STUVIA 2024/2025
Chapter 47: Antidiabetics
The nurse is teaching a group of nursing students about diabetes. The nurse explains that which type
of diabetes is the most common?
a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes - ✔✔ANS: B
Type 2 diabetes mellitus is the most common type of diabetes.
A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes:
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy. - ✔✔ANS: C
Type 2 diabetes is often caused by obesity and hereditary factors. Secondary diabetes is triggered by
medications. Type 2 diabetes is the most common type of diabetes. Patients with type 2 diabetes may
eventually require treatment with insulin.
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A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose level of
160 mg/dL and a hemoglobin A1c of 5.8%. The nurse understands that this patient has which
condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes - ✔✔ANS: D
Patients with a hemoglobin A1c between 5.7% and 6.4% are considered to have prediabetes. A level
of 6.5% or more indicates diabetes. The patient is hyperglycemic.
The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin
administration. Which statement by the patient indicates a need for further teaching?
a. "I should rotate my injection sites."
b. "I should give each injection a knuckle length away from a previous injection."
c. "I will not be concerned about a raised knot under my skin from injecting insulin."
d. "Insulin is absorbed better from subcutaneous sites on my abdomen." - ✔✔ANS: C
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, STUVIA 2024/2025
Lipohypertrophy presents as a raised lump or knot on the skin surface caused by repeated injections
into the same site, and this can interfere with insulin absorption. Patients are encouraged to rotate
injection sites, giving each injection at least a knuckle length away from the previous injection. Insulin
absorption is most predictable when given in abdominal areas.
The nurse is teaching a patient how to administer insulin. The patient is thin with very little body fat.
The nurse will suggest injecting insulin:
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
d. using the thigh and buttocks areas exclusively. - ✔✔ANS: C
In a thin person, with little fatty tissue, the needle is inserted at a 45- to 60-degree angle. In other
patients, a 45- to 90-degree angle is acceptable. There is no recommendation for preferring one site
over another.
The nurse receives the following order for insulin: IV NPH (Humulin NPH) 10 units. The nurse will
perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
%
c. Give the drug subcutaneously.
d. Question the insulin dose. - ✔✔ANS: B
NPH insulin is not indicated for intravenous administration. The nurse should clarify the order. The
nurse should not administer the drug by a different route without first discussing the order with the
provider.
The nurse will administer parenteral insulin to a patient who will receive a mixture of NPH (Humulin
NPH) and regular (Humulin R). The nurse will give this medication via which route?
a. Intradermal
b. Intramuscular
c. Intravenous
d. Subcutaneous - ✔✔ANS: D
Insulin is given by the subcutaneous route. NPH insulin is not indicated for intravenous use.
A patient reports that they are taking a rapid-acting insulin with meals, but can't remember the name.
Which of the following products is a rapid-acing insulin?
a. Regular insulin (Novolin R)
b. Insulin glargine (Lantus)
stuvia
Chapter 47: Antidiabetics
The nurse is teaching a group of nursing students about diabetes. The nurse explains that which type
of diabetes is the most common?
a. Type 1 diabetes mellitus
b. Type 2 diabetes mellitus
c. Diabetes insipidus
d. Secondary diabetes - ✔✔ANS: B
Type 2 diabetes mellitus is the most common type of diabetes.
A patient develops type 2 diabetes mellitus. The nurse will explain that this type of diabetes:
a. is generally triggered by medications.
b. is not as common as type 1 diabetes.
c. is often related to heredity and obesity.
d. will not require insulin therapy. - ✔✔ANS: C
Type 2 diabetes is often caused by obesity and hereditary factors. Secondary diabetes is triggered by
medications. Type 2 diabetes is the most common type of diabetes. Patients with type 2 diabetes may
eventually require treatment with insulin.
%
A patient who is overweight is being evaluated for diabetes. The patient has a blood glucose level of
160 mg/dL and a hemoglobin A1c of 5.8%. The nurse understands that this patient has which
condition?
a. Diabetes mellitus
b. Hypoglycemia
c. Normal blood levels
d. Prediabetes - ✔✔ANS: D
Patients with a hemoglobin A1c between 5.7% and 6.4% are considered to have prediabetes. A level
of 6.5% or more indicates diabetes. The patient is hyperglycemic.
The nurse is teaching a patient who is newly diagnosed with type 1 diabetes mellitus about insulin
administration. Which statement by the patient indicates a need for further teaching?
a. "I should rotate my injection sites."
b. "I should give each injection a knuckle length away from a previous injection."
c. "I will not be concerned about a raised knot under my skin from injecting insulin."
d. "Insulin is absorbed better from subcutaneous sites on my abdomen." - ✔✔ANS: C
stuvia
, STUVIA 2024/2025
Lipohypertrophy presents as a raised lump or knot on the skin surface caused by repeated injections
into the same site, and this can interfere with insulin absorption. Patients are encouraged to rotate
injection sites, giving each injection at least a knuckle length away from the previous injection. Insulin
absorption is most predictable when given in abdominal areas.
The nurse is teaching a patient how to administer insulin. The patient is thin with very little body fat.
The nurse will suggest injecting insulin:
a. by pinching up the skin and injecting straight down.
b. in the abdomen only with the needle at a 90-degree angle.
c. subcutaneously with the needle at a 45- to 60-degree angle.
d. using the thigh and buttocks areas exclusively. - ✔✔ANS: C
In a thin person, with little fatty tissue, the needle is inserted at a 45- to 60-degree angle. In other
patients, a 45- to 90-degree angle is acceptable. There is no recommendation for preferring one site
over another.
The nurse receives the following order for insulin: IV NPH (Humulin NPH) 10 units. The nurse will
perform which action?
a. Administer the dose as ordered.
b. Clarify the insulin type and route.
%
c. Give the drug subcutaneously.
d. Question the insulin dose. - ✔✔ANS: B
NPH insulin is not indicated for intravenous administration. The nurse should clarify the order. The
nurse should not administer the drug by a different route without first discussing the order with the
provider.
The nurse will administer parenteral insulin to a patient who will receive a mixture of NPH (Humulin
NPH) and regular (Humulin R). The nurse will give this medication via which route?
a. Intradermal
b. Intramuscular
c. Intravenous
d. Subcutaneous - ✔✔ANS: D
Insulin is given by the subcutaneous route. NPH insulin is not indicated for intravenous use.
A patient reports that they are taking a rapid-acting insulin with meals, but can't remember the name.
Which of the following products is a rapid-acing insulin?
a. Regular insulin (Novolin R)
b. Insulin glargine (Lantus)
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