NUR 106 (Pharmacology....Chapters - 29, 30, & 35) NCLEX STYLE
QUESTION Questions with Correct Answers (Grade A+)
Question 1: After learning the symptoms of hypoglycemia, a patient performing teach-back to the
nurse included all of the following in the discussion. (Select All That Apply)
A. Hunger
B. Rapid shallow respiration
C. Nausea, vomiting, and abdominal pain
D. Sweating
E. Weakness and blurred vision **Book**
Answer: A, D, & E (Hunger) (Sweating) (Weakness and blurred vision)
Question 2: A patient who received her morning insulin at breakfast started to complain around noon
about feeling shaky, off balance, sweaty, and could not focus. The nurse suspected that the patient was
experiencing:
A. Lactic acidosis
B. Kidney failure
C. Hyperglycemia
D. Hypoglycemia **Book**
Answer: D (Hypoglycemia)
Question 3: These types of insulin are the rapid-acting types. (Select all that apply)
A. Lispro
B. Humulin R
C. Glargine
D. Glulisine
E. Aspart **Book**
Answer: A, D, & E (Lispro) (Glulisine) (Aspart)
Question 4: A nurse is administering insulin subcutaneously to a patient. List in order the actions the
nurse will take.
A. Draw up insulin
B. Document the medication
C. Inject insulin
D. Check the order
E. Verify the correct patient **Book**
Answer: D --> A --> E --> C--> B (Check the order --> Draw up insulin --> Verify the correct patient -->
Inject insulin --> Document the medication)
Page 1
,Question 5: A newly diagnosed diabetic patient asks the nurse how long it takes for insulin to "kick in."
The best response by the nurse would be:
A. "Depending on the type of insulin you receive, it can take as long as 2 hours and as short as 15 minutes."
B. "Insulin lasts as long as there is glucose circulating in your system."
C. "The half-life of insulin is rather short, which is why you need to take it so frequently."
D. "Insulin is only effective when it is given before a mean and only lasts as long as it take to digest the meal."
**Book**
Answer: A ("Depending on the type of insulin you receive, it can take as long as 2 hours and as short as 15
minutes.")
Question 6: A patient asked the nurse how the antidiabetic drug pioglitazone (Actos) works to lower his
blood glucose. The best response by the nurse is:
A. "This medication works by stimulating the release of insulin from beta cells in the pancreas."
B. "Unfortunately, this medication works by an unknown mechanism of action."
C. "This is one of the antidiabetic agents that work by increasing muscle and fat tissue sensitivity to allow more
glucose to enter the cell in the presence of insulin."
D. "This medication works by affecting certain enzymes used in the digestion of sugars, which results in
delayed glucose absorption." **Book**
Answer: C ("This is one of the antidiabetic agents that work by increasing muscle and fat tissue sensitivity
to allow more glucose to enter the cell in the presence of insulin.")
Question 7: The nurse is education a patient who was admitted with peripheral edema and acute kidney
injury. After discussing the complications of diabetes, the patient was able to correctly identify
examples of macrovascular complications, which include: (Select all that apply)
A. Stroke
B. Kidney disease
C. Nonhealing ulcers
D. Retinopathy
E. Myocardial infarction (MI) **Book**
Answer: A & E (Stroke) (Myocardial infarction (MI))
Question 8: A patient newly diagnosed with diabetes asks what is the goal of insulin therapy. What is
the nurse's best response?
A. "To prevent the breakdown of protein for use as energy in the body."
B. "To make certain there is sufficient insulin to allow glucose from foods to be metabolized."
C. "To compensate for inadequate dietary control of glucose."
D. "To maintain blood glucose levels consistently within normal range." **Book**
Answer: D ("To maintain blood glucose levels consistently within normal range.")
Page 2
, Question 9: The nurse administers lispro (Humalog) as ordered at 12:30 PM. At what time is the
patient's response to the drug best evaluated?
A. 12:45 PM
B. 4:00 PM
C. 6:15 PM
D. 2:00 PM **Book**
Answer: D (2:00 PM)
Question 10: Which type of insulin has the most rapid onset and shortest duration of action?
A. Aspart (Novolog)
B. Glargine (Lantus)
C. Regular (Humulin R)
D. Extended insulin zinc suspension (Humulin U, Ultralente) **Book**
Answer: A (Aspart (Novolog))
Question 11: What information does the nurse give to a diabetic patient who asks if it is okay to drink
an alcoholic beverage while taking insulin?
A. Alcohol induces hyperglycemia, requiring insulin or dietary adjustments
B. Alcohol inactivates the insulin, increasing the risk of complications of diabetes
C. Distilled liquor is not advisable, but beer or wine with insulin is okay
D. Diabetic patients may have alcohol but should follow the guidelines of no more than two drinks per day for
men and one for women since it does affect blood sugar **Book**
Answer: D (Diabetic patients may have alcohol but should follow the guidelines of no more than two drinks
per day for men and one for women since it does affect blood sugar)
Question 12: A patient taking chlorpropamide (Diabinese) for diabetes drinks one beer per day. What
education should this patient receive from the nurse?
A. Alcohol decreases the effectiveness of hypoglycemic agents
B. Alcohol may increase ketoacidosis
C. Chlorpropamide will increase the sedating effects of alcohol
D. Alcohol combined with chlorpropamide may cause Antabuse-like reactions **Book**
Answer: D (Alcohol combined with chlorpropamide may cause Antabuse-like reactions)
Question 13: Glyburide (Diabeta, Micronase) is prescribed for a patient diagnosed with diabetes. For
which adverse effect does the nurse monitor the patient?
