ATI Diabetes Quiz Questions and
Complete Solutions Graded A+
A nurse is a client who is taking metformin XR for type 2 DM. Which of the following instructions should
the nurse include in the teaching? - Answer: "Take the medication with a meal." This will help the client
avoid HYPOglycemia and GI upset and to provide the most absorption of the medication.
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse
should recognize which of the following finding is a therapeutic response to the medication? - Answer:
Increase in energy. Depression, lethargy, and fatigue are manifestations of HYPOthyroidism and
effective treatment will improve these manifestations.
A nurse is caring for an adolescent client who has a long history of DM and is long admitted to the ED
confused, flushed, and with an acetone odor on the breath . DKA is suspected. The nurse should
anticipate using which of the following types of insulin to treat this client? - Answer: Regular insulin is
classified as a short-acting insulin. It can be given IV with an onset of action of less than 30 min. This is
the insulin that is most appropriate in emergency situations of severe HYPERglycemia and DKA.
A nurse is providing teaching for a client who is newly diagnosed type 2 DM and has a prescription for
glipizide. Which of the following statements made by the nurse best describes glipizide? - Answer:
"Glipizide stimulates your pancreas to release insulin." It is an oral antidiabetic medication that is
classified as a sulfonylurea agent. These medications help to lower blood glucose levels in clients who
have type 2 DM using several methods including reducing glucose output by the liver, increasing
sensitivity to insulin, and stimulating the release of insulin form the functioning beta cell in the pancreas.
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who
has DM. When mixing the 2 types of insulin, which of the actions should the nurse take first? - Answer:
Inject 20 units of air into the NPH insulin vial because his insulin is the intermediate-acting insulin which
will be drawn up last in order to avoid contaminating the regular insulin with the NPH insulin.
A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following
instructions should the nurse include? - Answer: "Eat a snack 8 hours after taking this medication." NPH
insulin peaks in 6-14 hours after dosing. The client is at risk for HYPOglycemia and might require a snack
at this time. Clients should check blood glucose 8-10 hours after administration of NPH insulin. If
HYPOglycemic, consume a small snack of 15 grams of carbs and recheck blood glucose again in 15 min.
Complete Solutions Graded A+
A nurse is a client who is taking metformin XR for type 2 DM. Which of the following instructions should
the nurse include in the teaching? - Answer: "Take the medication with a meal." This will help the client
avoid HYPOglycemia and GI upset and to provide the most absorption of the medication.
A nurse is assessing a client who is receiving liothyronine for treatment of hypothyroidism. The nurse
should recognize which of the following finding is a therapeutic response to the medication? - Answer:
Increase in energy. Depression, lethargy, and fatigue are manifestations of HYPOthyroidism and
effective treatment will improve these manifestations.
A nurse is caring for an adolescent client who has a long history of DM and is long admitted to the ED
confused, flushed, and with an acetone odor on the breath . DKA is suspected. The nurse should
anticipate using which of the following types of insulin to treat this client? - Answer: Regular insulin is
classified as a short-acting insulin. It can be given IV with an onset of action of less than 30 min. This is
the insulin that is most appropriate in emergency situations of severe HYPERglycemia and DKA.
A nurse is providing teaching for a client who is newly diagnosed type 2 DM and has a prescription for
glipizide. Which of the following statements made by the nurse best describes glipizide? - Answer:
"Glipizide stimulates your pancreas to release insulin." It is an oral antidiabetic medication that is
classified as a sulfonylurea agent. These medications help to lower blood glucose levels in clients who
have type 2 DM using several methods including reducing glucose output by the liver, increasing
sensitivity to insulin, and stimulating the release of insulin form the functioning beta cell in the pancreas.
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who
has DM. When mixing the 2 types of insulin, which of the actions should the nurse take first? - Answer:
Inject 20 units of air into the NPH insulin vial because his insulin is the intermediate-acting insulin which
will be drawn up last in order to avoid contaminating the regular insulin with the NPH insulin.
A nurse is teaching a client who has a new prescription for NPH insulin. Which of the following
instructions should the nurse include? - Answer: "Eat a snack 8 hours after taking this medication." NPH
insulin peaks in 6-14 hours after dosing. The client is at risk for HYPOglycemia and might require a snack
at this time. Clients should check blood glucose 8-10 hours after administration of NPH insulin. If
HYPOglycemic, consume a small snack of 15 grams of carbs and recheck blood glucose again in 15 min.
