NR 293 GLUCOSE REGULATION UNIT
5 | COMPREHENSIVE
PHARMACOLOGY STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS
2026/2027
1 of 144
Term
Route of Administration
What is the route of administration for intermediate-acting insulin?
Give this one a go later!
Oral Transcutaneous
Intramuscular Subcutaneous
Don't know?
2 of 144
,Term
Metformin: Contraindications
The nurse is reviewing the healthcare provider's orders for a client with
a prescription to start taking metformin 500 mg orally twice a day.
Which client data should cause the nurse to delay administration until
after calling the healthcare provider? Select all that apply.
Give this one a go later!
Capillary glucose 122 mg/dL
Indicated
Administer lispro insulin subcutaneously per sliding scale
Nonessential
Increase temperature in room
Notify the healthcare provider of serum glucose
Contraindicated
Administer acetaminophen 650 mg orally for fever
Increase IV fluids to dilute serum glucose
Wait at least 4 hours to recheck serum glucose
Newly diagnosed with diabetes mellitus (DM) type 1
History of binge alcohol consumption
Admitted with heart failure
Pruritis
Inflammation
, Erythema
Don't know?
3 of 144
Definition
Wash hands
Gently rotate insulin isophane suspension (NPH) vial
Wipe tops of both vials with alcohol
Inject air equal to NPH dose into NPH vial
Inject air equal to regular dose into regular vial
Invert regular insulin bottle and withdraw regular insulin dose
Without adding more air to the inverted NPH vial, carefully insert the
syringe and withdraw the NPH dose
Give this one a go later!
Mixing Intermediate-Acting Insulin
What other types of insulin can intermediate-acting insulin be mixed with in a
syringe for administration as a single injection? Select all that apply.
, Client Teaching: Metformin
Which statement made by a client about taking metformin indicates that the client
does not understand the medication?
Mixing Insulins
Place the steps the nurse should take when combining different types of
insulin in one syringe in the correct order.
Types of Insulin
Which insulin formulations are currently available in the U.S.? Select all that apply.
Don't know?
4 of 144
Term
Insulin: Pharmacokinetics
Which pharmacokinetic variables should the nurse teach the client
about insulin? Select all that apply.
Give this one a go later!
Duration
Peak Not Compatible With Other Insulins
Onset
Long-acting (glargine) Onset - 1-2
Hours Peak Effect - None Duration - The Next Time They Are Hungry
24 Hours
5 | COMPREHENSIVE
PHARMACOLOGY STUDY GUIDE,
PRACTICE QUESTIONS & ANSWERS
2026/2027
1 of 144
Term
Route of Administration
What is the route of administration for intermediate-acting insulin?
Give this one a go later!
Oral Transcutaneous
Intramuscular Subcutaneous
Don't know?
2 of 144
,Term
Metformin: Contraindications
The nurse is reviewing the healthcare provider's orders for a client with
a prescription to start taking metformin 500 mg orally twice a day.
Which client data should cause the nurse to delay administration until
after calling the healthcare provider? Select all that apply.
Give this one a go later!
Capillary glucose 122 mg/dL
Indicated
Administer lispro insulin subcutaneously per sliding scale
Nonessential
Increase temperature in room
Notify the healthcare provider of serum glucose
Contraindicated
Administer acetaminophen 650 mg orally for fever
Increase IV fluids to dilute serum glucose
Wait at least 4 hours to recheck serum glucose
Newly diagnosed with diabetes mellitus (DM) type 1
History of binge alcohol consumption
Admitted with heart failure
Pruritis
Inflammation
, Erythema
Don't know?
3 of 144
Definition
Wash hands
Gently rotate insulin isophane suspension (NPH) vial
Wipe tops of both vials with alcohol
Inject air equal to NPH dose into NPH vial
Inject air equal to regular dose into regular vial
Invert regular insulin bottle and withdraw regular insulin dose
Without adding more air to the inverted NPH vial, carefully insert the
syringe and withdraw the NPH dose
Give this one a go later!
Mixing Intermediate-Acting Insulin
What other types of insulin can intermediate-acting insulin be mixed with in a
syringe for administration as a single injection? Select all that apply.
, Client Teaching: Metformin
Which statement made by a client about taking metformin indicates that the client
does not understand the medication?
Mixing Insulins
Place the steps the nurse should take when combining different types of
insulin in one syringe in the correct order.
Types of Insulin
Which insulin formulations are currently available in the U.S.? Select all that apply.
Don't know?
4 of 144
Term
Insulin: Pharmacokinetics
Which pharmacokinetic variables should the nurse teach the client
about insulin? Select all that apply.
Give this one a go later!
Duration
Peak Not Compatible With Other Insulins
Onset
Long-acting (glargine) Onset - 1-2
Hours Peak Effect - None Duration - The Next Time They Are Hungry
24 Hours
