughout the day and night, and the client can self-administer a bolus with an
additional dose from the pump before each meal as needed. Regular insulin is used in an insulin pump.
An external pump is not attached surgically to the pancreas.
One of the benefits of Glargine (Lantus) insulin is its ability to:
- a. Release insulin rapidly throughout the day to help control basal glucose.
- b. Release insulin evenly throughout the day and control basal glucose levels.