A. Increased urine output
B. Hypotension
C. Tachycardia
D. Hepatotoxicity **Book**
Answer: D (Hepatotoxicity)
Page 3
QUESTION Questions with Correct Answers (Grade A+)
Question 1: After learning the symptoms of hypoglycemia, a patient performing teach-back to the
nurse included all of the following in the discussion. (Select All That Apply)
A. Hunger
B. Rapid shallow respiration
C. Nausea, vomiting, and abdominal pain
D. Sweating
E. Weakness and blurred vision **Book**
Answer: A, D, & E (Hunger) (Sweating) (Weakness and blurred vision)
Question 2: A patient who received her morning insulin at breakfast started to complain around noon
about feeling shaky, off balance, sweaty, and could not focus. The nurse suspected that the patient was
experiencing:
A. Lactic acidosis
B. Kidney failure
C. Hyperglycemia
D. Hypoglycemia **Book**
Answer: D (Hypoglycemia)
Question 3: These types of insulin are the rapid-acting types. (Select all that apply)
A. Lispro
B. Humulin R
C. Glargine
D. Glulisine
E. Aspart **Book**
Answer: A, D, & E (Lispro) (Glulisine) (Aspart)
Question 4: A nurse is administering insulin subcutaneously to a patient. List in order the actions the
nurse will take.
A. Draw up insulin
B. Document the medication
C. Inject insulin
D. Check the order
E. Verify the correct patient **Book**
Answer: D --> A --> E --> C--> B (Check the order --> Draw up insulin --> Verify the correct patient -->
Inject insulin --> Document the medication)
Page 1
,Question 5: A newly diagnosed diabetic patient asks the nurse how long it takes for insulin to "kick in."
The best response by the nurse would be:
A. "Depending on the type of insulin you receive, it can take as long as 2 hours and as short as 15 minutes."
B. "Insulin lasts as long as there is glucose circulating in your system."
C. "The half-life of insulin is rather short, which is why you need to take it so frequently."
D. "Insulin is only effective when it is given before a mean and only lasts as long as it take to digest the meal."
**Book**
Answer: A ("Depending on the type of insulin you receive, it can take as long as 2 hours and as short as 15
minutes.")
Question 6: A patient asked the nurse how the antidiabetic drug pioglitazone (Actos) works to lower his
blood glucose. The best response by the nurse is:
A. "This medication works by stimulating the release of insulin from beta cells in the pancreas."
B. "Unfortunately, this medication works by an unknown mechanism of action."
C. "This is one of the antidiabetic agents that work by increasing muscle and fat tissue sensitivity to allow more
glucose to enter the cell in the presence of insulin."
D. "This medication works by affecting certain enzymes used in the digestion of sugars, which results in
delayed glucose absorption." **Book**
Answer: C ("This is one of the antidiabetic agents that work by increasing muscle and fat tissue sensitivity
to allow more glucose to enter the cell in the presence of insulin.")
Question 7: The nurse is education a patient who was admitted with peripheral edema and acute kidney
injury. After discussing the complications of diabetes, the patient was able to correctly identify
examples of macrovascular complications, which include: (Select all that apply)
A. Stroke
B. Kidney disease
C. Nonhealing ulcers
D. Retinopathy
E. Myocardial infarction (MI) **Book**
Answer: A & E (Stroke) (Myocardial infarction (MI))
Question 8: A patient newly diagnosed with diabetes asks what is the goal of insulin therapy. What is
the nurse's best response?
A. "To prevent the breakdown of protein for use as energy in the body."
B. "To make certain there is sufficient insulin to allow glucose from foods to be metabolized."
C. "To compensate for inadequate dietary control of glucose."
D. "To maintain blood glucose levels consistently within normal range." **Book**
Answer: D ("To maintain blood glucose levels consistently within normal range.")
Page 2
, Question 9: The nurse administers lispro (Humalog) as ordered at 12:30 PM. At what time is the
patient's response to the drug best evaluated?
A. 12:45 PM
B. 4:00 PM
C. 6:15 PM
D. 2:00 PM **Book**
Answer: D (2:00 PM)
Question 10: Which type of insulin has the most rapid onset and shortest duration of action?
A. Aspart (Novolog)
B. Glargine (Lantus)
C. Regular (Humulin R)
D. Extended insulin zinc suspension (Humulin U, Ultralente) **Book**
Answer: A (Aspart (Novolog))
Question 11: What information does the nurse give to a diabetic patient who asks if it is okay to drink
an alcoholic beverage while taking insulin?
A. Alcohol induces hyperglycemia, requiring insulin or dietary adjustments
B. Alcohol inactivates the insulin, increasing the risk of complications of diabetes
C. Distilled liquor is not advisable, but beer or wine with insulin is okay
D. Diabetic patients may have alcohol but should follow the guidelines of no more than two drinks per day for
men and one for women since it does affect blood sugar **Book**
Answer: D (Diabetic patients may have alcohol but should follow the guidelines of no more than two drinks
per day for men and one for women since it does affect blood sugar)
Question 12: A patient taking chlorpropamide (Diabinese) for diabetes drinks one beer per day. What
education should this patient receive from the nurse?
A. Alcohol decreases the effectiveness of hypoglycemic agents
B. Alcohol may increase ketoacidosis
C. Chlorpropamide will increase the sedating effects of alcohol
D. Alcohol combined with chlorpropamide may cause Antabuse-like reactions **Book**
Answer: D (Alcohol combined with chlorpropamide may cause Antabuse-like reactions)
Question 13: Glyburide (Diabeta, Micronase) is prescribed for a patient diagnosed with diabetes. For
which adverse effect does the nurse monitor the patient?
A. Increased urine output
B. Hypotension
C. Tachycardia
D. Hepatotoxicity **Book**
Answer: D (Hepatotoxicity)
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